Cracking Health Costs (eBook)

How to Cut Your Company's Health Costs and Provide Employees Better Care

Tom Emerick, Al Lewis (Autoren)

eBook Download: PDF | EPUB

2013 | 14. Auflage
224 Seiten
John Wiley & Sons (Verlag)
978-1-118-71123-1 (ISBN)

Infos

Cracking Health Costs reveals the best ways for companies
and small businesses to fight back, right now, against rising
health care costs. This book proposes multiple, practical steps
that you can take to control costs and increase the effectiveness
of the health benefit.

The book is all about rolling back health care costs to save
companies and employees money. Working hand-in-hand with their
employees, businesses need to ensure that, whenever feasible,
employees with the most expensive diagnoses get optimal treatment
at hospitals not practicing "volume-driven" medicine
for higher profits. Less than 10% of employees incur 80% of costs.
About 20% of patients have been completely misdiagnosed, while many
others are simply the victims of surgeons who are either practicing
bad medicine or overtreating for profit.

For example, some companies, such as Walmart and Lowe's,
are turning to the "Centers of Excellence" approach
author Tom Emerick helped to pioneer while running benefits for
Walmart. By determining which hospitals are adopting the highest
standards of care, benefits managers can reduce the number of
unnecessary high-cost surgeries and improve employees'
overall health. The solution-based approach offered by the book is
unique, because it can be implemented by businesses today.

Autor

TOM EMERICK is a leading expert in health benefits design, global healthcare challenges, healthcare economics, evidence-based medicine, and process improvement. Currently, he is the President of Emerick Consulting LLC. Tom spent fifteen years at Walmart, designing and managing benefits for over 1.6 million employees. He has held positions with Burger King Corporation, British Petroleum, and American Fidelity Assurance Company. AL LEWIS, President of the Disease Management Purchasing Consortium, is widely credited with inventing disease management. Lewis is also the author of the award-winning Why Nobody Believes the Numbers (Wiley). He provides procurement and outcomes consulting to health plans and human resources/benefits departments, and administers the industry certification program in Critical Outcomes Report Analysis. He holds undergraduate and graduate degrees from Harvard, where he also taught economics.

Inhalt

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 Doping
39

Chapter 4 This Is Your Health Benefit on Drugs 57

Chapter 5 Your Employees' Health Is Too Important to Be Left to
the Doctors 69

Chapter 6 Are New Delivery Models Déjà Vu All Over
Again, Again? 89

PART II MOSTLY GOOD NEWS 109

Chapter 7 The Company-Sponsored Centers of Excellence Model
111

Chapter 8 Hospital Safety: How to Get Your Employees Back to
Work in One Piece 131

Chapter 9 Real Care Coordination: The Only Other Way to Save
Money 145

Chapter 10 Goofus Retains a Wellness Vendor, Gallant Implements
Well-Being 161

PART III WHAT SHOULD YOU DO NEXT? 175

Chapter 11 Health Insurance Exchanges: Should You Stay or Should
You Go? 177

Notes 189

Bibliography 193

Acknowledgments 195

About the Authors 197

Produkt-Details

• Erscheint lt. Verlag: 7.6.2013
• Sprache: englisch
• Themenwelt: Recht / Steuern ► Wirtschaftsrecht
• Themenwelt: Wirtschaft ► Betriebswirtschaft / Management ► Personalwesen
• Themenwelt: Betriebswirtschaft / Management ► Spezielle Betriebswirtschaftslehre ► Versicherungsbetriebslehre
• Schlagworte: Business & Management • Wirtschaft • Wirtschaft u. Management
• ISBN-10: 1-118-71123-8 / 1118711238
• ISBN-13: 978-1-118-71123-1 / 9781118711231