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Health & benefits articles

Last updated: 5 February 2010

 

Read Mercer health & benefits articles of specific interest to Benefits Professionals.

 

2010 Health and benefits articles

January 2010

 

The Power of Incentives

Human Resource Executive Online - 1 Jan. 2010

 

Holding down healthcare costs by intensifying efforts to change employee behavior requires HR leaders to articulate what's driving cost, what the opportunities are for improvement, what needs to change and how success will be measured. Here are some of the important elements of a successful employee-engagement approach.

 

 Alexander “Sander” Domaszewicz 

 Missy Jaeger

 Seth Serxner, PhD, MPH 

2009 Health and benefits articles

December 2009

 

Give Employers the Means to Measure Physician Performance

Workforce Management Online (free registration required) - Dec. 2009

 

What’s missing in the current health care debate is stronger employer lobbying to give employers and consumers access to the Medicare billing database for public comparisons of individual physician performance. Employers could use it to more confidently create incentives to steer employees to the best doctors.

 

 Arnold Milstein, MD, MPH

 

October 2009

 

Raising the Stakes

Human Resource Executive Online - Oct. 2009

 

Results from Mercer's annual employer survey reveal how the stress of the downturn is affecting costs and options in employee healthcare

 

 Linda Havlin

 Beth Umland 

 

September 2009

 

Strategies for the Passing Storm

Workspan - Sept. 2009

 

This article discusses key survey findings regarding how businesses have been dealing with the current economic environment, and suggests four strategic themes that can ensure long-term success.

 

 Steven Gross 

 Linda Havlin

 Jason Jeffay 

 

August 2009

 

Employers Urge a Cautious Pace With Health Care Legislation

Workforce Management Online (free registration is required) - Aug. 2009

 

Employers are in favor of phasing in health care reform by implementing high-priority elements first and testing whether savings assumptions are correct.

 

 Linda Havlin

 

June 2009

 

Health Plan Dependent Eligibility Audits Are Crucial for Cost Savings

Workforce Management Online (free registration is required) - June 2009


More employers are realizing the cost advantages of conducting dependent audits for their health care plans.

 

 Dan Priga

 Rich VanThournout


 

Overseas, Under the Knife

New York Times, Opinion page - June 2009

 

 Arnold Milstein, MD, MPH

 Mark D. Smith

 Jerome P. Kassirer

 

 

May 2009

 

A Considered Approach

Human Resource Executive Online - May 2009

 

Although more organizations are turning to consumer-directed health plans to keep healthcare costs low, selling employees on the plans can be a challenge. An expert offers some successful strategies.

 

 Alexander “Sander” Domaszewicz 


2008 Health and benefits articles

April 2008

 

Consumerism and Wellness: Rising Tide, Falling Cost

Benefits Quarterly, Second Quarter 2008

 

Annual employer-sponsored health plan cost increases have been slowing incrementally due to slowing health care utilization - a phenomenon very likely tied to the proliferation of health management activities, wellness programs and other consumerism strategies. This article describes the sharp rise in recent years of consumer-directed health plans (CDHPs) and explains what developments must happen for genuine consumer-directed health care to realize its full potential. These developments include gathering transparent health care information, increasing consumer demand for that information and creating truly intuitive data solutions that allow consumers to easily access information in order to make better health care decisions.

 

 Alexander “Sander” Domaszewicz  


2007 Health and benefits articles

August 2007

 

Consumerism in Health Care: A Reality Check

Workforce Management, August 2007

 

The rise of consumerist strategies in providing employee health care is a genuine trend, but is your organization’s consumer-directed health plan a genuine effort on the part of all stakeholders? It’s time to get real about fulfilling the promise of consumerism.

 

 Alexander “Sander” Domaszewicz  


The Profitability of Pooling

Benefits & Compensation International, July/August 2007

 

A report on Multinational Pooling and Captives by Mercer's consultant, Jeremy Hill.

 

 Jeremy Hill

 

July 2007

 

Redesigning Care Delivery In Response To A High-Performance Network: The Virginia Mason Medical Center

Health Affairs, July 10, 2007

 

A provider organization attempts to do what purchasers, including Medicare, all exhort: improve care delivery while reducing costs.

 

 Arnold Milstein, MD, MPH


June 2007

 

From transparency to transformation - Mercer, National Business Group on Health find pressure on providers key to transforming health care

Employee Benefit News, June 1, 2007

 

In the private and public arenas, there is a growing, powerful will to achieve transparency in health care pricing and quality. Heeding last summer's directive from President Bush, Health and Human Services Secretary Mike Leavitt launched last year a "four cornerstones" initiative to increase pricing transparency, improve quality transparency, encourage health information technology standards and create positive incentives for health care quality and efficiency. Although the initiative is supported by many of the nation's large employers, when it comes to delivering transparency to their employees, employers say that doctors and hospitals are moving too slowly to suit them.

 

Linda Havlin


April 2007

 

European benefit solutions – are we nearly there?  

PMI News, April 2007

 

Multinational companies have long been seeking to reduce the cost and administration of their pensions and other risk benefits through pan-European arrangements. Recent EU Directives pave the way for such arrangements, and a range of options are now open to companies, including asset pooling, risk pooling, full pan-European pension funds and outsourcing.  Mercer's Jeremy Hill and Tim Burggraaf explore each of these approaches. A version of this article was published in PMI News in April 2007. 

 

 Jeremy Hill

 Tim Burggraaf


Personal Responsibility in Health Benefits: Looking Backward, Looking Forward  

Benefits Quarterly, Second Quarter 2007

 

Consumerism and care management continue to make inroads as costcontainment strategies for employers, as well as for employees who have endured the steady rise in benefit cost-shifting. The latest statistics and trends point the way to a new era of personal responsibility in health benefits. In this article, Mercer's Alexander Domaszewicz describes these health care consumerism trends.

 

 Alexander “Sander” Domaszewicz

 

March 2007

 

Foundations of Health Care Consumerism

Kiplinger Business Resource Center, March 2007

 

In the world of today's health care, the term "consumerism" is being used in many contexts and with many meanings. However, the term can best be defined as "a model of shared responsibility for health and cost management among all stakeholders." The stakeholders who share this responsibility are a) the health care provider; b) the employee; c) the employer; and d) the health plan. The following describes the primary responsibilities that must be assumed by each stakeholder group to achieve a successful model of consumerism.

 

James Reynolds

 

January 2007

 

Will the Surgical World Become Flat?

Health Affairs, January, 2007

 

Americans' seeking cheaper surgical procedures abroad will provide only modest relief from our spreading affordability problems.

 

 Arnold Milstein, MD, MPH

 


2006 Health and benefits articles

December 2006
 

Experts share their CDH predictions for 2007; expect continued growth, enhanced consumerism

Consumer Driven Healthcare, December 2006

 

CDH seems to have moved from the mad rush of the infatuation stage into the more measured growth of a marriage.


Experts who recently spoke with Consumer Driven Healthcare about their predictions for 2007 didn’t express the excitement about “unprecedented growth” and “tipping points” that was common in previous years. There was, however, a strong sense that CDH is here to stay. Overall, the predictions for 2007 are generally positive, if less dramatic than in previous years. They include steady CDHP growth, continued interest in transparency, and increased consumerism.

 

October 2006

 

America's New Refugees - Seeking Affordable Surgery Offshore

New England Journal of Medicine, October 19, 2006

 

The mainstream media have begun to highlight the plight of some new refugees: seriously ill Americans who receive treatment at advanced private hospitals in low-income countries. These patients are not "medical tourists" seeking low-cost aesthetic enhancement. They are middle-income Americans evading impoverishment by expensive, medically necessary operations, as health care services are increasingly included in international economic trade.

 

 Arnold Milstein MD, MPH


Rewards For Healthy Lifestyles

Wellness Councils of America (WELCOA), October 9, 2006

 

By sponsoring healthy lifestyle contests and campaigns, employers can encourage healthy behavior among employees, according to this report from Mercer's Steven Noeldner. Dr. Noeldner discusses Mercer Health & Benefits' model for effective behavior change which includes three phases: awareness-commitment, skill building, and maintenance.

 

 Steven P. Noeldner, PhD

 

July 2006


Guidelines for Analysis of Economic Return From Health Management Programs

American Journal of Health Promotion, July/August 2006

  

In this article, Mercer's Seth Serxner, Kristin Baker, and Daniel Gold provide guidelines for evaluating the economic return from health management programs. They review the current literature on ROI and cost savings and provide recommendations for applying the guidelines to major categories of health management programs.

 

 Seth Serxner, PhD, MPH 

 Daniel Gold, PhD

 

May 2006

 

Best Practices for an Integrated Population Health Management (PHM) Program

American Journal of Health Promotion, May/June 2006

  

An integrated population health management program covers the full continuum of care, shares data among all programs, and provides a coordinated experience to the user. Communication and change management strategy are essential to the success of an integrated PHM program. Mercer's Seth Serxner, Steven Noeldner, and Daniel Gold also describe how PHM impacts benefit design and business strategy.

 

 Seth Serxner, PhD, MPH  

 Steven P. Noeldner, PhD

 Daniel Gold, PhD

 

April 2006

 

Consumerism's Sea Change: How It Will Affect Your Company in the Coming Years

Benefits Quarterly, Second Quarter 2006

 

Over the next five years, most employers plan to focus on consumerism and care management strategies, according Mercer's Sander Domaszewicz. He identifies 10 ways consumerism will affect employers over the next decade. For example, consumer-driven health will help employers improve attraction and retention, simplify benefits administration by consolidating multiple benefit programs, and create better educated consumers.

 

 Alexander “Sander” Domaszewicz