These pages build on the accumulated evidence that value-based designs promote improved health and economic outcomes.

Evidence

  • Population Health Management, a peer reviewed journal, recently published the article from the Center for Health Value Innovation’s survey of our leaders.  Nayer, Berger, Mahoney, authors of the article, showed that companies that have levers (value-based benefit designs)  in place for prevention and wellness have documented year-over-year trends as low as 4%, a 50% reduction from the trends in the general market -  Population Health: Value-Based Design Reduces Trend Up to 50% for Wellness, Chronic Care
  • Linking behavioral health with value-based benefit design, Nayer and Mahoney continue their key message of aligned incentives and reimbursement to drive sustainable adherence.  Remember that Dr. Mahoney’s first Value Based Design was focused on access to behavioral health.  Nayer, Mahoney: Value-Based Benefit Design In Journal of Compensation and Benefits
  • There is a direct link from medication adherence to the performance and productivity of the workforce.  Curbing unnecessary rescue treatments and absences is one outcomes, but there are more.  Medication adherence must be part of the total health and productivity strategy of every business. Medication Adherence: A Business Imperative through Value-Based Design
  • The Center for Health Value Innovation announces the launch of a new white paper, Leveraging the Value of Health:  A Decision Matrix for Value-Based Designs.  Written by Cyndy Nayer and Gregg Kamas, this document details the levers necessary to solve for waste reduction, future risk reduction and optimal individual health-wealth performance.  Decision Matrix for Value-Based Designs
  • Meet Steve Johnson and the folks at Genesis Health System, and learn how the value-based design levers have propelled engagement, responsibility and real health outcomes for Genesis.  Plus, Steve is on our Board of Directors, so feel free to send some questions!   Genesis Health System: Iowa’s Value-Based Design
  • Cyndy Nayer has recently published 2 articles on Value-Based Designs and outcomes based contracting.   The article in Clinical Therapeutics is the first of the call-to-action efforts on behalf of the Center to drive the value through outcomes-based contracting, in which all or part of the purchasing is based upon a suite of metrics that improves the health of the individual as well as the health of the stakeholders (plan sponsor, community, physicians/clinicians, health plan, manufacturer, condition management company…)  Value-Based Designs And Outcomes-Based Contracting
  • Value-Based Designs in Action: Cities, Counties, State – We’re delighted to showcase the monograph, Value-Based Design in Action, documenting the travels of 5 public entities in developing and implementing value-based designs for their employees.  As Ken Tsuchiyama, City Manager of the City of Battle Creek, notes in the City’s case study,    ”There is a unique tension or balance that a municipal government faces surrounding the often conflicting issues of social consciousness and good financial business sense.  City government has a social responsibility not only to the residents it serves, but also to the individual it employs.”  Read about the different approaches of these 5 innovative governments, and see how they use the principles of DATA-DESIGN-DELIVERY-DIVIDENDS to build health and economic improvement for their communities. Cities, Counties, State: Action through Value-Based Design
  • The Center announces the results from the Buck Consultants Value-Based Benefit Design survey that we co-sponsored late last year.  We asked Buck to use our earlier surveys and market intelligence to ascertain the successes and challenges in companies who have deployed a value-based design for more than 2 years.  The results verify the information we’ve been bringing to the market; 1. Most use of value-based design is for prevention and wellness; 2. Employee and provider-community engagement is key; 3. Value-based design is sustainable, replicable and economically viable, even in economic downturns.  Center-Buck Survey On Value-Based Design
  • Health, Wealth and Performance Drive Personal Value for the individual and the organization.  Chris McSwain and Cyndy Nayer have written a visionary manuscript on the opportunity that exists to promote the total investments in Human Capital through the Health-Wealth-Performance Portfolio.  Each person owns his or her own portfolio, but employers and plan sponsors make investments in it as well.  These investments are the total health, compensation and talent/performance initiatives that are offered.   It demands that employers and plan sponsors look more broadly at the designs, incentives, and individualization of rewards that are meaningful to both the individual and the organization, driving shared accountability.  Read more… Health,Wealth and Performance: Value-Based Designs Push through Boundaries
  • Value-based health measures work, resulting in healthier employees, reduced cost trends and greater satisfaction. Here, we’ve gathered case studies from forward-looking organizations that have implemented data-driven and value-based measures in their health plans. Download these in PDF format for easy reading and printing.
  • Johnson & Johnson: A multidimensional approach to health resulted in healthier employees and a tighter rein on costs.
  • Carle Clinic: For its own employees, the company introduces a medication copay innovation designed by Health Alliance Medical Plans and based on Pitney Bowes’ experience.
  • State of Colorado: A pilot diabetes program yields promising results.
  • IBM: Program creates wins for employees and the organization by supporting desirable behaviors.
  • H.E.R.E.I.U.: The chief medical officer for this plan covering hotel and restaurant workers identifies employee engagement as the key to effective health management.
  • UPDATED Gulfstream 2009 Gulfstream: Like many companies, Gulfstream experienced burgeoning health costs inflation. However, unlike many companies, Gulfstream instituted proactive quality of care messaging and decisive actions.
  • City of Springfield, Ore.: The City of Springfield wanted to be the leader in producing evidence that the Asheville model impacted businesses.
  • UPDATED QuadMed 2009 QuadGraphics:  Health decisions are made for long-term benefit, rather than short-term reward.
  • Punahou School: Managing the impact of diabetes in America’s paradise.
  • UPDATED Caterpillar 2009 Caterpillar: Managing risk clusters helps cut costs.
  • Times Supermarkets: Cutting co-pays helps reduce diabetes risks for store chain.
  • Cleveland Clinic: Value-based design supports persistence in chronic care management.
  • SCANA: Onsite services enhance total health and productivity management.

The Center for Health Value Innovation serves as the information exchange for value-based design.  These designs influence appropriate behaviors for individual health (prevention/wellness), chronic care, and care delivery/choice.  Through a suite of “levers,” populations begin to improve the behaviors that are causing waste, risk or inefficiencies.

With this post, we’ll begin to upload articles, published research, websites that may be of use to you and your organization in creating and measuring value in your community or workforce.  Check back here often, as we’ll upload as quickly as we can.

Click here for information that we have recently referenced in our conference presentations, particularly information on Pitney Bowes’ 20+ years of experience.

Mental Health Service Use

Antidepressant Adherence w/Employee Disability Absences

A Blueprint For Pharmacy Benefit Managers To Increase Value

Reducing Patient Drug Acquisition Costs . . .

Mahoney Diabetes Care and RX Acquisition Costs

Finding A Cure For Unfilled Prescriptions And Missed Doses

Impact of BMI On Short Term Disability In The Workplace

The Adherence Estimator

Healthcare Now – Economic Insecurity Is Health Catastrophe

Evidence For The Effect Of Disease Management

Impact of Medication Adherence On Hospitalization Risk . . .

Health Care Since the Clinton Era

Value-Based Designs in Action: Cities, Counties, State

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