eValue8 2012: Health Plan Performance Purchaser Guide

This guide assists purchasers of healthcare benefits to measure health plan performance in a standardized way. It has three focuses: 2012 eValue8 health plan performance results, explanation of what the results mean to the purchaser, and purchaser’s action plans.

Pain Management and Employers: A Report on a Convening and Exploration

Pain in the workplace is a significant issue for employers, resulting in lost productivity, wage replacement, and increased costs of care. NEBGH conducted a targeted roundtable with employers exploring how pain impacts both employers and employees. This report summarizes key themes and issues raised by employers, and suggests activities focused on opportunities to better manage pain in the workplace.

Value-Based Benefit Design: An Employer and Health Plan Perspective

Value-based benefit design (VBBD) has emerged as a promising strategy to improve clinical outcomes and enhance overall health care value while ultimately lowering costs. This report provides an overview on VBBD, and highlights key themes and issues shared at a multistakeholder roundtable hosted by NEBGH.

Reducing Preventable Hospital Readmissions

Tackling preventable hospital readmissions has emerged as a major priority among employers, hospital systems, and health plans. This report details an investigation by NEBGH’s Solutions & Innovations Center into local and regional stakeholders’ perspectives, insights, and concerns related to preventable readmissions, and highlights a number of local initiatives aimed at addressing this important issue.

Weight Control and the Workplace (10/13)

This report cites as key findings the need for individually-customized instead of generic programs, and the importance of including employees in designing and rolling out such programs. Findings are based on a collaborative examination of obesity’s toll on the workplace by 15 executives from large employers and health plans, facilitated by NEBGH.

Reducing Hospital Readmissions through Stakeholder Collaboration (12/13)

Hospitals, providers and health plans need to share timely data and take a coordinated approach to care management encompassing pre-admissions and post-discharge care in order to reduce unnecessary hospital readmissions. Key findings include the need to better identify patients at high risk for readmissions, engage patients through education and communications, and establish a mutually accountable environment that does not simply penalize hospitals for unnecessary readmissions.

Integrating Depression Screening and Management with Primary Care in New York City

In recognition of the need for new models of care, NEBGH is pleased to share its early experiences in testing a model that integrates depression screening and management with primary care in selected primary care practices in New York City. This collaborative care model has been successfully implemented elsewhere in the country, and the challenge facing NEBGH’s Mental Health Task Force is to design an implementation that works within NYC’s complex, distributed, primarily fee-for-service environment. This brief is a description of the project NEBGH is coordinating, highlighting observations, lessons learned and recommendations for those embarking on a similar quest.

Weight Control and Employees: One Size Doesn’t Fit All (10/14)

One size doesn’t fit all when it comes to effective workplace-sponsored weight control approaches, says NEBGH’s newest report. Employers would do well to consider adding innovative technology applications, value-based benefits design, new prescription medications and bariatric surgery as supplements to traditional healthy eating and exercise programs, says the report. The report, “Weight Control and Employees: One Size Doesn’t Fit All,” is based on a NEBGH research project that included an employer survey and a roundtable discussion with 19 executives from employers, health plans and consulting organizations.

Moving the Needle on Diabetes: The Employer Perspective (11/14)

A new NEBGH Solutions Center report says that lack of employee engagement is a big factor in the failure of traditional disease management techniques like telephone outreach to make a dent in the diabetes epidemic. More innovative approaches are needed, including new models of care delivery, new ways of engaging employees and new payment models that reward high value care. Employers told NEBGH that denial, fear and lack of trust play a big role in preventing engagement – factors that digital tools could help address.
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