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Variation in Health Cost Prices – What a Mess

Health Cost Transparency - A Big MessOver the last few months, some major ‘events’ have developed regarding medical cost transparency issues. Now is the time to channel our collective outrage to change how we pay for health care in the future.

In March, Steven Brill wrote a compelling (and disturbing) article in TIME magazine, “Bitter Pill: Why Medical Bills Are Killing Us.” For the first time ever, TIME dedicated almost the entire publication to just one particular article – due mainly to the complexities baked within the hospital pricing method(s) currently in place in our country. When you have time, this is definitely worth a read. Whatever a hospital will charge for a particular service, the actual payment will vary tremendously by the payer community left with the tab – Medicare, Medicaid, private insurers, or individuals without insurance coverage, etc.

Also in March, the International Federation of Health Plans released the 2012 Comparative Price Report showing just how extraordinary the costs of various health procedures are in this country versus the costs found in many other developed countries. After the Brill article, few of us need to question the validity of this particular report. The price differentials between the U.S. and all other countries are abhorrently grotesque.

On May 8, the federal Centers for Medicare & Medicaid Services (CMS) publicly released hospital inpatient charge information from hospitals in the U.S. The data released was the first time the federal government provided this information publicly. According to the CMS website, “As part of the Obama administration’s work to make our healthcare system more affordable and accountable, data are being released that show significant variation across the country and within communities in what hospitals charge for common inpatient services.” Without question, CMS unleashed a great deal of data showing how diffused and opaque hospital charges are for inpatient services, even within our own cities!

On June 3, the CMS yet again publicly released additional data on hospital outpatient charges, in addition to Medicare spending and utilization. It is quite apparent that federal officials are deliberately making health care costs more transparent for public consumption (and scrutiny). Health Datapalooza is an annual gathering in Washington D.C. that focuses on health data transparency. Now in its fourth year, Health Datapalooza has grown from about 50 attendees to more than 2,000. The idea is to have entrepreneurs take this massive data and create applications to help the public navigate through a seemingly complex world of healthcare costs.

This deluge of data becoming publically available allows a greater dialogue about the transparency of health costs and its impact on those who pay the bills.

A little bit of sunshine can be a great disinfectant – don’t you think?

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Win an iPad! – 2013 Iowa Employer Benefits Study

Ipad in female handAbout four weeks ago, we started our process of randomly selecting Iowa employers to participate in our 15th annual survey, “2013 Iowa Employer Benefits Study.”  Here is one more reason to participate in this important Study. Correction – two more reasons!  

In past surveys, respondents would receive a complimentary copy of the overall Study results – a $300 value. For this reason alone, respondents found it was well worth their time to complete our important survey. This year, in celebration of our 15th year of the study, we are offering a special incentive to participants.  Each organization that completes the survey will be eligible to win one of two iPad 2s. Each iPad is 16GB and valued at $399.

Remember, you can’t win if you don’t participate! If you are unsure whether your organization has been selected to participate, please contact us.

Many thanks to those organizations who have already completed this years’ survey!

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Wellness Programs – It’s About Expectations

Overall Performance Rating Form 3Having a healthy dose of realistic expectations is extremely important in most every part of our lives. Whether it’s with school, friends, a favorite sports team, work, marriage, raising a family or any other life event, our expectations exist. The expectations we have might very well define how we react to the actual experiences that ultimately occur. If we have set lofty expectations about “fill in the blank,” we might be more susceptible to feeling disappointed and/or angry if the results are anything less than what we expected. This is all part of human nature, right?

The same thing applies to a big trend happening today in the workplace – wellness programs.

What are your expectations about workplace wellness? Do you believe such programs, when appropriately and thoughtfully implemented, will greatly mitigate your healthcare costs, improve workforce productivity and reduce absenteeism? Perhaps your expectations are, at a bare minimum, the associated expense of implementing these programs will be cost neutral. Maybe you feel these programs are a waste. From our 2012 Iowa Employer Benefits Study, employers shared their perceived ‘return on investment’ of the programs they currently have in place.

According to the “Workplace Wellness Programs Study” by researchers at the RAND Corporation, these programs only have a modest effect. This runs contrary to claims made by wellness firms that sell workplace wellness programs to employers. The report found that people who participate in wellness initiatives lose an average of only one pound a year for three years. Another finding is that employee participation in such plans “was not associated with significant reductions in total cholesterol level.” Smoking-cessation programs show some potential, but only “in the short term.”

RAND is a very reputable research organization and delivered this congressionally-mandated analysis to the U.S. Department of Labor and the Department of Health and Human Services. The report was released in conjunction with the final wellness regulations on May 29, 2013.

This 165-page report is extensive. Most likely, both skeptics and supporters of wellness will find ammunition to support their cause. As for me, I just appreciate having a reputable organization perform a relatively non-biased analysis with nothing to ‘sell.’

This report may help stabilize, to a more realistic level, any pre-conceived expectations each of us may have about wellness programs.  That is my hope…and expectation. What about you?

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