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Resources for the Health Risk/Benefits Manager
Access
- Change in Percentage of Families Offered Coverage at Work 1998-2005 (Report by the Kaiser Family Foundation, July 2007)
- Quality, Affordable Health Care for All (2007 Statement by the Research and Policy Committee of the Committee for Economic Development)
- Health Care Cost and Access Challenges Persist: Initial Findings from the Center for Studying Health System Change's October 2007 Site Visits
Behavioral Health
- Stress Relief at Work May do the Heart Good (Article by Reuters Health Information, January 2007)
- Substance Abuse and the Effects on the Business Community (SCBCH Presentation 2007)
- Productivity Impact Model: Calculating the Impact of Depression in the Workplace and the Benefits of Treatment (PhRMA website)
- List of Online Depression Resources
- Presentations from 2007 Midwest Business Group on Health (MBGH) Depression Webinar: Health Plan's Approach to Depression (Presented by Aetna), Best Practices in Employer Approaches to Mental Health (Presented by the Partnership for Workplace Mental Health), Consumer Perspective: What Employers Can Do (Presented by Depression and Bipolar Support Alliance), Demonstrating the Impact of Identifying and Treating Depression (Presented by The HSM Group, Ltd.), Cost & Interventions: Depressive Disorders in the Workplace (Presented by JP MorganChase), Using Workplace Tools to Help Manage Your At-Risk Population (Presented by Health Management Innovations)
- Various News Articles
Broker/Consultant Tool
- Disclosure and Transparency Module
- Broker RFP Template
- Broker Transparency Grid
- Health Plan Questions on Broker & Consultant Compensation
Cancer
- Cancer Facts & Figures (2007 Report by the American Cancer Society)
- Impact of Cancer to the Worksite (Report by the American Cancer Society)
Communicating with Employees
- The Employer as Health Coach (Article from the New England Journal of Medicine 2007)
- The Art of Health Promotion: Meta-Evaluation of Worksite Health Promotion Economic Return Studies 2005 Update (Article by Larry S. Chapman, MPH)
- Healthy People 2010: Health Communication (2000 Article by the Office of Disease Prevention and Health Promotion)
- Healthy People 2010 Toolkit: A Field Guide to Health Planning (Public Health Foundation 2002)
- Marketing Your Programs to Employees (Article by Gail Fast, Fitness Onsite Magazine, Spring 2004)
- Making Health Promotion Programs Work (Report from the US Dept of Health & Human Services, National Institutes of Health, and the National Cancer Institute)
Compassionate Contributions
- Compassionate Contribution White Paper
Consumer Directed Health Materials
- Consumer Driven Healthcare-Solution or Stopgap Measure (Brief by National Business Coalition on Health (NBCH) 2003)
- Consumer-Directed Health Plans: Implications for Health Care Quality and Cost (Rand 2005)
- Consumer-Directed Health Care: Too Good To Be True? (Article from Managed Care Magazine 2003)
- Consumer-Directed Health Plans Small but Growing Enrollment Fueled by Rising Cost of Health Care Coverage (US Government Accountability Office Report 2006)
- Will Consumer-Directed Health Care Improve System Performance (2004 Issue Brief by Commonwealth Fund)
- NBCH Report: Promoting Consumerism through Responsible Health Care Benefit Design (November 2006)
- California Healthcare Foundation Report: Consumers in Healthcare: The Burden of Choice (June 2006)
Costs
- The Challenge of Rising Health Care Costs- A View from the Congressional Budget Office ( New England Journal of Medicine November 1, 2007)
- Primer on Health Care Costs (Kaiser Family Foundation 2007)
- Age-Sex Demographic Table (to calculate your risk ratio)
- Efforts to Manage Health Care Costs Succeeding for High-Performing Companies (Article from Towers Perrin 2007)
- Various Newspaper Articles
Disease Management
- What to look for from a Health and Wellness Vendor (Presentation by Wellquest, Inc.)
- Agency for Healthcare Research & Quality (AHRQ) Diabetes Cost Calculator for Employers (Presentation by The Lewin Group)
- Diabetes Outcomes Analyzer (Presentation by Pfizer)
- The BluePrint for Health (Nov. 2007 Presentation by Riedel & Associates Consultants, Inc.)
- Quantifying the Burden of Illness (Nov. 2007 Presentation by Thomas Parry, Integrated Benefits Institute)
- Opinions on Disease Management Outcomes Can be Swayed (Article from Managed Care Magazine June 2006)
- Disease Management Checklist & Definitions
- Disease Management Basics - what to look for in a program: Questions to Ask a Disease Management Vendor
- Disease Management Reporting Form
- Take My Word for It: The Enduring Dispute over Measuring Disease Management's Economic Value (April 2006 article from Managed Care Magazine)
- Care Management Data Hard to Come By (Article from Managed Care Magazine March 2007)
- Various News Articles
Engagement
- Employer Engagement in Advancing Value-Driven Health Care and a Physician Leader Response (May 2007 Presentation by Christine Cassel, MD, American Board of Internal Medicine)
- Employer Engagement Advancing Value-Driven Health Care (May 2007 Presentation by Bruce Bradley, GM)
- Incentives for Consumers: Can They Improve Health and Health Care? (May 2007 Presentation by R. Adams Dudley, MD, University of California San Francisco)
- Driving Partnership in Health (May 2007 Presentation by Delia Vetter, EMC2)
- Consumer Engagement Strategies ( May 2007 Presentation by Ann Robinow, Patient Choice)
Generic Drugs
- Guide To Generic Drugs (National Consumers League)
- FDA materials on choosing generic drugs
- Healthwise Handbook information on generic drugs
- Best Buy Consumer Report: Comparing Drugs and Costs
Health Risk Assessments
- Leveraging Health Risk Assessments for Maximum Effect (Article by Virginia Gurley, MD, MPH, Journal of Managed Care Medicine Vol. 10, No. 1)
- Business Case for Employer Sponsored Individual Health Risk Assessments (Article from the Hawaii Business Health Council)
- Sample Health Risk Assessment - University of Michigan
Health & Productivity
- Total Value Total Return: Seven Rules for Optimizing Employee Health Benefits for a Healthier and more Productive Workforce (Pitney Bowes Model DVD)
- American College of Occupational and Environmental Medicine Health & Productivity Toolkit
- Presentations from 2007 Midwest Business Group on Health webinar- The Case for Investing in Employee Health: Health Incentives: Market Trends and Program Design Considerations (Presented by Sue Lewis, IncentOne), The Business Case for Investing in Employee Health (Presented by Hank Scheff, American Federation of State), Using Self-Reported Information to Assess the Impact of Health on Productivity (Presented by Larry Boress MBGH), Wellness at Peoples Energy (Presented by Lily Field, Health & Wellness), Working Towards Wellness- Accelerating the Prevention of Chronic Disease (Presented by MBGH)
- Healthy Workforce 2010: An Essential Health Promotion Sourcebook for Employers, Large and Small (2001 Report from the Partnership for Prevention)
- Working Towards Wellness: Accelerating the Prevention of Chronic Disease (2007 Report from the World Economic Forum)
- Leading Practices for Employee Health Management (2007 Report from the US Chamber of Commerce & Partnership for Prevention)
- Psychopharmacy Management as a Primary Driver of Employee Health and Productivity (2007 Presentation by Humana)
- SCBCH Health & Productivity Workshop 2007: Health & Productivity (Presented by Aaron Whitlock), Wellness Programs: Combat Escalating Costs and Improve Productivity (Presented by Amanda Somers), Advancing Mental Wellness in Individuals, Families, and the Community through Prevention, Advocacy, Counseling, & Education (Presented by Beth Summer-Strait), Productivity and Health Management (Presented by Jim Lipscomb), Integrated Health & Productivity (Presented by Julie Norville), Missed Opportunities for Cost Savings (Presented by Laura Sciepko), Vaccination is Vital (Presented by Wylene McDonald)
Health Fair Planning
- Sample Letter to Participating Vendors
- Suggestions for Employee Participation in the Health Fair
- Suggested Exhibits for a Health Fair
- Sample Health Fair Participant Form
- Sample Vendor Registration Form
- Sample Thank You Letter to Vendor
Health Trends
- 2007 Health Priorities article (Greenberg Quinlan Rosner Research Report)
- Healthcare 21 Business Coalition Health Risk Management Model
- A Community Planning Guide Using Healthy People 2010 (Dept of Health & Human Services)
HIPAA
- Final HIPAA Nondiscrimination Article (Mercer 2007)
- HIPAA Booklet (Fisher & Phillips, LLP)
- Regulations Governing Wellness Programs (2007 Article from Benefit Insurance Marketing)
- New HIPAA Wellness Regulations (Article by Robert Christenson, Benefits Update, Spring 2007)
HRA/HSA
- HC21 HRA 101
- HC21 HRA Fact Sheet
- HC21 HSA 101
- HC21 HSA Fact Sheet
Incentives
- Employee Health & Productivity Management Programs: The Use of Incentives (2007 Report by Health2 Resources)
- Designing Wellness Incentives Parts 1 & 2(Absolute Advantage Volume 4 Number 7/8)
- Get Paid to Lose Weight (Article by Melinda Fulmer, March 16, 2007, MSN Money)
- IBM: Wellness Programs May Trim Health (CBS News Report, January 2007)
- Community Multi-Stakeholder Incentives and Rewards Programs (May 2007 Presentation by Buyers Health Care Action Group)
- Evaluating the Impact of Incentives: Employer Health Care Alliance Cooperative (May 2007 Presentation by Mark Xistris, Employer Health Care Alliance Cooperative)
- Provider Incentives and Rewards (May 2007 Presentation by Reynolds & Company)
- Keeping Score: A Comparison of Pay-for-Performance Programs Among Commercial Insurers (2007 Report by PriceWaterhouseCoopers)
- SCBCH 2007 Workshop Presentation: Maximizing Your Workforce Health & Productivity through Incentives (presented by Cheryl Snyder)
- Incentives for High-Value Health Care (May 2007 Presentation by Andrea Walsh, Health Partners)
- Various News Articles
Health Observances
- 2007 & 2008 National Health Observance Dates
Limited Benefit Plan
- Limited Benefit Plans Fact Sheet
MERP
- What is a MERP? Document
- MERP Sample Policy
- MERP 101
- Using MERP with Incentives
Obesity and Bariatric Surgery
- BMI Form for Health Incentives
- IRS Weight Loss Deduction Article (USA Today, March 2004)
- Obesity Trends Among US Adults between 1985 and 2005 Presentation from the CDC
- 2007 Obesity Report (Trust for America's Health)
- 2007 Midwest Business Group on Health Webinar Presentations: The Workplace's Inconvenient Truth: The Cost of Inactivity and Obesity (Presented by Watson Wyatt), Inactivity & Obesity Report Findings (Presented by James S Carmen, Workplace Wellness), The Cost of Inactivity and Obesity (Presented by MBGH), Employer Case Study: The Horton group-Workplace Wellness (Presented by Kenneth Olson, The Horton Group), The Importance of Physical Activity and Implementing the Right Model (Presented by Dr. Jeremy Nicol, Virgin Life Care)
Onsite Clinics
- Providing Integrated Onsite Health Care: The Next Step in Managing Team Member Health Presentation (May 2007 Presentation by Toyota)
- Company Clinics Cut Health Costs (Article by Milt Freudenheim, NY Times, Jan. 2007)
- Big Employers Bring Health (Article by Paula Katz, American College of Physicians, 2007)
- Medical Clinics in the Workplace (Nov. 2007 Presentation by Caryol Hendricks, Employers' Health Coalition)
- On-Site Health Care and Integration of Medical Services (Nov. 2007 Presentation by Allan Khoury, Whole Health Management)
- Presentation: Worksite Medical and Pharmacy, December 2006 (SCBCH Purchaser Workshop)
- Various Newspaper/Magazine Articles on the Topic of Worksite Clinics
Pandemic Flu
- Preparation Checklist for Employers (Dept of Health & Human Services)
- GE Energy Pandemic Business Continuity Planning (Oct. 2006)
- Sample Emails for Employees (Ready Business)
- Sample Newsletter Article ( Ready Business)
- Train the Trainer Presentation
- Sample Preparedness Plan (Ready Business)
- Emergency Contacts Form (Ready Business)
Patient Centered Care
- Patient-Centered Care: What Does it Take? (April 2007 Report by the Commonwealth Fund)
- Expanding Patient-Centered Care to Empower Patients and Assist Providers (2002 Report by the Agency for Health Research and Quality)
- A 2020 Vision of Patient-Centered Primary Care (Article from The Commonwealth Fund, Oct. 2005)
- Adoption of Patient-Centered Care Practices by Physicians (Article from The Commonwealth Fund, April 2006)
- Ambulatory Safety and Quality Enabling Patient-Centered Care through Health IT (2007 Report from the Department of Health and Human Services)
- EHRs in the Exam Room Tips on Patient-Centered Care (2006 article from American Academy of Family Physicians)
- Achieving a Culture of Patient and Family Centered Care at Bronson Methodist Hospital (2007 Case Study by the Commonwealth Fund)
- Massachusetts Health Quality Partners Presentation on Measuring & Reporting Patients' Experiences with their Doctors (July 2007)
- On the Path Toward Ideal Medical Practice (Nov 2007 Presentation by L. Gordon Moore Md, Ideal Medical Practice)
Pay for Performance
- AHRQ Resources on Pay for Performance
- Presentation on Why SCBCH Supports Pay for Performance
- Can Pay-for-Performance Help Improve Efficiency? (Nov. 2007 Presentation by Elliot Fisher, Dartmouth's Center for Health Care Research and Reform)
- Pay for Quality: A Strategic Perspective (2007 Report from Deloitte)
Pharmaceuticals
- An Employer's Guide to Pharmaceutical Benefits (2003 Report from Wye River Group on Healthcare)
- Future Trends in Pharmaceutical Benefits (2004 Report from NBCH)
- Workscripts: Dialogues for Improving Medication Adherence, Total Costs, and Productivity through Value-Based Benefit Design (2007 Program by Glaxo SmithKline)
- Promoting Quality Health Care: The New Quality Yardstick for Pharmacy Benefit Management Programs (Nov. 2007 Presentation by Alan Spielman, URAC)
Prevention
- Comprehensive & Integrated Chronic Disease Prevention Report (2005 Report from Partnership for Prevention)
- Why Invest? Recommendations for Improving your Prevention Investment (2007 report from Partnership for Prevention)
- Guide to Smart Prevention Investments (2001 Report from Partnership for Prevention)
- Improving The Bottom Line Through a High Performance, Less Costly Workforce (2005 Report from Partnership for Prevention)
- Promoting Prevention in Medical Management and Preferred Provider Organizations (2004 Report from URAC & NBCH)
- Preventive Services: Helping Employers Expand Coverage (2002 Report Partnership for Prevention)
- A Purchaser's Guide to Clinical Preventive Services: Moving Science into Coverage (CDC 2007)
- Various News Articles
Quality
- We Can Do Better - Improving the Health of the American People (2007 The New England Journal of Medicine)
- How to Know Quality Care When You See It - Online Program from the Agency on Healthcare Research and Quality (2005)
- Who Is at Greatest Risk for Receiving Poor-Quality Health Care? (2006 New England Journal of Medicine article)
- eValue8 Cornerstone Report (NBCH 2007)
- The Commonwealth Fund: Hospital Quality Improvement: Strategies and Lessons from U.S. Hospitals (Report April 2007)
- The Commonwealth Fund: Multinational Comparisons of Health System Data (2006)
- The Critical Role of Purchasers in Driving a High Performance Health System (May 2007 Presentation by Karen Davis, The Commonwealth Fund)
- Various News Articles
Self Funded vs. Fully Insured
- Advantages and Disadvantages
South Carolina Reports
- Growth Fuels Hospital Competition and Challenges Greenville Safety Net (A Community Report by the Center for Studying Health System Change 2005)
- Commonwealth Fund Presentation on Scorecard (2007)
- SC Data on Chronic Disease by County (SCDHEC)
- SC Healthcare Reform in 2008 (A white Paper by Dr. Mark O'Rourke)
- United Health Foundation 2007 South Carolina Snapshot
Spousal Surcharge
- Definition of Spousal Surcharge
- USA Today article on Spousal Surcharges (2004)
Tobacco Cessation
- Costs of Tobacco (CDC)
- Benefits of Smoke-free Workplace (CDC)
- Managing Your Workplace Smoke-free (CDC)
- Health Insurance Coverage for Tobacco Cessation Treatments (CDC)
- Tobacco Cessation in California: Benefit Coverage and Consumer Engagement Strategies (Nov. 2007 Presentation by Lauren Vela, Pacific Business Group on Health)
- Working with Employers on Tobacco Control (Nov. 2007 Presentation by Abby Rosenthal, Office on Smoking and Health)
- 2007 NBCH Smoking Cessation Webinar: Make it your Business: Comprehensive Tobacco Control (Presented by Charles Bentz), Smoking Cessation: How Important is it? (Dawn Weddle, International Truck and Engine Corp), Smoking Cessation in California: Coverage, Uptake, Measurement (Presented by Lauren Vela, PBGH)
Value Based Purchasing
- Employers' Role in Promoting Value: Making the Four Cornerstones Count (May 2007 Presentation by Peter Lee, PBGH)
- Insurance Design (2007 NBCH audio conference)
- Shifting the Focus from Cost to Value: Key Stakeholder Perspectives (Aug. 2006Report from the Journal of Managed Care Pharmacy)
- Value-Driven Health Care: A Purchaser Guide (NBCH Feb. 2007)
- Network for Regional Healthcare Improvement: Creating Payment Systems to Accelerate Value-Driven Health Care
- Benefit Design: Seven Steps to Value-Based Health Benefit Decisions (2007 Pitney Bowes Model)
- Total Value Total Return: Seven Rules for Optimizing Employee Health Benefits for a Healthier and more Productive Workforce (2007 Pitney Bowes Model)
- Purchasing Healthcare that Delivers Value (Presentation by Kevin Shanklin, BCBS)
- Transforming Healthcare Together: The Evolution of Quality and Safety (Nov. 2007 Presentation by Richard Noring, Premier, Inc.)
- Value-Based Insurance Design: Returning Health and Wellness to the Health Care Cost Debate (Nov. 2007 Presentation by A. Mark Fendrick, University of Michigan Center for Value-Based Insurance Design)
- Save Lives Save Dollars: Advancing Value-Driven Health Care (May 2007 Presentation by Vernice Davis Anthony, Greater Detroit Area Health Council)
- Remarks for Advancing Value-Driven Health Care (May 2007 Presentation by Robert Krughoff, Center for the Study of Services)
- Employers' readiness to adopt value-based benefit strategies (Nov. 2007 Presentation by Larry Boress, MBGH)
- Value Based Benefits: a National Pilot (Nov. 2007 Presentation by William Bruning, NBCH)
- The NBCH eValue8 Initiative: Leveraging Purchaser Standards to Improve Performance (Nov. 2007 Presentation by Dennis White, NBCH)
- The Plan Performance Project (P3) (Nov. 2007 Presentation from NBCH 2007 Meeting)
- HealthMapRx: Using Benefit Design and Collaborative Practices (2007 Presentation by Dan Garrett, APhA Foundation)
- Community-based Programs: A BTE Update (Nov. 2007 Presentation by Francois de Brantes, Bridges to Excellence)
- Advancing Value Driven Health Care (Nov. 2007 Presentation by Douglas Emery, Prometheus Payment, Inc.)
- Value-Based Benefit Design: A Case Study (Nov. 2007 Presentation by Peter Hayes, Director of Associate Health & Wellness)
- Driving Better, More Efficient Healthcare (Presentation by Erik Steele, Eastern Maine Healthcare Systems)
- Various News Articles
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