Almost 70 percent of 406 human resource executives in a national survey believe that larger investments in wellness programs will help curb health care costs. The main targets of those efforts should be obesity, mental health, and a too-sedentary lifestyle, according to the survey by the Society for Human Resource Management. Eighty-four percent of employers think measuring return on investment is crucial, though only 42 percent actually do it.... Men are more likely than women to get cancer and to die from the disease, according to a study in the Journal of Urology. Researchers looked at U.S. cancer registry data from 2003 to 2012 and found that 12 percent more men than women are likely to die from the same cancer. Cancers that are related to gender, such as ovarian and prostate, were not included in the study. Men are more likely to die in 7 out of 10 of the most common cancers. Women are more likely to die only from bladder cancer.... Physicians, pharmacists, and nurses are the three most trusted professions, according to a recent Gallup poll.
Managed Care’s Top Ten Articles of 2016
There’s a lot more going on in health care than mergers (Aetna-Humana, Anthem-Cigna) creating huge players. Hundreds of insurers operate in 50 different states. Self-insured employers, ACA public exchanges, Medicare Advantage, and Medicaid managed care plans crowd an increasingly complex market.
They bring a different mindset. They’re willing to work in teams and focus on the sort of evidence-based medicine that can guide health care’s transformation into a system based on value. One question: How well will this new generation of data-driven MDs deal with patients?
A flood of tests have insurers ramping up prior authorization and utilization review. Information overload is a problem. As doctors struggle to keep up, health plans need to get ahead of the development of the technology in order to successfully manage genetic testing appropriately.
More companies are self-insuring—and it’s not just large employers that are striking out on their own. The percentage of employers who fully self-insure increased by 44% in 1999 to 63% in 2015. Self-insurance may give employers more control over benefit packages, and stop-loss protects them against uncapped liability.