Category Archives: Hank Gardner Blog

Introducing Behavioral Economics to Healthcare

Introducing Behavioral Economics to Healthcare


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Dr. Hank Gardner discusses the origins of HCMS Group’s revolutionary approach to healthcare.

What sets HCMS Group’s approach to healthcare apart is the combination of behavioral economics concepts with the holistic bio-psycho-social model for medical practice, Dr. Hank Gardner said in the introductory installment of the periodic HCMS Innovation Vlog.

He described three economic tenets on which the healthcare information company’s work with employers and health organizations is built. They are that there’s no free lunch, so there are trade-offs in costs and priorities; that consumers/patients need to determine priorities in healthcare; and that it’s necessary to keep score by capturing data and analyzing outcomes.

“As benefit costs go up – particularly in the component of healthcare cost that is represented by healthcare waste – resources to pay wages go down,” Dr. Gardner said. “It’s one of the very critical issues American businesses face these days. As benefit costs increase, resources for wages diminish.”

Click here to view the Innovation Vlog.


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Healthcare Reform Webinar Series Video 4: The Importance of Primary Care


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The fourth video in our healthcare reform webinar series focuses on the importance of primary care. Watch this live webinar recording of Dr. Hank Gardner, Dr. Nim Patel, Shawn Petrini, MSN, RN, and Justin Schaneman, MS as they discuss a market solution for healthcare reform, primary care and clinical prevention analyses, key issues with primary care usage, and clinical prevention’s synergy with primary care.

For HD viewing, please click on the video and then click on “HD” in the bottom right of the pop-up window. The HD button will be blue when it is turned on.

Have any questions or comments? Leave a comment and we’ll be sure to get back to you.

To see the other videos in this series, please click here.


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Healthcare Reform Webinar Series: Video 3


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The third video in our healthcare reform webinar series, The Pathway to Implementing a Single “Aligned Incentives” Health Plan, reviews why having this single health plan delivers the best results.

Watch this live webinar recording as Dr. Hank Gardner, Justin Schaneman, and Neil Sullivan discuss, analyze, and evaluate population risk, actuarial versus econometric modeling, the health insurance exchanges, and health risk assessments.

For HD viewing, please click on the video and then click on “HD” in the bottom right of the pop-up window. The HD button will be blue when it is turned on.

Have any questions or comments? Leave a comment and we’ll be sure to get back to you.

To see the other videos in this series, please click here.


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Healthcare Reform Webinar Series: Video 2


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In the second webinar in our healthcare reform series, HCMS Group CEO Dr. Hank Gardner and VP of Data Analytics Justin Schaneman discuss the Data Analytics used in the successful implementation of effective healthcare reform.

Watch this live webinar recording and listen to a detailed analytic discussion on health plan selection bias, primary care, econometric modeling, population risk analysis, and more.

For HD viewing, click on the video and then click on “HD” in the bottom right of the video. The HD button will be blue when it is turned on.

To see the other videos in this series, please click here.


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Healthcare Reform Webinar Series: Video 1


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HCMS Group CEO Dr. Hank Gardner and CCO Shawn Petrini, MSN discuss “big data,” current trends in healthcare reform, the 5% of a population that is driving over 50% of health benefit costs, and an effective healthcare reform model in HCMS Group’s first webinar in the Healthcare Reform Series.

Discover how multiple health plans drive employee decisions, why specialty care utilization and employee lost time costs remain incredibly high, and what can be done to curb these negative trends.

HCMS Group’s next webinar will focus on the successful implementations of HCMS Group’s Healthcare Reform Model.


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Video 5 of Hank Gardner’s Series: Human Capital Risk Index — Population Risk Stratification


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In order to manage risk, you need to be able to predict it. Health benefit costs continue to rise at an unsustainable rate. Thirty to forty percent of costs are driven by over-utilization and waste. This waste cannot be analyzed with reactive cost reports and analytics; you need a comprehensive, predictive risk assessment.

HCMS Group’s Human Capital Risk Index® (HUI) is the only leading risk score that predicts and measures human capital health and job performance risk (not just disease).

Built from our diverse research reference database of over 3.2 million individuals from over 100 distinct populations, the HUI takes various data types into account; it utilizes lost-time, medical, pharmacy, and compensation data in order to provide the best assessment of risk and predict high-risk/cost cases.

Our HUI is unique in the fact that it incorporates lost time data and enables our evaluation of a full spectrum of risk. Using lost time data allows us to predict progressive HUI scores before claims cost even come in. This foretelling risk index allows us to provide the right service at the right time without delaying cost-saving and risk-prevention opportunities due to a lag in claims data.

Learn more about HUI by watching the video below.


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Video 4 of Hank Gardner’s Series: The 5% of employees driving over 50% of benefit costs


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Population Turnover in the “5% Group”

Earlier videos have demonstrated how 5% of an employee population is driving over 50% of benefit costs. Hank Gardner’s fourth video focuses on the management opportunity of understanding that people migrate in and out of this 5% high-risk/cost group.

This video answers the following questions:

  • How is “the 5%” population dynamic?
  • How often is there turnover in this group?
  • How is our healthcare system a reactive system?
  • What does the migration in and out of the 5% group help indicate?

Have a question or comment? Leave a response below and Dr. Gardner will reply.


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Video 3 of Hank Gardner’s Series: Which benefits are driving your company’s cost waste?


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Employee Population Risk Stratification with an Integrated Benefits View

As we have presented in earlier videos, we know that 5% of employees drive over 50% of a company’s health benefit costs, but which benefits are driving the most cost and waste?

Watch the third video in Dr. Hank Gardner’s “New Thinking Paradigm” Series to hear his discussion on how lost time (short & long-term disability and workers’ compensation), prescription drug, and health plan policies are contributing to the waste.

Learn the answers to these questions:

  • How does the design of benefits drive cost and waste in the different employee risk groups?
  • What are the costs incurred by “the 5% group” broken down by benefit type?
  • What behaviors are predictors for employee migration into “the 5%”?
  • What is an integrated benefit management strategy and why is it important?
Have a question or comment? Leave a response below and Dr. Gardner will reply. 

 

 


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Video 2 of Hank Gardner’s New Thinking Paradigm Series


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Dr. Harold (Hank) Gardner is the founder and CEO of HCMS Group. His 40+ years of experience in healthcare delivery, health economics, and health professions education coupled with the use of HCMS’s unmatched Research Reference Database (RRDb) fuels his “new thinking” disruptive solutions for the healthcare cost and quality problem.

Dr. Gardner’s second video of this new series addresses Population Risk Stratification as he discusses how employee risk groups differ in terms of benefit use. Just 5% of an employee population drives more than 50% of benefit costs.

 

Have a question or comment? Please leave your response below and Dr. Gardner will reply.

 


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Hank Gardner’s New Thinking Paradigm Series – Video 1


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Dr. Harold (Hank) Gardner is the founder and CEO of HCMS Group. His 40+ years of experience in healthcare delivery, health economics, and health professions education coupled with the use of HCMS’s unmatched [tippy title=”Research Reference Database (RRDb)”]The Research Reference Database (RRDb) is HCMS Group’s proprietary database used for all of our services. The database is the largest research database in the industry and was created from over a decade of dedicated research and data compilation. The RRDb houses data on over three million de-identified people with details on medical diagnoses, prescription drug usage, disability, and workers’ compensation. It provides the micro-economic and person-centric data to allow for more accurate outcomes.[/tippy] fuels his “new thinking” disruptive solutions for the healthcare cost and quality problem.

Dr. Gardner’s first video of this new series addresses HCMS Group’s RRDb (with de-identified information on over 3.2 million individuals) and “Big Picture” Data Model as he discusses the importance of comprehensive person-centric data in human capital risk management.


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