CEO's Guide to Restoring the American Dream
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60“People Love Their Health Benefits. But Do They Understand Them?” Collective Health (2016), https://collectivehealth.com/insights/consumer-health-benefits-survey-2015/
61Ibid.
62Fred Dews, “Brookings Data Now: 75 Percent of 2025 Workforce Will Be Millennials,” accessed July 4, 2016, https://www.brookings.edu/blog/brookings-now/2014/07/17/brookings-data-now-75-percent-of-2025-workforce-will-be-millennials/; Alastair Mitchell, “The Rise of the Millennial Workforce,” Wired, accessed May 25, 2017, https://www.wired.com/insights/2013/08/the-rise-of-the-millennial-workforce/
63“The Price of Excess* Identifying Waste in Healthcare Spending,” PricewaterhouseCoopers’ Health Research Institute, accessed January 22, 2017, http://www.oss.net/dynamaster/file_archive/080509/59f26a38c114f2295757bb6be522128a/The%20Price%20of%20Excess%20-%20Identifying%20Waste%20in%20Healthcare%20Spending%20-%20PWC.pdf
64“US Health Care Spending: Who Pays?” California Health Care Foundation.
65Robert Kocher, M.D., and Nikhil R. Sahni, B.S., “Rethinking Health Care Labor” The New England Journal of Medicine (2011): 365, accessed July 4, 2016, DOI: 10.1056/NEJMp1109649
66Ibid.
67David Dayen, “The Hidden Monopolies That Raise Drug Prices,” The American Prospect Longform, accessed May 17, 2017, http://prospect.org/article/hidden-monopolies-raise-drug-prices; Thomas A. Hemphill, “THE “TROUBLES” WITH PHARMACY BENEFIT MANAGERS,” CATO Institute, accessed June 1, 2017, https://object.cato.org/sites/cato.org/files/serials/files/regulation/2017/3/regulation-v40n1-5.pdf
68Tim Thomas, “Your PBM Adds Drugs Like Duexis to Your Formulary; Why Should You Have to Pay?” Crystal Clear Rx, accessed March 2, 2017, http://crystalclearrx.com/your-pbm-adds-drugs-duexis-your-formulary-why-should-you-have-pay
69Mark Flores, “United HealthCare Administered ERISA Plan Sued for Embezzlement in Medical Claims Overpayment Offset Dispute,” AVYM, accessed July 4, 2016, http://avym.com/united-healthcare-administered-erisa-plan-sued-for-embezzlement-in-medical-claims-overpayment-offset-dispute/
70Tara Parker-Pope “How Doctors and Patients Do Harm” New York Times Well (April 20, 2012), https://well.blogs.nytimes.com/2012/04/20/how-doctors-and-patients-do-harm/
71Jamie Ducharme, “Misdiagnosing Cancer is More Common Than We Think” Boston Wellness (January 31, 2013), http://www.bostonmagazine.com/health/blog/2013/01/31/study-cancer-misdiagnose/
72Dr. Alan Greene, “Jumping out of a Plane More Than 47 Times Safer Than Checking into a Hospital. Unless…” Dr. Greene’s Blog (July 27, 2011), https://www.drgreene.com/jumping-plane-47-times-safer-checking-hospital/
73“Top Industries,” OpenSecrets.org, accessed, July 4, 2017, https://www.opensecrets.org/lobby/top.php?indexType=i
74“Leapfrog Hospital Safety Grade,” http://www.hospitalsafetygrade.org/
75“Hospital Compare,” Medicare.gov, accessed July 4 2016, https://www.medicare.gov/hospitalcompare
76“HR Consulting in the US: Market Research Report,” IBISWorld, accessed June 3, 2017, https://www.ibisworld.com/industry-trends/market-research-reports/professional-scientific-technical-services/professional-scientific-technical-services/hr-consulting.html
77Michael Dendy, “The OPEC of Healthcare,” LinkedIn, accessed July 4, 2016, https://www.linkedin.com/pulse/opec-healthcare-michael-mike-dendy
78Rod Dunlap, “Robotic Process Automation: A Better Way to Boost Auto-Adjudication Rates,” hfma, accessed July 4, 2016, https://www.hfma.org/Content.aspx?id=48424 . The number cited here is 80%, but multiple industry insiders have told me it’s more like 90+% in private conversations.
79Private discussions with other industry executives and experts not for attribution.
80“FRAUD, WASTE AND ABUSE IN SOCIAL SERVICES: Identifying and Overcoming this Modern-Day Epidemic,” Accenture Consulting.
81Noah Rayman, “The World’s Top 5 Cybercrime Hotspots,” Time (August 7, 2014), accessed July 4, 2016, http://time.com/3087768/the-worlds-5-cybercrime-hotspots/
82Fahmida Y. Rashid, “Why Hackers Want Your Health Care Data Most of All,” InfoWorld (September 14, 2015), accessed July 4, 2016, http://www.infoworld.com/article/2983634/security/why-hackers-want-your-health-care-data-breaches-most-of-all.htmll
83The Nilson Report (October 2016): 1096, accessed January 17, 2017, https://www.nilsonreport.com/upload/content_promo/The_Nilson_Report_10-17-2016.pdf ; John S. Kiernan, “Credit Card & Debit Card Fraud Statistics,” WalletHub, accessed March 2, 2017, https://wallethub.com/edu/credit-debit-card-fraud-statistics/25725/
84Private discussions with other industry executives and experts not for attribution.
85Karen Pollitz, “Workplace Wellness Programs Characteristics and Requirements,” The Henry J. Kaiser Family Foundation, accessed July 4, 2016, http://www.kff.org/private-insurance/issue-brief/workplace-wellness-programs-characteristics-and-requirements/; Erika Fry, “Corporate Wellness Programs: Healthy or Hokey?” Fortune Health (March 15, 2017), http://fortune.com/2017/03/15/corporate-health-wellness-programs/
86Vince Kuraitis, “A Founding Father of DM Astonishingly Declares: ‘My Kid is Ugly,’” e-CareManagement Blog, http://e-caremanagement.com/a-founding-father-of-dm-astonishingly-declares-my-kid-is-ugly/
87Michael P. O’Donnell, “My Last Lecture,” American Journal of Health Promotion (2016): 30, accessed January 3, 2017, doi: 10.1177/0890117116671802
88L.V. Anderson, “Workplace Wellness Programs Are a Sham,” Slate, accessed November 5, 2016, http://www.slate.com/articles/health_and_science/the_ladder/2016/09/workplace_wellness_programs_are_a_sham.html. Note the 13,000 shares on Facebook alone.
89“About the USPSTF,” U.S. Preventive Services, accessed March 2, 2017, https://www.uspreventiveservicestaskforce.org/Page/Name/about-the-uspstf
90“Health Checkups: When you need them—and when you don’t,” Choosing Wisely, accessed July 4, 2016, http://www.choosingwisely.org/patient-resources/health-checkups/
91Al Lewis, “The 401W: A Wellness Program Even Al Lewis Could Love,” The Health Care Blog (April 17, 2017), http://thehealthcareblog.com/blog/2017/04/17/the-401w-a-wellness-program-even-al-lewis-could-love/
92Al Lewis, “A Wellness Program Everyone Can Love,” Insurance Thought Leadership, accessed May 17, 2017, http://insurancethoughtleadership.com/a-wellness-program-everyone-can-love/
93Erika Fry, “Corporate Wellness Programs: Healthy or Hokey?”
94Andie Burjek, “Health Literacy Empowers Employees to Make Better Decisions,” Workforce (February 7, 2017), http://www.workforce.com/2017/02/07/health-literacy-empowers-employees-make-better-decisions/
95“IOM Report: Estimated $750B Wasted Annually in Health Care System,” Kaiser Health News, accessed July 4, 2016, http://khn.org/morning-breakout/iom-report/; “The Price of Excess* Identifying Waste in Healthcare Spending,” PricewaterhouseCoopers’ Health Research Institute
96Wallace, Jean E. et al., “Physician Wellness: A Missing Quality Indicator,” The Lancet 374: 9702, accessed July 4, 2016, http://www.thelancet.com/pdfs/journals/lancet/PIIS0140673609614240.pdf
97Charles Kenney, “Better, Faster, More Affordable,” Seattle Business, accessed July 4, 2016, http://seattlebusinessmag.com//article/better-faster-more-affordable
98Gina Kolata, “Why ‘Useless’ Surgery Is Still Popular,” The New York Times.
99The 67 percent number cited here is from a transparent broker based on his own experience. It’s consistent with what I’ve encountered from many others.
100“Employer Health Benefits,” The Kaiser Family Foundation and Health Research & Educational Trust, accessed July 4, 2016, https://kaiserfamilyfoundation.files.wordpress.com/2013/04/7936.pdf; This represents the average premium inflation rate from 2000-2009 based on the figures provided in the Kaiser/HRET 2009 Employer Health Benefits Annual Survey.
101Gina Kolata, “Why ‘Useless’ Surgery Is Still Popular,” The New York Times.
102“The $272 billion swindle,” The Economist, accessed July 4, 2016, https://www.econom
ist.com/news/united-states/21603078-why-thieves-love-americas-health-care-system-272-billion-swindle
103 “IOM Report: Estimated $750B Wasted Annually in Health Care System,” Kaiser Health News
104“DOL Files Suit Against Macy’s for Alleged Health and Welfare Plan Violations,” accessed October 1, 2017, https://blogs.haynesboone.com/2017/09/20/dol-files-suit-macys-alleged-health-welfare-plan-violations/
105“The $272 billion swindle,” The Economist
106Cutter, Chip. “The opioid crisis is creating a fresh hell for America’s employers,” accessed August 4, 2017, https://www.linkedin.com/pulse/opioid-crisis-creating-fresh-hell-americas-employers-chip-cutter/
107Monnat, Shannon. Deaths of Despair and Support for Trump in the 2016 Presidential Election. The Pennsylvania University Department of Agricultural Economics, Sociology, and Education Research Brief, 2016. Accessed July 4, 2017. http://aese.psu.edu/directory/smm67/Election16.pdf
108Alex Hollingsworth, Christopher J. Ruhm, and Kosali Simon, “Macroeconomic Conditions and Opioid Abuse,” The National Bureau of Economic Research, accessed July 4, 2017, http://www.nber.org/papers/w23192
109“Bureau of Labor Statistics for 2016,” accessed October 24, 2017, https://www.ssa.gov/cgi-bin/netcomp.cgi?year=2016
110Vickie Connor, “Patients With Mental Disorders Get Half Of All Opioid Prescriptions,” accessed July 4, 2017, http://khn.org/news/patients-with-mental-disorders-get-half-of-all-opioid-prescriptions/
111Andrew Kolodny, David T. Courtwright, Catherine S. Hwang, Peter Kreiner, John L. Eadie, Thomas W. Clark, and G. Caleb Alexander, “The Prescription Opioid and Heroin Crisis: A Public Health Approach to an Epidemic of Addiction,” Annual Review of Public Health 36 (2015): 559, accessed July 4, 2017, doi:10.1146/annurev-publhealth-031914-122957
112Thomas R. Frieden, M.D., M.P.H., and Debra Houry, M.D., M.P.H. “Reducing the Risks of Relief — The CDC Opioid-Prescribing Guideline,” New England Journal of Medicine 374 (2016): 1501-1504, accessed July 4, 2017, doi: 10.1056/NEJMp1515917
113Roger Chou, MD; Judith A. Turner, PhD; Emily B. Devine, PharmD, PhD, MBA; Ryan N. Hansen, PharmD, PhD; Sean D. Sullivan, PhD; Ian Blazina, MPH; Tracy Dana, MLS; Christina Bougatsos, MPH; Richard A. Deyo, MD, MPH. “The Effectiveness and Risks of Long-Term Opioid Therapy for Chronic Pain: A Systematic Review for a National Institutes of Health Pathways to Prevention Workshop,” Annual Internal Medicine 162 (2015): 4, accessed July 4, 2017, doi: 10.7326/M14-2559
114Anna Lembke, MD; Keith Humphreys, PhD; and Jordan Newmark, MD, Stanford University School of Medicine, Stanford, California “Weighing the Risks and Benefits of Chronic Opioid Therapy,” American Family Physician, accessed July 4, 2017 www.aafp.org/afp/2016/0615/p982.html
115Kevin M. Fain, JD, MPH and G. Caleb Alexander, MD, MS. “Mind the Gap: Understanding the Effects of Pharmaceutical Direct-to-Consumer Advertising,” Medical Care 52 (2014): 4, accessed July 4, 2017, doi: 10.1097/MLR.0000000000000126
116Rebecca Robbins. “Do Americans really watch 16 hours of pharma ads a year?,” STAT, accessed September 12, 2017, https://www.statnews.com/2017/09/12/americans-16-hours-pharma-ads/
117Janet K. Freburger, PT, PhD, et. al. “Rising Prevalence of Chronic Low Back Pain,” Arch Intern Med. 169 (2009): 3, accessed July 4, 2017, doi: 10.1001/archinternmed.2008.543
118“New research reveals the trends and risk factors behind America’s growing heroin epidemic” CDC, accessed July 4, 2017, https://www.cdc.gov/media/releases/2015/p0707-heroin-epidemic.html
119Christopher A. Viadro, “Increase in opiate usage appears tied to decrease in access to treatment in worker’s compensation,” ButlerViadro,LLP, accessed July 4, 2017, http://www.butlerviadro.com/blog/2016/05/increase-in-opiate-usage-appears-tied-to-decrease-in-access-to-treatment-in-workers-compensation.shtml
120Josh Katz, “Drug Deaths in America Are Rising Faster Than Ever,” The New York Times, accessed July 4, 2017, https://www.nytimes.com/interactive/2017/06/05/upshot/opioid-epidemic-drug-overdose-deaths-are-rising-faster-than-ever.html
121Cutter, Chip. “The opioid crisis is creating a fresh hell for America’s employers”
122DeWine, Mike. “Economic Aspects of Opioid Crisis” Filmed June 2017 at Longworth House Office Building, Washington D.C. Video 26:41. https://www.youtube.com/watch?v=LIQIQ1jC2dg&feature=youtu.be&t=1601
123Donnelly, Frank. “Staten Island Ferry ex-captain details chaos that enveloped Barberi after fatal crash,” Silive.com, accessed July 4, 2017, http://www.silive.com/news/2010/07/staten_island_ferry_ex-captain.html
124Meier, Barry. “Pain Pills Add Cost and Delays to Job Injuries,” The New York Times, accessed July 4, 2017, http://www.nytimes.com/2012/06/03/health/painkillers-add-costs-and-delays-to-workplace-injuries.html
125City Slashes Healthcare Costs By Improving Health Benefits Forbes February 8, 2016, accessd July 4, 2017, https://www.forbes.com/sites/davechase/2016/02/08/city-slashes-healthcare-costs-by-improving-health-benefits
126Joshua J. Fenton, MD, MPH, et. al.”The Cost of Satisfaction: A National Study of Patient Satisfaction, Health Care Utilization, Expenditures, and Mortality” Arch Intern Med. 172 (2012): 5, accessed July 4, 2017, doi: 10.1001/archinternmed.2011.1662
127Jen Wieczner, “Most Millennials Think They’ll Be Worse Off Than Their Parents,” Fortune, accessed August 14, 2017, http://fortune.com/2016/03/01/millennials-worse-parents-retirement/ refers to this study
128David Goldhill, Catastrophic Care: Why Everything We Think We Know about Health Care Is Wrong (New York: Knopf Doubleday Publishing Group, 2013)
129Dan Munro, U.S. Healthcare Actually Isn’t Broken, Insurance Thought Leadership, accessed August 15, 2017, http://insurancethoughtleadership.com/u-s-healthcare-actually-isnt-broken/
130“Joanne Disch testifying on Patient Safety” C-SPAN, accessed August 15, 2017, https://www.c-span.org/video/?c4507180/joanne-disch-testifying-patient-safety deaths; John T. James, PhD, “A New, Evidence-based Estimate of Patient Harms Associated with Hospital Care” Journal of Patient Safety (September 2013): 122-28, accessed August, 15 2017, http://journals.lww.com/journalpatientsafety/Fulltext/2013/09000/A_New,_Evidence_based_Estimate_of_Patient_Harms.2.aspx
131Al Lewis and Vik Khanna, “Corporate Wellness Programs Lose Money,” accessed July 4, 2016, https://hcexchange.conference-board.org/blog/post.cfm?post=5029
132Ron Goetzel et al., “Workplace Programs, Policies, and Environmental Supports to Prevent Cardiovascular Disease,” Health Affairs 36 (2017), accessed May 5, 2017, doi: 10.1377/hlthaff.2016.1273
133“How Much Does a Good Wellness Program Cost?” Wellsource, accessed July 4, 2016, https://www.wellsource.com/wp-content/uploads/2015/08/How_Much_Should_a_Wellness_Program_Cost.pdf
134Al Lewis, “Shattering the Wellness ROI Myth,” Insurance Thought Leadership, accessed March 2, 2017, http://insurancethoughtleadership.com/shattering-the-wellness-roi-myth/
135Richard A. Hirth et al., “Connecticut’s Value-Based Insurance Plan Increased the Use of Targeted Services and Medication Adherence,” Health Affairs 35 (2016): 4, accessed July4, 2016, doi: 10.1377/hlthaff.2015.1371
136Arielle Levin Becker, “Study: State Employee Wellness Plan Increased Use of Preventive Care,” accessed July 4, 2016, https://ctmirror.org/2016/04/05/study-state-employee-wellness-plan-increased-use-of-preventive-care/
137Lasse T. Krogsbøll, M.D. et al., “General Health Checks in Adults for Reducing Morbidity and Mortality from Disease,” JAMA 309 (2013): 23, accessed July 4, 2016, doi:10.1001/jama.2013.5039
138“Health Checkups When You Need Them—And When You Don’t,” Choosing Wisely, accessed June 1, 2017, http://www.choosingwisely.org/patient-resources/health-checkups/; Jim Lee, “Reducing “Low Value Care”: Where Do We Start?” Altarum Institute, accessed July 4, 2016, http://altarum.org/health-policy-blog/reducing-“low-value-care”-where-do-we-start
139“Program Measurement & Evaluation Guide: Core Metrics for Employee Health Management,” Population Health Alliance, accessed
July 4, 2016, http://populationhealthalliance.org/publications/program-measurement-evaluation-guide-core-metrics-for-employee-health-management.html
140Michael O’Donnel, “Does Workplace Health Promotion Work or Not? Are You Sure You Really Want to Know the Truth?” American Journal of Health (2013): 28, accessed July 4, 2016, doi.org/10.4278/ajhp.28.1.iv
141Siyan Baxter, B.N.R.N. (Hons), “The Relationship between Return on Investment and Quality of Study Methodology in Workplace Health Promotion Programs,” American Journal of Health Promotion 28 (2014): 6, accessed July 4, 2016, doi.org/10.4278/ajhp.130731-LIT-395
142Ibid.
143Michael O’Donnel, “What Is the ROI of Workplace Health Promotion? The Answer Just Got Simpler by Making the Question More Complicated,” American Journal of Health(2014): 28, accessed July 4, 2016, DOI: 10.4278/ajhp.28.6.iv
144“Hey, How Come Wellness Needs an ROI but Real Healthcare Doesn’t?” They Said What?, accessed may 22,2017, https://theysaidwhat.net/2015/11/09/hey-how-come-wellness-needs-an-roi-but-real-healthcare-doesnt/
145Michael P. O’Donnell, M.B.A., M.P.H., Ph.D, “Evaluating Your Health Promotion Program for the Return on Allocated Resources (ROAR) Factor,” American Journal of Health Promotion 30 (2015): 2, accessed July 4, 2016, doi/pdf/10.4278/ajhp.30.2.v
146Alfred Lewis, “The Great Debate, Part 4: Ron Goetzel Admits Doctoring Original Documents,” accessed December 4, 2016, https://theysaidwhat.net/2016/10/20/the-great-debate-part-4-ron-goetzel-admits-doctoring-original-documents/
147Alfred Lewis, “The Latest on Nebraska: Ron Goetzel Covers Up His Cover Up,” accessed December 4, 2016, https://theysaidwhat.net/2016/09/21/the-latest-on-nebraska-ron-goetzel-covers-up-his-cover-up/
148Martha Stoddard, “Nebraska’s Acclaimed Wellness Program Under Fire,” accessed July 4, 2016, http://www.omaha.com/livewellnebraska/nebraska-s-acclaimed-wellness-program-under-fire/article_ccf3e8d8-4348-54e6-bb83-cca843dcd9a7.html