La Penna Workplace Clinics and Employer Managed Healthcare

A Catalyst for Cost Savings and Improved Productivity
1. Auflage 2012
ISBN: 978-1-4200-9245-5
Verlag: Taylor & Francis
Format: PDF
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 278 Seiten

Workplace Clinics and Employer Managed Healthcare: A Catalyst for Cost Savings and Improved Productivity is not another diatribe on the national healthcare problem. Instead, it is a book about what is possible. Mike LaPenna shares with readers the actual experiences of those self-funded employers who are moving healthcare access on-site and directly managing all aspects of their own healthcare delivery system. With the candor he is known for, LaPenna:

- Examines both the big issues and the nuts and bolts concerns that companies and their employees face

- Demonstrates the importance of employee participation in the planning

- Covers when and how to work with hospitals, pharmacies and other vendors

Much is made about turning healthcare delivery into a system that incentivizes wellness rather than profits from illness. This is the one path that assures such an outcome. There are no manuals to help your company achieve this goal, only the lessons to be learned from those who have walked the path. This book shares those lessons with you.

Zielgruppe

Providers – those who may be considering service provision under this model including hospitals, physicians, managed care executives and third party administrators; employers with self-funded programs – HR officials, board and executive level management, medical and benefits managers; benefit managers who may be considering this model; academic programs in health administration, healthcare consultants.

Autoren/Hrsg.

La Penna, A. Michael

Fachgebiete

• Wirtschaftswissenschaften Betriebswirtschaft Bereichsspezifisches Management Personalwesen, Human Resource Management

Inhaltsverzeichnis

Introduction: Workplace On-Site Healthcare as a Catalyst for Cost Savings and Improved Productivity

Company Planning for Healthcare and Employees’ Participation in the Planning and in the "Plan"

The Myth of the Company Doctor

Components and Complements to On-Site Healthcare:Planning to Plan

The On-Site Program: What and Who Are In and Out? Why?

Cost Savings, Cost Avoidance, and Confidence Levels

The Quest for a Dependable Return on Investment: Claims Analysis
The Quest for a Dependable Return on Investment: Key Assumptions and Drivers
The Quest for a Dependable Return on Investment: Benef t and Program Design
The Healthcare "Buy": Determine What to Purchase by First Figuring Out What Not to Purchase
Electronic Medical Records, Personal Electronic Health
Records, the Medical Home, and the Medical Homeless
Legal Issues: Contracting and Regulatory Challenges
Working with Hospitals Rather than against Them
Utilizing Local Physicians as the Primary Care Anchors
Pharmacy, Pharmacy Benefit Managers, and Other Mysteries
Employees, Consumerism, and the Illusion of Choice
Ambulatory Care Nuts and Bolts: Site Design and Function
Workforce and Population Analysis: Prevention, Intervention, Wellness, Disease Management,and the Care Management Team
Special Situations and Some Solutions (Middlemen, Brokers, Third-Party Administrators, and Consultants)

Working with Vendors: The Request for Proposal and Its Application to the Development Process
Political and Functional Barriers to Establishing an On-Site Medical Service

Involving Other Businesses as Customers of the On-Site Program

The Future of On-Site Services and the On-Site Industry

Appendices:

Book References and Interviews

Claims Request (Complete Listing)

Pro Forma Example
On-Site Provider Listing

Workplace On-Site Program Consultants and Resources