Description

Book Synopsis

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 runnin

Table of Contents

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

Cracking Health Costs

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A Hardback by Tom Emerick, Al Lewis

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    View other formats and editions of Cracking Health Costs by Tom Emerick

    Publisher: John Wiley & Sons Inc
    Publication Date: 09/08/2013
    ISBN13: 9781118636480, 978-1118636480
    ISBN10: 1118636481

    Description

    Book Synopsis

    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 runnin

    Table of Contents

    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

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