Want to Contribute to the Industry’s Discussion on Value on Investment?

By Michael Connor, Dr.P.H., Senior Vice President, Alere Health and Bruce Sherman, MD, Medical Director, Employers Health Coalition

The Population Health Alliance (PHA) Quality & Research Committee has identified Value on Investment (VOI) as a key initiative for this year. The goal of this work group is to empower purchasers of population health management (PHM) programs to adopt a comprehensive value proposition, which more broadly captures the business impact beyond healthcare costs.  Initial objectives include defining the scope of the VOI construct and determining a compelling rationale that is embraced by PHM purchasers.

The Health Enhancement Research Organization (HERO) and PHA led a collaborative effort to develop guidelines related to value domains and corresponding core metrics. The VOI model encompasses all of these domains as outputs as well as a broad view of investment or inputs beyond program vendor fees and incentive costs.

The domains are organizational support, participation, health impact, productivity and performance, financial savings and satisfaction. The Organizational Support domain addresses the degree to which an organization commits to the health and well-being of its employees. Participation recommends measures and definitions related to meaningful program interventions. The Health Impact domain covers measures associated with preventable health conditions.  The Productivity and Performance domain provides an employee continuum ranging from absenteeism through optimal performance at work. Financial Health Care Savings incorporates claims data and modeling estimates.  Satisfaction addresses participant and provider perspectives.

Initial reactions have been very positive related to both the domains and the VOI approach. Most stakeholders are intrigued with the concept, and some have enthusiastically volunteered to pilot the process. Others have suggested the need to develop a more compelling business case to discuss with purchasers.  There are clearly data implications related to a broader set of outcome measures beyond the more traditional and narrower focus of financial health care savings.

Work group discussions have questioned whether organizational support is an outcome or rather an input within the VOI framework. Additional considerations have raised the need for a greater focus on participant program engagement as well as assessing program impact on employee engagement at work and other business outcomes.

So what are your thoughts regarding …

  1. What are the barriers to a purchaser acceptance of a broader value proposition and how these can be addressed?
  2. What practical measures and methodologies best assess value components and will be readily adopted?
  3. How do the value domains align with purchasers’ (employers, health plans and government) strategic priorities?

Comment here or email us your thoughts at kmoseley@populationhealthalliance.org



CCA Research Priorities for 2014 – Get Involved Today!

After a lengthy process of consultation with members and industry stakeholders, CCA Board of Directors have approved the organization’s 2014 research agenda, with a focus on engagement, value on investment and measure development. The research work will seek to address these issues as they apply across markets and to align with health care policy with an increased collaborative efforts with the CCA Government Affairs Committee.

2014 Research Agenda

In October, the Quality and Research area of CCA began the process to develop and seek comment on a 2014 Research Agenda. This three-step process has provided the opportunity for additional feedback from members.

  1. Hosted a strategy meeting with key Quality and Research volunteers in conjunction with CCA Forum 2013. During this meeting a list of draft research priorities was shared with the group for comment, feedback and potential additions to the list.
  2. Distributed the revised draft list in an electronic survey format to the Quality and Research Committee and the CCA database. The survey asked respondents to prioritize the list based on their own perceptions of the research needs of the industry and the CCA membership, as well as to comment on the areas or suggest topics not on the list.
  3. Summarized the prioritization and comments from the survey and convened a small group of members to use this feedback to develop the final 2014 research priorities list.

With feedback from the first group, a list of criteria was developed for the survey respondents and final prioritization in steps 2 and 3. Criteria included:

  • Important to industry.
  • Important to CCA members.
  • Feasible to accomplish within a reasonable timeframe.
  • Leverages existing research.
  • Potential to influence CCA advocacy efforts.
  • Potential for international relevance.

The outcome of this process is the following proposed list of priorities for Quality and Research in 2014:

1. Engagement (individual and organizational)

I.            Definitions & Measures

i.         What does it mean, within the context of population health management?
ii.          How can it be measured?
iii.           How can it be reported?
iv.           How does it relate to other elements of population health management?
v.          How does health improve engagement within the organization?
vi.           Use and effectiveness of technology

II.            How do you increase Engagement?

i.           Communication
ii.           Culture
iii.            Incentives (Outcomes Based)

2. Value on Investment

I.         What is it?
II.           How is it employed in the industry?
III.           Best practices / empirical evidence of concept
IV.            Case studies
V.           Role of technology

3. HERO-CCA Measure Development

I.          Pilot v.1 measures, survey employers to determine adoption, and update measures
II.            New definitions of health

The 2014 research agenda will seek to address these issues as they apply across markets and to align with health care policy (through the CCA Government Affairs Committee) as much as possible.

We also recommend the formation of a Physician Liaison Group. With the physician as the primary caregiver and bearing the burden of risk in the current health care system, CCA will create an advisory relationship with physician and provider groups for guidance on current research initiatives.

In addition, the CCA Data Advisory Board will continue to work toward final recommendation of the next research study and the requisite funding.

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