Health Care Cost Management

Foundation Publication Search Results

These summaries were compiled from Foundation Publications Search, a database of articles, research reports and books published by the International Foundation and the International Society of Certified Employee Benefit Specialists.


Curing Low Health Care Literacy.
Buckey, Kim A.; Benefits Magazine; v55 no 9 pp 16-20 Sep 2018; journal article

Availability :
Abstract : How many of your health plan participants can correctly define the terms "deductible" or "copay?" Low health care literacy can drive up health care costs for employees and employers.
[0201106]

Link To Full Article
Curbing the High Cost of Opioid Abuse Treatment.
Johnson, Andy; Benefits Magazine; v55 no6 pp 14-18 Jun 2018; journal article

Availability :
Abstract : As the opioid epidemic worsens, health plans are getting hit with large bills from out-of-network substance abuse treatment facilities. Plan sponsors can take steps to control these costs but must be mindful of mental health parity requirements when enacting changes.
[0200997]

Link To Full Article
Evaluating the Effectiveness of Wise Use of Medical Training -- A Case Study.
McGee, James L.; Hembree, William E.; Benefits Magazine; v55 no6 pp 40-46 Jun 2018; journal article

Availability :
Abstract : Teaching severely and catastrophically ill plan members how to more effectively use health care and plan for end-of-life care can help health plans reduce costs. This article describes a study of a patient education process being tested by a transit workers fund in Washington, D.C.
[0201001]

Link To Full Article
Managing Medical Plans Around the World.
Gaitan, Wil J.; Benefits Magazine; v55 no1 pp 12-19 Jan 2018; journal article

Availability :
Abstract : A shift in economic power to emerging markets, an aging population and an increase in unhealthy behaviors are contributing to rising costs for global medical plans.
[0200828]

Link To Full Article
Employee Benefits Survey: 2018 Results
Held, Justin; Estrada, Rebecca; 76 pp 2018; survey

Availability :
Abstract : Results of the sixth comprehensive benchmarking survey conducted by the International Foundation. Includes data on health care, retirement, paid leave and work/life benefits offered by employers across the United States. The data represents responses from single employer (including corporations), multiemployer and public employer plans. Responses were gathered from members of the Foundation and the International Society of Certified Employee Benefit Specialists during 2018.
[0201138]

Link To Full Article
Direct Contracting and Bundling: Remedies for Rising Health Care Costs.
Haberichter, Eric; Benefits Magazine; v54 n12 pp 22-26 Dec 2017; journal article

Availability :
Abstract : Direct contracting and health care bundling are emerging strategies for self-funded benefit plans seeking greater predictability and control over health care costs.
[0200792]

Link To Full Article
eACOs: Fixing the Broken Triangle in Health Care.
Brice, R. Anthony; Kimberly, Mary; Woodard, Tanisha; Benefits Magazine; v54 no11 pp 30-39 Nov 2017; journal article

Availability :
Abstract : Interest in employee accountable care organizations (eACOs) is growing among employers looking for ways to control health care costs.
[0200752]

Link To Full Article
Quick Look: Health Care Costs.
Benefits Magazine; v54 no11 p 60 Nov 2017; journal article

Availability :
Abstract : Here's a look at costs for employer-sponsored health insurance in 2017 and how employers and employees plan to manage health care costs.
[0200756]

Link To Full Article
Analytics + Disease Management = ROI.
Young, Nancy; Benefits Quarterly; v33 no4 pp 28-36 4th Qtr 2017; journal article

Availability :
Abstract : In the quest to control health insurance premium costs, companies have turned to wellness programs. These lifestyle-based programs have been proven ineffective from a cost-savings perspective. More effective are customized, data-driven solutions that focus on disease management. These programs focus on the prevention of chronic illness through highly targeted care management identified by in-depth data analysis. The result is a higher engagement rate than that of traditional lifestyle-based programs and, thus, lower employer health care insurance costs with a higher return on investment.
[0200812]

Link To Full Article
Exploring the Role of Employers as Health Educators.
Cranston, Susan D.; Benefits Quarterly; v33 no4 pp 23-27 4th Qtr 2017; journal article

Availability :
Abstract : Chronic diseases are leading influencers of health care costs for employers. Employers may wrestle with whether it is their responsibility to educate employees about chronic disease prevention and support. The option of maintaining the status quo, however, may result in a mounting financial burden. This article shows how adopting a proactive role as health educator may prove to be a critical business decision, allowing employers to positively influence the direction of worker health, drive down claims expenses and reduce the demand on public health resources.
[0200811]

Link To Full Article
The Need for Better Transparency in PPO Claims Processing.
Guest, Brandon L.; Benefits Quarterly; v33 no4 pp 33-36 4th Qtr 2017; journal article

Availability :
Abstract : Lack of transparency in preferred provider organization (PPO) insurance claims processing can result in corporations paying hundreds of thousands of dollars in hidden fees and charges. This article explores how fees can be hidden within claims reports when plan participants receive services from providers that are not within the PPO network but claims are repriced and treated as in-network or are repriced by out-of-network providers. It also provides some insight on what plan sponsors should look for when reviewing claims reports and appendixes.
[0200813]

Link To Full Article
Sustained Focus Yields Results for Adventist HealthCare.
O'Connor, Erin K.; Benefits Quarterly; v33 no4 pp 17-22 4th Qtr 2017; journal article

Availability :
Abstract : The Adventist HealthCare (ACH) mission led the organization to pioneer population health management, proving that sustaining a culture of well-being over the long term means healthier employees and costs that are consistently below the national average. This article describes how ACH's integrated approach to building a culture of health involves many components, as well as support by top leadership. Key findings have emerged through ACH's sustained and successful efforts to add new features and integrate components.
[0200810]

Link To Full Article
Benefit Trends: Employers Emphasize Worker Well-Being.
Held, Justin; Benefits Magazine; v54 no8 pp 8-10 Aug 2017; journal article

Availability : International Foundation of Employee Benefit Plans
Abstract : Among the findings in "Workplace Wellness Trends: 2017 Survey Results," an International Foundation report, is a shift in employer rationale for offering wellness initiatives as evidenced by offerings that extend beyond physical health to address community and social health, employee growth and purpose, and mental health.
[0200647]

Link To Full Article
Do Your Homework to Ensure Savings and Value From Health Care Coalitions.
Cahn, Linda; Benefits Magazine; v54 no8 pp 34-39 Aug 2017; journal article

Availability : International Foundation of Employee Benefit Plans
Abstract : Purchasing coalitions have the potential to help health care plans save money, but finding the right coalition with the right expertise and coverage structure requires plan sponsors to do their due diligence.
[0200654]

Link To Full Article
The Colorado State Innovation Model: Integrating Medical and Behavioral Health Care.
Melek, Steve; Benefits Quarterly; v33 no3 pp 63-67 3rd Qtr 2017; journal article

Availability : International Foundation of Employee Benefit Plans
Abstract : Thanks to funding from the Center for Medicare and Medicaid Innovation (CMMI), the state of Colorado soon will implement and test its proposed model for health care innovation, entitled "The Colorado Framework." This article discusses how and why the model, integrating primary care and behavioral health as its cornerstone, creates a system of clinic-based and public health supports to spur innovation and health care cost savings. It also describes the current health care delivery challenges in Colorado and how payment model reforms--including capitation, risk adjustment, and gain sharing--are necessary to achieve sustainability.
[0200677]

Link To Full Article
The Implications of the Rapidly Rising Cost of Employer-Provided Health Insurance for Earnings Inequality.
Warshawsky, Mark J.; Benefits Quarterly; v33 no3 pp 52-62 3rd Qtr 2017; journal article

Availability : International Foundation of Employee Benefit Plans
Abstract : Health insurance for a high-paid employee costs an employer the same amount as health insurance for a low-paid employee. At the same time, health care costs and, therefore, health insurance premiums are growing much more rapidly than earnings. Therefore, it is reasonable to expect that--while earnings will indeed become more unequal over time--total compensation will not become more unequal or, when considered over the entire labor force, at least will not become as unequal. Direct empirical evidence supports this hypothesis, based on unique, unpublished survey data about employer compensation costs collected by the Bureau of Labor Statistics. The supporting results hold both for the period 1996 to 2008 and for the period 1992 to 2010. A regression estimated over the period 1990 to 2014 also bolsters the understanding that the rising cost of health care is a major cause of increasing earnings inequality. This finding suggests that the best policy is to reduce inequality would be to effectively control the rate of growth in the cost of health care.
[0200676]

Link To Full Article
Pharmacy Benefit Integration: A Connected Approach to Total Medical Cost Savings.
Vancura, Michelle; Benefits Quarterly; v33 no2 pp 16-19 2nd Qtr 2017; journal article

Availability : International Foundation of Employee Benefit Plans
Abstract : Pharmacy and medical benefit integration's most meaningful value lies in obtaining a comprehensive understanding of someone's health journey. An effective way to control health care costs for all stakeholders and improve overall wellness is to understand and manage health conditions in their entirety, not just the prescriptions. This article highlights (1) how pharmacy and medical benefit integration provides a more holistic view of health, (2) how individuals inquiring about their pharmacy benefits can be successfully engaged to participate in health coaching and other programs available through their medical benefits, (3) how integrated data provides real-world insights for evaluating the value that drugs and health management programs deliver and (4) what plan sponsors might attain in cost savings through the use of integrated benefits.
[0200566]

Link To Full Article
Group Captives: Are They Right For You?
Hoitt, Jim; Benefits Magazine; v54 no3 pp 14-19 Mar 2017; journal article

Availability : International Foundation of Employee Benefit Plans
Abstract : Joining or establishing a group captive is becoming an increasingly popular option for self-funded health plans looking to manage cost increases.
[0200487]

Link To Full Article
Bringing Workforce Health to the Top Line--Expanding the Value Proposition for Workforce Health Improvement.
Parry, Thomas; Sherman, Bruce; Benefits Quarterly; v33 no1 pp 56-61 1st Qtr 2017; journal article

Availability : International Foundation of Employee Benefit Plans
Abstract : The pressure on employers to justify providing health benefits or to prove the value of health investment has never been greater. Many employers have resorted to cost shifting to employees to dampen the impact of health care costs on their companies or have avoided health investments, believing they don't deliver a return. Both strategies come with significant risk to employees, their dependents and the company's business performance. This article provides a framework for employers to better understand the full impact of workforce health and well-being on bottom-line costs and the opportunities for connecting workforce health and well-being to top-line business performance metrics. Application of the principles presented in this commentary can help human resources/benefits personnel better understand the broader business impacts of their workforce health and well-being strategies as well as equip them to have a more meaningful role in workforce strategic planning.
[0200478]

Link To Full Article
Making Sense of the Evolving World of Benefits Administration.
Weiler, Ross D.; Benefits Magazine; v54 no2 pp 38-45 Feb 2017; journal article

Availability : International Foundation of Employee Benefit Plans
Abstract : Employers have many options in benefits administration technology, including private exchanges.
[0200455]

Link To Full Article
Mental Health and Substance Abuse Benefits Benchmarked.
Held, Justin; Benefits Quarterly; v33 no1 pp 68-70 1st Qtr 2017; journal article

Availability : International Foundation of Employee Benefit Plans
Abstract : In August 2016 the International Foundation surveyed members to examine the various types of mental health and substance abuse benefits organizations provide to their employees and participants. The survey received 344 completed responses, with 247 coming from U.S. respondents and 97 from Canadian respondents.
[0200484]

Link To Full Article
Conversation With Ian Manovel.
Bergstrom, Kathy; Plans & Trusts; v34 no6 pp 34-35 Nov-Dec 2016; journal article

Availability : International Foundation of Employee Benefit Plans
Abstract : Ian Manovel discusses steps Australia has taken to control drug prices and improve health, and how they might apply in Canada.
[0200359]

Link To Full Article
What's Working: New York City Health Care Savings Update.
Levitt, Claire; Benefits Magazine; v53 no10 pp 14-16 Oct 2016; journal article

Availability : International Foundation of Employee Benefit Plans
Abstract : Halfway through a four-year effort, New York City and its 144 municipal unions are on track to save $3.4 billion in health care costs so that the city can continue to offer free health care coverage to 1.25 million employees, retirees and dependents.
[0200307]

Link To Full Article
Dental Benefits: A Standout Option.
Wilson, Dennis; Benefits Magazine; v53 no9 pp 50-54 Sep 2016; journal article

Availability : International Foundation of Employee Benefit Plans
Abstract : Both employers and employees consider dental benefits important. This article discusses some of the factors a plan sponsor should consider in choosing a dental benefits carrier.
[0200280]

Link To Full Article
Are You Paying a Huge Price for the Opioid Drug Abuse Epidemic?
Paralkar, Sadhna; Flick, Eileen; Benefits Magazine; v53 no8 pp 14-19 Aug 2016; journal article

Availability : International Foundation of Employee Benefit Plans
Abstract : Millions of health plan participants are addicted to or misusing opioid painkillers, leading to suffering, deaths and huge costs. Plan sponsors can take steps to try to protect themselves and participants.
[0200251]

Link To Full Article