Data and the Future of Health Management

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Data and the Future of Health Management
Midwest Business Group on Health May 2007

• Thomas Parry, Ph.D.
• President

Integrated Benefits Institute
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Todays Discussion

• How broadly do we need to look?
• What does sr. management need?
• What does research tell us?
• Emerging ER strategies to manage health and
  productivity

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How Broadly do we Need to Look?
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National Healthcare Expenditures
Projected
Actual
Source CMS, Office of the Actuary, National
Health Statistics Group.
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Then, The Solution
Plan Design
Healthcare Costs
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Or This?
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Leveraging Human Capital
Company
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Demonstrating Healthcare Value
Health Status
Black Box
Business Impacts
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About IBI

• National, non-profit
• 400 corporate sponsors
• Programs
• Research
• Health productivity measurement
• Benchmarking
• Education

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The View of Senior Management

• IBIs CFO Research

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(No Transcript)
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Linking Health, Productivity the Bottom Line
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Role of Healthcare Providers
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Prescription Drug Impact on Health-Related Costs
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(No Transcript)
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The Impact of Ill-Health
96
90
86
84
71
47
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Measuring the Impact

• Absence
• Overtime pay
• Lost revenue
• Temporary help
• Quality lapses
• Wage replacement

• Presenteeism
• Overtime pay
• Temporary help
• Quality lapses
• Lost revenue
• Additional staff

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Health-Related Lost Productivity

• The opportunity costs of health-based time away
  from work

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How CFOs Would Use Productivity Information
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Whats the Evidence?
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Real Costs/Program
3,090
2,621
1,890
675
418
178
2002 Benefit Data

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Top 15 Causes of Lost Work Time
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The Impact of Integrating Health and Disability
Data

• IBI Research
• August 2006

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Medical Episodes Linked to Disability
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The Impact of Lost Productivity
42.8
34.4
55.9
20.4
26.0
16.0
24.7
11.5
20.3
19.5
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The Impact of Pharmaceutical Plan Design

• New IBI Research

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Ave. Medication Adherence
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Impact on Lost Productivity Costs-- No Script
Group --
-19
-26

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Then, the Solution
Health Status
Healthcare Costs
Absence
Presenteeism
Lost Productivity
Business Impacts
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How are Employers Responding?
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Managing the Economic Burden of Ill Health
IBI 2004 Employer Survey
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The Health-Related Data Solution
IBI 2004 Employer Survey
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Where do we Start?
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Starting Point Disability Program Data
Single Program
Multiple Programs
EE Self-Reports
Medical-Pharmacy
Integrated Data Warehouse
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Starting Point Medical Program Data
Medical
Pharmacy
EE Self-Reports
Disability/Absence
Integrated Data Warehouse
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Starting Point No Program Data
HP Model
Self-Reports
Medical-Pharmacy
Disability/Absence
Integrated Data Warehouse
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For More Information

• www.ibiweb.org
• tparry_at_ibiweb.org