An Employer-Directed Health Plan That Seeks To Reenergize Primary Care
| Autor: | Leonard J. Quadracci, Thomas Van Gilder, Raymond Zastrow |
|---|---|
| Rok vydání: | 2010 |
| Předmět: | |
| Zdroj: | Health Affairs. 29:976-978 |
| ISSN: | 1544-5208 0278-2715 |
| Popis: | PRACTICE QuadMed LLC. WHO AND WHERE An employer-directed health plan, a subsidiary of Quad/ Graphics, which is a large Wisconsin-based printing firm. Eleven workplace clinics in four states, employing forty-two full-time-equivalent providers, serve as preferred sites for members to receive primary care. CORE INNOVATIONS Providers are salaried and receive bonuses based on clinical quality, customer service, and collegiality. Claims and pharmacy benefit data are used to monitor patient outcomes such as medication compliance and preventive screening. Premiums are reduced for members who participate in health promotion programs. KEY RESULTS Actuarial studies indicate that Quad/Graphics’ health care expenditures are 17–31 percent lower than those of similar employers in its region. Employees’ participation in a health promotion program for two years or more was associated with increased physical activity; reduction in tobacco use; and reduction in cholesterol levels. CHALLENGES It is likely that a major portion of the cost savings were produced by improved employee health, decreases in use of health care, and thorough preventive care. However, further studies are necessary to determine the relative cost-reducing role of the health plan’s aggressive contracting with external providers. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|