Cyndy Nayer and John E. Riedel present on Leveraging Health: A Primer for Health Promotion Practitioners using Value-Based Designs.
The questions that every employer and plan sponsor, every health plan and benefits manager should be asking must reframe the question: How much health, instead of healthcare, are we buying? How much could we buy with the same money we are spending now, if we purchased services more wisely?
Understanding that things had to change if employers were to be able to continue to afford healthcare, a few forward thinking payers and influencers began to rethink their healthcare strategies. Two healthcare “experiments” began to take hold. One involved refocusing employees on the virtues of health and wellness. The other focused on decreasing the financial barriers to some of the care that would actually put healthier people back to work because they were compliant with their treatments.
These experiments that utilized reductions in co-pays for some populations continued to broaden with the inclusion of incentives for participation in annual or baseline health risk assessments, health fairs, and disease management. So began the development of behavior change through incentives that actively engage consumers to participate in their health and healthcare. The use of these incentives have evolved into the levers of population change that form the core of value-based design initiatives.
Learning Objectives:
1. Understand the nature of value-based design and the challenges it is designed to resolve.
2. Be conversant with the 4 Ds of value-based design . . data, design, delivery and dividends.
3. Know why health promotion is a foundational element of value-based design.
4. Learn the key skills and competencies that health promotion practitioners bring to successful implementation of value-based design.
About the presenters: Cyndy Nayer and John E. Riedel
John Riedel is President of Riedel & Associates Consultants, Inc (RACI). RACI provides health and productivity management services to self-insured employers and employer coalitions, health plans, hospitals, disease prevention and disease management providers, and pharmaceutical companies. RACI services include market research, survey design and deployment, strategy development, product positioning, and measurement design.
John was responsible for development of a comprehensive health and productivity management training program (called HPM Clinic) in collaboration with the American College of Occupational and Environmental Medicine and the Integrated Benefits Institute. He was co-developer of the Blueprint for Health an on-line tool that estimates the total cost of poor health including direct medical cost, absence, and presenteeism. And he co-authored Measuring Employee Productivity: A guide to self-assessment tools, popularly known as the Gold Book.
John has been a thought leader in the health and productivity management field. He writes and presents regularly on the topics of health and productivity, wellness, disease management, and value-based design. As the Principal at RACI he has worked with over 70 clients including Healthwise, Pacificare, the National Business Coalition on Health, Health Media Inc., Florida Hospital System, Merck-Medco Managed Care, Pfizer, Sanofi-Aventis, Schering-Plough, the American College of Occupational and Environmental Medicine, Pfizer, Johnson & Johnson, Quest Communications, Dow Chemical, Glaxo Smith Kline, the Integrated Benefits Institute, the Center for Health Value Innovation, Take Care Health Systems, Staywell Health Management, and 15 Blue Cross and Blue Shield Plans.
John received his MBA from Aurora University (Aurora, IL) and his MPH from the University of Illinois (Chicago, IL) He holds a Certificate of Applied Management from George William College (Downer’s Grove, IL). He lives in the front range mountains of Colorado with his wife Mary and his dog Huck, a Hurricane Katrina survivor.
Cyndy Nayer is a founder of the Center for Health Value Innovation and serves as its President and Chief Executive Officer. Under her direction, the Center has grown into the nation’s premier organization dedicated to sharing the evidence of improved health and economic outcomes through value-based designs. Nayer is recognized as a thought leader for value based benefit design, and continues to provide education, insight and guidance to the Center’s growing membership as well as government leaders, high-profile media, and other industry stakeholders. She has tracked the emergence, adoption and change in the value based designs and their link to consumer-directed health. She is the co-author of the first book from the Center, Leveraging Health: improve health status and bend the trend on financial outcomes with value-based designs. published in 2009. In 2006 she published a consumer handbook for value-based health decisions, entitled 101 Lifetips for Personal Health Management, identifying the roadmap for becoming the CEO of one’s health-wealth portfolio, a concept she has copyrighted. She is the former Chair of the Missouri Governor’s Council on Health and Fitness, and received the CEO Leadership Award for Consumer Directed Health in 2008.
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