Emerick / Lewis Cracking Health Costs

How to Cut Your Company's Health Costs and Provide Employees Better Care
14. Auflage 2013
ISBN: 978-1-118-71091-3
Verlag: John Wiley & Sons
Format: EPUB
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 224 Seiten, E-Book

Cracking Health Costs reveals the best ways for companiesand small businesses to fight back, right now, against risinghealth care costs. This book proposes multiple, practical stepsthat you can take to control costs and increase the effectivenessof the health benefit.
The book is all about rolling back health care costs to savecompanies and employees money. Working hand-in-hand with theiremployees, businesses need to ensure that, whenever feasible,employees with the most expensive diagnoses get optimal treatmentat hospitals not practicing "volume-driven" medicinefor higher profits. Less than 10% of employees incur 80% of costs.About 20% of patients have been completely misdiagnosed, while manyothers are simply the victims of surgeons who are either practicingbad medicine or overtreating for profit.
For example, some companies, such as Walmart and Lowe's,are turning to the "Centers of Excellence" approachauthor Tom Emerick helped to pioneer while running benefits forWalmart. By determining which hospitals are adopting the higheststandards of care, benefits managers can reduce the number ofunnecessary high-cost surgeries and improve employees'overall health. The solution-based approach offered by the book isunique, because it can be implemented by businesses today.

Autoren/Hrsg.

Emerick, Tom

Lewis, Al

Inhaltsverzeichnis

Foreword David A. Rearick ix
Introduction xiii
PART I MOSTLY BAD NEWS 1
Chapter 1 Myths and Facts about Your Health Benefit 3
Chapter 2 Does Your Broker or Consultant Have Your Back? 25
Chapter 3 It's Time for the Wellness Industry to Admit to Doping39
Chapter 4 This Is Your Health Benefit on Drugs 57
Chapter 5 Your Employees' Health Is Too Important to Be Left tothe Doctors 69
Chapter 6 Are New Delivery Models Déjà Vu All OverAgain, Again? 89
PART II MOSTLY GOOD NEWS 109
Chapter 7 The Company-Sponsored Centers of Excellence Model111
Chapter 8 Hospital Safety: How to Get Your Employees Back toWork in One Piece 131
Chapter 9 Real Care Coordination: The Only Other Way to SaveMoney 145
Chapter 10 Goofus Retains a Wellness Vendor, Gallant ImplementsWell-Being 161
PART III WHAT SHOULD YOU DO NEXT? 175
Chapter 11 Health Insurance Exchanges: Should You Stay or ShouldYou Go? 177
Notes 189
Bibliography 193
Acknowledgments 195
About the Authors 197

Über Autor(innen)

TOM EMERICK is a leading expert in health benefitsdesign, global healthcare challenges, healthcare economics,evidence-based medicine, and process improvement. Currently, he isthe President of Emerick Consulting LLC. Tom spent fifteen years atWalmart, designing and managing benefits for over 1.6 millionemployees. He has held positions with Burger King Corporation,British Petroleum, and American Fidelity Assurance Company.
AL LEWIS, President of the Disease Management PurchasingConsortium, is widely credited with inventing disease management.Lewis is also the author of the award-winning Why NobodyBelieves the Numbers (Wiley). He provides procurement andoutcomes consulting to health plans and human resources/benefitsdepartments, and administers the industry certification program inCritical Outcomes Report Analysis. He holds undergraduate andgraduate degrees from Harvard, where he also taught economics.