HPM Institute News

HPM Institute 2012 Annual Report Released This Week

New Webcast Explores the Use of Science to Foster Greater Employee Engagement in Healthy Behaviors

New White Paper Outlines Broker Role in Population Health Management

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 white paper issued by the Healthcare Performance Management Institute.

 


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.
 


The paper highlights the important role of brokers in advising clients about technology tools and services available and how specialty professionals can help install and support PHM programs in employer health plan.
 


"Traditional job-related wellness barely scratches the surface of effective population health management programs," said George Pantos, HPM Institute Executive Director and author of the white paper. "Done right, PHM requires a fully integrated platform  of clinical data, wellness programs, health coaching and workflow support systems."
 


Studies show that positive results in programs with greater employee engagement in their own health can be achieved even in the short run. "The key to measurable positive results is a well implemented wellness program and an engaged population with screenings, data analytics and predictive modeling," says Judy Mueller, R.N.,Vice President, Clinical Programs, Healthcare Interactive, a founding Institute company.

 

The white paper focuses on the emergence and availability of a new range of PHM software, tools and services that provide brokers with unprecedented  new  opportunities to enhance revenues by marketing needed new services and solutions that add value to current  and new clients.

 

The white paper can be downloaded by clicking here. The paper's author, George Pantos, can be contacted at gpantos@hpminstitute.org or by calling 888-505-4764.


 

New HPM Institute Webcast Explores Using Science to Achieve Great Employee Engagement

Self Insurer Magazine: The Case for Self Insurance: Overcoming Common Myths

White Paper Offers New Data-Driven Model For Financially Qualified Mid-Sized and Small Employers

Bethesda, Md. (June 10, 2014) -- Noting widespread uncertainty in the commercial insurance marketplace due to the sweeping new health reform law, a new Healthcare Performance Management Institute white paper discusses how self-insurance has become increasingly attractive to small employers concerned about significant new ACA costs and mandates that become effective January 1, 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.

 


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, authored by the HPM Institute Executive Director George Pantos, former general counsel of the Self-Insurance Institute of America (SIIA).
 


While introducing a wide range of expensive new federal mandates into the commercial insurance market, Congress made a policy decision in ACA not to disrupt self-insurance viewed as working well, according to the white paper. “The health reform law makes self-insurance particularly attractive to financially qualified mid-sized and smaller employers,” said Pantos.

 


The aggregate impact of ACA on the insurance market, including impending yet undefined large premium increases in various states, delays in issuance of implementing regulations and the unsettled national political landscape have contributed to the uncertainty, according to the white paper.
 

Dowload the white paper here.

White Paper Takes a Look at Telehealth in the Post-ACA World

New Webcast Discusses How Technology, Analytics and Big Data Are Transforming Healthcare Delivery

Webcast to Feature Discussion on How Technology, Analytics and Big Data Are Transforming Healthcare Delivery

In today’s digital age, a growing number of employers are embracing technology, analytics and big data to help manage their group health plans more efficiently. By leveraging a “hidden asset” in their plans—historical clinical and claims data—employers, particularly self-insured employers, are able to make data-driven decisions and adopt pro-active care management strategies that can help control spiraling costs and improve workforce health outcomes.

 


To provide a unique insight into this new model transforming delivery of healthcare, the HPM Institute on-demand Webcast will feature Ernie Clevenger, a thought leader in the healthcare community who is one of the early pioneers that recognized the important role technology can play in healthcare delivery. Mr. Clevenger publishes a popular weekly publication, MyHealthGuide Newsletter, which is widely circulated to the self-insurance industry.
(www.MyHealthGuide.com) Mr. Clevenger is also the founder-operator of CareHere LLC, which manages over 120 employer health clinics that have adopted technology in their operations.

 


Mr. Clevenger also is a former president of the Self-Insurance Institute of America (SIIA) and currently serves on the SIIA Board.

 


This audio Webcast will be hosted by George Pantos, Executive Director of the HPM Institute.

 


Webcast on-demand availability will be announced on the HPM Institute Website at www.hpminstitute.org. Individuals who wish to receive an alert on availability please email info@hpminstitute.org.

 


About CareHere LLC

CareHere specializes in providing on-site healthcare through employers by making healthcare easier, better and more affordable. Presently, CareHere manages clinics nationwide where wellness and case management are integrated with on-site health care resulting in measurable savings and healthcare trend reductions. Visit www.CareHere.com.


About the HPM Institute

The Healthcare Performance Management Institute (HPM Institute) is a research and education organization dedicated to promoting the use of business technology and management principles that deliver better and more cost-effective healthcare benefits for employers who cover their employees.


The Institute’s mission is to introduce and develop a new corporate discipline called Healthcare Performance Management (HPM)—a technology-enabled business strategy that tackles the challenge of controlling healthcare cost and quality in much the same way that enterprises have optimized customer relations, supply chain management and enterprise resource management. Supported by its four key pillars—Measure, Manage, Engage and Automate—HPM provides organizations with visibility and control over their healthcare benefits spending trends and risk management postures, while protecting individual employee privacy. Visit www.hpminstitute.org.

On-Demand Webcast to Feature Science-Based Approach to 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 Management will be addressed in an HPM institute on-demand Webcast to be available in April.
 
Two experts will discuss how a new model based on a scientific approach to behavior change that addresses individual readiness to engage in healthier behavior is being utilized successfully as a key element of effective Population Health Management.
 
Zan Cha is chief scientist of Healthcare Interactive, a Maryland-based population healthcare management and software development firm. She is a recognized expert in using computational and statistical techniques to present and analyze health data to achieve lower health costs and better health outcomes.
 
Judy Mueller is registered nurse who is president of WellNet Engage, a Maryland-based company specializing in population health management using R.N. Health Coaches. She works with numerous companies on targeted care management and lifestyle behavior programs that are embedded with the science-based principles of behavior change.
 
The Webcast will be moderated by HPM Institute Executive Director George Pantos.
 
The on-demand Webcast will be available in the coming days at www.hpminstitute.org. If you would like to be notified when the Webcast has been published, please email info@hpminstitute.org.

 


About Healthcare Interactive

Healthcare Interactive is a leader in cloud-based healthcare management technology. Its Healthspace Cloud™ platform offers a full suite of tools for brokers, TPAs, and plan administrators. To learn more, please visit www.hciactive.com.
 

About WellNet

WellNet is a provider of integrated health plans, wellness and cost management programs powered by sophisticated technology and engagement professionals. By leveraging real-time data and a high-tech, high-touch engagement model, WellNet identifies the root of the problem and addresses the most promising areas of cost-reduction providing both immediate and sustainable savings. To learn more, please visit www.wellnet.com.
 

White Paper Says Telehealth is Expected to Gain Popularity – Especially on U.S. College Campuses – In Coming Decade

Shortage of Primary Care Physicians, Costly Office Visits and Escalating Insurance Premiums Are Driving Telehealth Growth, According to Healthcare Performance Management Institute

 


Bethesda, MD, February 28, 2013 – A rapidly changing healthcare landscape, with new delivery and reimbursement models redefining the traditional doctor-patient relationship, has created an opening for a rapid expansion of telehealth in the U.S. in the coming decade, especially on college campuses, according to a new report by George Pantos, Executive Director, Healthcare Performance Management (HPM) Institute.

 


The complete HPM Institute report – Telehealth and the U.S. College Population: Connecting Students with Doctors for Better Health – is available at http://www.hpminstitute.org/content/telehealth-and-us-college-population.

 

Among its key findings are:

  • Telehealth, which is not insurance, can complement parent and school insurance plans and provide today’s mobile phone- and computer-connected students with direct, quick access to primary care doctors for basic health information;
  • Parents can gain peace of mind knowing that their student has ready, around-the-clock access to quality physician care away from home; and
  • Institutions of higher education can expand their campus health services to 24/7 without additional infrastructure or personnel costs.

 

 

“In this post-ACA environment, significant trends are converging to impact the healthcare choices of college and university students,” said Pantos.  These choices, in large part, are driven by innovative patient care delivery models, provider reimbursement options, advances in technology and new modalities of electronic communication.

 


“When you include other broader healthcare factors, such as the looming primary doctor shortage, costly office visits and rapidly escalating health insurance premiums, the focus on alternative healthcare delivery models – including telehealth – is expected to intensify,” added Pantos.  The HPM Institute Executive Director noted that this is particularly true for routine, non-urgent medical services, which form the core of what is provided through campus health centers.


About the HPM Institute

The Healthcare Performance Management Institute (HPM Institute) is a research and education organization dedicated to promoting the use of business technology and management principles that deliver better and more cost-effective healthcare benefits for employers who cover their employees.

The Institute’s mission is to introduce and develop a new corporate discipline called Healthcare Performance Management (HPM)—a technology-enabled business strategy that tackles the challenge of controlling healthcare cost and quality in much the same way that enterprises have optimized customer relations, supply chain management and enterprise resource management. Supported by its four key pillars—Measure, Manage, Engage and Automate—HPM provides organizations with visibility and control over their healthcare benefits spending trends and risk management postures, while protecting individual employee privacy.

 

New Report Explores How Increased Employee Engagement in Healthier Behaviors Can Lower Costs and Improve Outcomes

Scientific Behavior Modification Method Enables Greater Employee Engagement in Health Promotion

 


Bethesda, Md. (February 27, 2013) – A new report from the Healthcare Performance Management Institute explores how important scientific principles of behavior change can encourage greater individual participation in healthier behaviors while reducing the costs of health plans.

 


The report, titled “Engaged Employees: The Key to Effective Population Health Management,” examines how customized health coaching can be structured around a breakthrough scientific methodology that correlates individual “readiness” to change behavior with individual health risk, motivation, attitude and interest. Based on the psychology of behavior modification, this modern approach can help individuals to make sustained behavior changes, including active engagement in healthier lifestyle behavior.

 


“Greater employee engagement in employer sponsored workforce health promotion programs results in better health and lower costs,” says George Pantos, HPM Institute Executive Director and co-author of the report. The model described in the report relates to an individual’s readiness to participate actively in lifestyle health promotion programs which rely on “high-touch” R.N. health coaching tailored to each stage of the engagement process.

 


“Individuals who are not ready to modify unhealthy behaviors require a different approach from individuals prepared to change but just don’t know how,” says Henry Cha, president of Healthcare Interactive. The model ranges from “not ready to change unhealthy behavior” to “maintaining healthy behavior.”

 


“By identifying an individual’s position in this continuum, health coaches can more effectively assist individuals in becoming and staying healthier,” says Alexandra Stuehler, co-author of the report.
 

 

By comparing a group of engaged employees with a group of non-engaged employees in the same company, the report illustrates the positive results that can be achieved. The engaged group showed a significant change in health behaviors that resulted in lower annual paid claims costs. “Employers benefit when effective lifestyle behavior programs improve workforce health,” says Pantos.

 


To download this report for free, click here.

 


To schedule an interview with George Pantos and/or Alexandra Stuehler, contact Susan Lackey at slackey@hpminstitute.org.


About the HPM Institute

The Healthcare Performance Management Institute (HPM Institute) is a research and education organization dedicated to promoting the use of business technology and management principles that deliver better and more cost-effective healthcare benefits for employers who cover their employees.

 


The Institute’s mission is to introduce and develop a new corporate discipline called Healthcare Performance Management (HPM)—a technology-enabled business strategy that tackles the challenge of controlling healthcare cost and quality in much the same way that enterprises have optimized customer relations, supply chain management and enterprise resource management. Supported by its four key pillars—Measure, Manage, Engage and Automate—HPM provides organizations with visibility and control over their healthcare benefits spending trends and risk management postures, while protecting individual employee privacy.
 

Special Report Explores New Healthcare Realities for Small Employers

BETHESDA, MD--Increasing healthcare costs and a willingness to assume more risk are key reasons many small employers are considering self-insured group health plans as a viable alternative according to a new Special Report issued today by the Healthcare Performance Management Institute. The report titled, "New Healthcare Realities for Small Employers: Self-Insurance, HPM and ACA: The Small Employer Challenge," describes the important role of a new technology-based model that empowers small employers to take greater control of their plans and control costs.

 

Incorporating the principles of Healthcare Performance Management (HPM), the new small employer model employs "cloud-based" computers and dashboards to track and manage workforce health risk profiles. Data related to workforce health can be uploaded to create a customized plan of individual action, including both preventive measures and treatments.

 

"The model described in the report relies on software tools that directly access real- time medical and Rx drug  data that can identify potential overall, high-cost workforce health risks," said report author George Pantos, executive director of the Institute. “This data facilitates action to help avoid costly chronic illnesses that eat up to 75 percent of the $2.6 trillion spent annually on U.S. healthcare."

 

The Accountable Care Act (ACA) contains new federal standards and mandates applicable to both fully insured and self-insured health plans. However, self-insured plans are exempted from some ACA reforms that apply specifically to insurers, according to the report.

 

The report can be accessed on the Institute’s website at http://www.hpminstitute.org/documents/SpecialReport_New_Healthcare_Realities_for_Small_Employers.pdf

 

To schedule an interview with George Pantos, please call 1-888-505-4764.

 

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About the HPM Institute
The Healthcare Performance Management Institute (HPM Institute) is a research and education organization dedicated to promoting the use of business technology and management principles that deliver better and more cost-effective healthcare benefits for employers who cover their employees.

 

The Institute’s mission is to introduce and develop a new corporate discipline called Healthcare Performance Management (HPM)—a technology-enabled business strategy that tackles the challenge of controlling healthcare cost and quality in much the same way that enterprises have optimized customer relations, supply chain management and enterprise resource management. Supported by its four key pillars—Measure, Manage, Engage and Automate—HPM provides organizations with visibility and control over their healthcare benefits spending trends and risk management postures, while protecting individual employee privacy.

Benefits Magazine: In the Cloud

Healthcare IT News: Mining Data for Health Management

Success Story: The Charlie Palmer Group Discovers Almost $1 Million in Undetected Healthcare Costs

HPM Institute Releases New Report Highlighting Charlie Palmer Group’s Ability to Identify Almost $1M in Undetected Healthcare Costs

(Bethesda, MD) -- The Healthcare Performance Management Institute today  released a new success story, “The Charlie Palmer Group Discovers Almost $1 Million in Undetected Healthcare Costs, Laying Out a Proactive Strategy to Manage and Reduce,”  that explores the Charlie Palmer Group's implementation of an HPM solution to help control the organization's increasing health plan costs and identify $900,000 in undetected future costs.

 

"Having access to a platform to obtain clinical predictive modeling data, understand where the gaps in care are and analyze it is invaluable to us," says Sabrina Orque, Vice President of Human Resources for the Charlie Palmer Group. "It allows us to be proactive and manage potential costs."

 

The organization discovered that 20 percent of its members were on target to potentially cost the company approximately $900,000 within the next year and a half.  With the plan's potentially expensive cost drivers identified, the Charlie Palmer Group now has the ability to target and engage its at-risk members and rein in health plan costs.

 

The success story also explores how an HPM strategy gave the Charlie Palmer Group, a multi-state restaurant company that grew out of the landmark New York City fine dining restaurant Aureole, created by Chef Charlie Palmer, access to real-time health plan data broken out by location, eligibility, union v. non-union, etc.

 

 “Businesses should take this approach seriously,” says Orque. “I’m near certain that few understand how to merge successful analytics technology with the integration of financial and clinical data, as we didn’t at one point. With this analysis and actionable information, businesses can really make a change to take control of their plans.”

 

Orque adds, “It makes no difference at all what industry you’re in, in terms of using an HPM strategy to get a detailed, inside look at healthcare costs. Having that information about your group transcends simply learning about your health population.”

 

The report can be accessed on the Institute’s Website at www.hpminstitute.org/charliepalmergroup-success_story. Complimentary hard copies can be ordered by calling 1-888-505-4764.

 

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About the HPM Institute

The Healthcare Performance Management Institute (HPM Institute) is a research and education organization dedicated to promoting the use of business technology and management principles that deliver better and more cost-effective healthcare benefits for employers who cover their employees.

 

The Institute’s mission is to introduce and develop a new corporate discipline called Healthcare Performance Management (HPM)—a technology-enabled business strategy that tackles the challenge of controlling healthcare cost and quality in much the same way that enterprises have optimized customer relations, supply chain management and enterprise resource management. Supported by its four key pillars—Measure, Manage, Engage and Automate—HPM provides organizations with visibility and control over their healthcare benefits spending trends and risk management postures, while protecting individual employee privacy.

Senior Wells Fargo Executives Discuss How Big Data Can Reduce Healthcare Costs in Institute Podcast

Webcast Series: Healthcare Performance Management Strategies for Tackling Today's Health IT Challenges

Three-Part Institute Webcast Series Compilation Now Available

The HPM Institute’s new three-part Webcast Series introduces decision makers in both the public and private sectors to important emerging healthcare cloud technology recently made available to tackle some of today’s most pressing healthcare challenges stemming from recently passed health reform legislation.
 
Focusing on the strategic implications of integrating cloud technology into health plans, as well as the cost-saving benefits to the organization or government entity, Webcast panelists from various industries cited several real world examples of their success in utilizing cloud-based technology to overcome legislative hurdles, realizing significant savings on their health plan expenses, fostering healthier outcomes among covered healthcare recipients and streamlining the overall healthcare delivery model as it pertains to plan-sponsored segments of the public and private sector. The Webcasts also covered the architecture behind the cloud-based technology yielding such positive returns for the various sectors.

 

The three-part series compilation includes summaries of the key points made by panelists in each of the Webcasts:

 

Download the Webcast Compilation

Listen to the Webcast Series

Special Report Explores How Analytics Business Model is Bending the Healthcare Cost Curve

BETHESDA, MD--Analytics, a critical new path to healthcare value, is addressed in new Special Report issued today by the Healthcare Performance Management Institute. Titled “Analytics: How Bold Employers Are Using Big Data to Lower Healthcare Costs,” the report describes the critical role of a new technology model in controlling ever-escalating health costs.

 

At the center of a new trend toward a value-based healthcare system, analytics provides the mechanism to sort through mountains of complex data so that organization managers can focus on the highest value opportunities for better plan performance. Recent surveys support the increasingly important role of analytics in helping organization decision makers reduce costs and improve quality. A joint study by MIT Sloan and IBM of nearly 3,000 executives working across more than 30 industries found that top performing organizations use analytics five times more than lower performers, according to the Institute report.

 

The analytics business model described in the report relies on software tools that directly access real-time medical, Rx drug and care management data that can identify potential overall high-cost workforce health risks. The report describes how the model can compare this data against risk statistics in national databases and the predictive modeler maintained in the Johns Hopkins Bloomberg Adjusted Clinical Groups (ACG) Case-Mix System that tracks more than 80 million people globally.

 

“Based on the ACG System, an organization can gather, synthesize and analyze vast quantities of typically disjointed plan data stored in disparate data silos,” said the report’s author George Pantos, executive director of the Institute. Based on the data and the predictive modeler, targeted, actionable care management programs can then be developed to implement plan programs designed to prevent high-cost, high-risk conditions. “Seventy percent of all U.S. healthcare dollars are spent on chronic conditions caused by unhealthy lifestyles,” added Pantos.

 

The report contains success profiles of companies that have employed analytics to reduce costs, including the Men’s Wearhouse, a national men’s retailer that reported plan savings of $3.3 million in 2010.

 

The report can be accessed on the Institute’s website at www.hpminstitute.org/special-report-analytics. Complimentary hard copies can be ordered by calling 1-888-505-4764.

 

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About the Institute
The Healthcare Performance Management Institute (HPM Institute) is a research and education organization dedicated to promoting the use of business technology and management principles that deliver better and more cost-effective healthcare benefits for employers who cover their employees.

 

The Institute’s mission is to introduce and develop a new corporate discipline called Healthcare Performance Management (HPM)—a technology-enabled business strategy that tackles the challenge of controlling healthcare cost and quality in much the same way that enterprises have optimized customer relations, supply chain management and enterprise resource management. Supported by its four key pillars—Measure, Manage, Engage and Automate—HPM provides organizations with visibility and control over their healthcare benefits spending trends and risk management postures, while protecting individual employee privacy.

 

To schedule an interview with George Pantos, please call 1-888-505-4764.

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...

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