Employers

On this episode of Managed Care Cast, we’re bringing you a portion of a panel discussion about the Oncology Care Model, held in July 2019 during a meeting of The Institute for Value-Based Medicine® (IVBM), an initiative of The American Journal of Managed Care®. At IVBM events, we gather thought leaders to share best practices across medicine, pharmacy, and management in regional locations around the country. This podcast is taken from our meeting focusing on Innovation and Quality in Oncology Care.

As disruptive medical technologies emerge, often unanticipated, bioethical issues arise, presenting challenges for employers navigating what benefits to offer to their employees.

The Department of Homeland Security said that it was promoting the ideals of self-sufficiency, self-reliance, industriousness, and perseverance, but it also acknowledged that the vast majority of the 266,000-plus commenters on the rule opposed the change and noted that some people may decide to drop out of benefit programs.

Asthma adversely affects the everyday lives of many individuals regardless of long-term maintenance medication, according to a study evaluating the association of time spent at work and adverse asthma effects.

Division among employers prolongs their inability to alter the healthcare system, but by acting together, value-based care will begin to spark change, said Lauren Vela, MBA, senior director, Member Value, Pacific Business Group on Health.

The number of families enrolling their children in Medicaid or the Children’s Health Insurance Program continues to increase, emphasizing the need for policies to recognize the role of public insurance as costs for private insurance continue to grow, according to a study published in Health Affairs.

A case study from The Ohio State University highlights how initiatives addressed system-level drivers of burnout and not only improved the health of faculty, staff, and students, but also saved money.

Low- and middle- income Medicare beneficiaries face increasing financial burden as employer coverage erodes.

Health-related workplace absenteeism may provide additional information about the extent of influenza sickness in the working-age population, a CDC report said.

Successful partnerships between employers and healthcare organizations need trust and transparency, said Vanessa Sammy, MPA, MHSA, senior director of commercial strategy and implementation for Remedy Partners.

The participation in workplace health promotion programs (WHPPs) varies depending on sociodemographics and occupation, suggesting the need for employers to adjust their WHPPs for maximum participation, according to research.

Panelists at the National Alliance of Healthcare Purchaser Coalitions' Leadership Summits highlighted the ways their companies are customizing care and benefits to meet the needs of their employees.

If the High-Cost Plan Tax, also known as the Cadillac tax, goes into effect in 2022, 21% of employers who offer coverage would be impacted, and that percentage would increase fairly rapidly by 2030.

An exercise-focused intervention may be effective for improving mental health, work ability, and productivity outcomes while reducing metabolic syndrome severity for individuals at a high risk for cardiovascular and metabolic disease, according to researchers.

Congressional efforts to end surprise medical billing have a real possibility of succeeding, but recent discussions around transparency have a lot more challenges, said Lauren Vela, senior director of the Pacific Business Group on Health (PBGH).

Attempts to curb surprise medical may still result in patients getting costs elsewhere, said Bret Jackson, president of the Economic Alliance for Michigan.

A new study by Willis Towers Watson finds technology plays an increasingly important role in employee health benefits.

The Triple Aim will be within reach when there is greater stakeholder engagement and systemic ownership. A good start is for more employers to provide more American workers with access to high-quality wellness programs that can impact chronic disease with population health strategies.

Individuals in traditional blue-collar jobs were the main beneficiaries of the Affordable Care Act because they were less likely to have employer-based coverage before the law, according to a new study.

The study involves a novel way to measure success for diabetes prevention programs, which historically have been evaluated by the amount of weight participants lose.

Bringing together different stakeholders in healthcare to share the challenges they see and their own understanding of how to fix the problem can help make impossible things happen and bring change to the healthcare system, said Elizabeth Mitchell, president and chief executive officer, Pacific Business Group on Health.

Treating illnesses is important, but it would be a mistake to think that is the full extent of health. Panelists during the National Alliance of Healthcare Purchaser Coalitions’ 2019 Leadership Summits, held June 24-26 in Pittsburgh, Pennsylvania, discussed the impact of social determinants and past trauma on health and how employers can ensure they are addressing these issues to improve health and outcomes.

The prices of targeted oncology therapies have grown substantially, but revenues have not. This is due in part to large declines in per-drug patient counts.

The government taking a backseat has opened the market up to disrupters from outside the healthcare industry.

If employers want to be able to have an impact on the healthcare system and help create lower cost, more effective markets, they need to get informed, get tough, and get smart, said David Blumenthal, MD, president and chief executive officer, The Commonwealth Fund, during the 2019 Annual Conference of the Greater Philadelphia Business Coalition on Health.