New White Paper Outlines Brokers Role in Population Health Management: Workplace Wellness Done Right

As the economic burden of chronic disease in the U.S falls in large part on employers, more and more employers are turning to workforce health promotion and prevention strategies designed to develop a healthier population, according to a new HPM Institute white paper.

 

Titled "Population Health Management--A Business Model for a Healthier Workforce," the white paper examines the business rationale for employer investment in Population Health Management (PHM) programs and outlines an effective PHM strategy that is showing promising results in helping to bend the cost curve.

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Letter from the Executive Director

Strategies for Smaller Employers

A new HPM Institute white paper offers smaller employers a strategic approach to self-insure now as a way of dispelling expected  uncertainty in the insurance marketplace when major ACA provisions become effective in 2014.

 

Titled “ACA and Self-Insurance for Small Employers,” the white paper is directed to employers and brokers who are seriously considering a shift to self insurance even before the new law's costly benefit mandates become effective.

 

Noting widespread uncertainty in the commercial insurance market due to the sweeping health law, the white paper discusses how self-insurance has become increasingly attractive to small employers concerned about significant new ACA costs and mandates that become effective in 2014.

 

Favorable incentives in ACA to exempt self-insurance from many requirements imposed on insurers including the “essential health benefit” mandates applicable only to insured plans are explored in the white paper, which recommends adoption of a data-driven HPM model for financially qualified small employers.

 

Congress made a policy decision in ACA not to disrupt the self insurance viewed as working well, according to the white paper. The aggregate impact of ACA  on the insurance market, including impending yet undefined large premium increases, delays in issuance of   regulations and the unsettled national political landscape have contributed to the uncertainty, according to the white paper.

 

To download a copy of the white paper, click here.
 

 

George J. Pantos
Executive Director

gpantos@hpminstitute.org

Workplace Wellness Done Right: Population Health Management

Introduction

Recent Rand Corporation research finds that chronic health conditions – due to rising rates of obesity and physical inactivity such as diabetes, cardiovascular, cancer and other debilitating health conditions – account for over 75 percent of healthcare costs.

 

ACA and Self-Insurance for Small Employers

Introduction

In response to major uncertainties in the commercial insurance market due to the sweeping new health reform law, many mid-sized and smaller employers—as well as their brokers and consultants - are seriously considering a shift to self-insurance even before the new law's costly benefit mandates become effective.

 

Telehealth in the Post-ACA World

Introduction

With the Supreme Court’s recent ruling upholding the constitutionality of the Affordable Care Act (ACA), and the law’s 2014 implementation deadline looming, college and university administrators are in a race to assess the law’s impact on their school-sponsored student health insurance plans and campus health services. It is imperative that, as part of that assessment, they review their policies and redefine them to ensure timely compliance with ACA’s new mandates.

 

The four pillars of HPM that empower health plan sponsors to take control of their plans and reduce costs are:

 

 

Measure— Data-driven analytics and predictive modeling allow organizations to measure risk and assess the health profile of a plan population in order to better understand the key health risk and cost drivers.

 

Manage—Powerful analytics help plan sponsors design and manage actionable health and wellness strategies and campaigns that improve employee health outcomes, enhance the quality of life and reduce costs.

 

Engage—Backed with corporate endorsement, targeted risk-specific personalized outreach and healthcare management campaigns can be introduced within a health plan to foster employee engagement and emphasize healthy lifestyles.

 

Automate—A cloud-based healthcare technology infrastructure and applications platform allows for unified data integration and management across disparate data silos that foster the institutionalizing of care management and healthy corporate lifestyle strategies

 

 

Science Matters: For Greater Engagement in Healthy Behavior

  An innovative, science-based approach to behavior change that addresses individual "readiness" to engage in healthier behavior as a key element of effective Population Health Man...