Behavior change
is fundamental to consumer-directed plans, value-based plans, and pay
for performance initiatives. While there is a body of evidence showing
that behavior change can be encouraged, there is also a body of evidence
that describes the impediment depression and anxiety can bring to
resolving health risks.
Further, not all lack of behavior change can be attributed to depression
and anxiety, either together or alone. Rather, financial stress from
volatile economic pressures, social stress from family dynamics or
substance abuse, and diagnoses of chronic disease can all be stressors
that need attention. Often, however, the distress is treated with
anti-depressants when depression is not the underlying condition, or the
distress is under-treated when depression actually is the condition.
Without recognition of the miscues in chronic care management, outcomes
for chronic disease such as diabetes, heart disease, arthritis, cancer,
asthma, and more can be more difficult, and much more expensive, to
treat.
Recognition of these stressors and the ability to distinguish between
them is the subject of this intriguing seminar co-produced with the
Center for Health Value Innovation. A new, validated and patented
protocol for redirecting patients into depression-management coaching
for adherence to interventions, or into other services that can help
restore balance and competency to the individual.
Hear from leaders in the Center, Chief Medical Officer Jack Mahoney MD,
and President Cyndy Nayer, along with Fred Newman, CEO of
Coordinated Health Solutions, provider of the patented Pharmacy Intervention
Protocol (PIP). There are real-world outcomes to be shared, and
questions that attendees will want to ask about outcomes-based
contracting for emerging services such as these. |
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Cyndy Nayer, M.A.
President, CEO and Co-founder, Center for Health Value
Innovation
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Cyndy Nayer, M.A., is a Founder of the Center for Health
Value Innovation and serves as its President and Chief
Executive Officer. Under her direction, CHVI, a national,
non-profit organization, 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 a nationally recognized thought leader on
value-based benefit design and continues to provide
education, insight and guidance to CHVI’s growing membership
as well as to government leaders, national media, and other
industry stakeholders. She has been a vital part of the
emergence, adoption and change in the value-based designs
and, specifically responsible for, their link to
outcomes-based contracting™ and consumer-directed health.
She is the author of the groundbreaking manuscript,
Outcomes-Based ContractingTM: The Value-Based Approach for
Optimal Accountability (www.vbhealth.org/evidence-2/outcomes-based-contractingtm).
Nayer continues to champion and develop these concepts
through ongoing research initiatives with CHVI members and
partners and through keynote presentations at national
conferences and business coalition events. A published
authority on health quality improvement with value-based
designs, Ms. Nayer has authored numerous industry papers,
articles and books including co-authoring CHVI’s first book,
“Leveraging Health: Improve Health Status and Bend the Trend
on Financial Outcomes with Value-Based Designs,” in 2009 and
personally authoring a consumer handbook for value-based
health decisions in 2006, “101 LifeTips for Personal Health
Management” in which she defines the roadmap for becoming
the CEO of one’s health-wealth portfolio, a copyrighted
concept.
She is the former Chair of the Missouri Governor’s Council
on Health and Fitness where she convened and advised the
establishment of the Office of Women’s Health for the State.
Ms. Nayer also received the CEO Leadership Award for
Consumer-Directed Health in 2008. As the voice of CHVI and a
health improvement expert, Nayer forged multiple strategic
alliances for the Center, aligning its resources to share
the business and academic evidence of improved health status
and reduced health cost trend when consumers have access to
affordable prevention, risk management, and chronic care.
Committed to making value-based designs and outcomes-based
contracting an integral component of health system
transformation, Nayer is leading CHVI in its support of
major efforts in both the public and private sectors.
A graduate of Washington University, Nayer also holds a
graduate degree in Gerontology with a special focus on
Healthy Aging and is a frequent speaker and lecturer on a
variety of healthcare issues.
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John J. Mahoney,
M.D., M.P.H,
Chief Medical Officer and Co-founder, Center for Health Value Innovation
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John J. “Jack” Mahoney, M.D., is a founder of the Center for
Health Value Innovation and serves as its Chief Medical
Officer. In 2008, Dr. Mahoney was named as a Fellow of the
Center, along with other prominent health benefits
executives and thought leaders who are committed to
advancing value-based health design. He is a 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.
Dr. Mahoney is a well-respected leader in the value of
investing in workforce health, known for his strategic and
disruptive thinking and advocacy for change at the person
and population level. He is at the forefront of articulating
Center policies, advancing the concept that reductions in Rx
access are not stand-alone initiatives for driving
sustainable cost trend reduction. With his guidance and
input, the Center for Health Value Innovation promulgates a
leadership position in value-based design, advocating the
use of data to drive decisions for investing in modifiable
behavior change. Dr. Mahoney is credited with advancing the
concept that these activities must be married to condition
or disease management and tightly controlled – and that they
are tied to a comprehensive communication strategy focused
on the goals of the person and aligned with the corporate
growth strategy. He advises that goals must be set at the
appropriate level and communicated to all the stakeholders –
including physicians – in order to generate improved
outcomes.
Dr. Mahoney is co-author of three books that analyze the
value-based insurance initiative: Leveraging Health; Total Value Total Return:
Seven Rules for Optimizing Employee-Health Benefits for a
Healthier and More Productive Workforce (2006) and BeneFIT
Design: Seven Steps to Value-Based Health Benefit Decisions
(2007). These challenge traditional health care benefit
plans and strategies, and contribute to the health care
industry’s discourse on providing evidence-based benefits
and interventions in managing the health of employees.
Currently, Dr. Mahoney serves as a consultant to Pitney
Bowes, where he was formerly the company’s Global Health
Strategy Director, Chief Medical Officer and a key team
leader for its innovative health care programs. His
responsibilities included advanced health care planning for
employees and benefits planning for employees and retirees.
Subsequent to retiring from his full-time position, Dr.
Mahoney has assumed the role of Chief Consultant for
Strategic Health Initiatives at Pitney Bowes and continues
to be active in shaping the company‘s health care programs.
In addition, he is the Medical Director of the Florida
Healthcare Coalition.
Dr. Mahoney formally joined Pitney Bowes in 1997 as
Corporate Medical Director and Global Healthcare Management
Director after serving as the company’s chief health
consultant for several years. During the mid-1990’s he
developed the integrated health platform for EAP, behavioral
health and clinical health that showed the total improvement
when access and affordability were improved. He was
instrumental in revamping the company‘s health insurance
system and is the architect of the value-based design
launched in 2002. At this time, Pitney Bowes became the
first company in the country to fully implement the strategy
known as value-based insurance design, in which the employer
uses financial incentives to encourage workers to stay
healthy.
Dr. Mahoney received his undergraduate degree from Boston
College and his Medical Degree from the Medical College of
Virginia. He also received a Masters Degree in Public Health
from UCLA.
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Fred Newman
Founder and CEO, Interface EAP and Coordinated Health
Solutions
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Fred Newman is the founder and CEO of Interface EAP and
Coordinated Health Solutions. In the mid-eighties he was the
CFO of a public company that owned and managed psychiatric
hospitals. It was in this position that he saw the need for
a behavioral healthcare company with a proactive approach
for addressing the impact mental health has on medical
costs, productivity, and other labor costs.
Fred founded Interface EAP in 1989, which began providing
services on a national scale in 1990. In 2004, Interface
began development of its now patented Pharmacy Intervention
Protocol (PIP) to address the quality of care and costs
issues resulting from the high use of antidepressants and
other target psychotropic medications within the general
medical setting. In 2010, Coordinated Heath Solutions was
established to coordinate PIP with other EAPs.
Fred has previously served on the board of the Texas
Association of Benefit Administrators (TABA) and the
Benefits Committee for the Self Insurance Institute of
America (SIIA). He currently serves on the board for Mental
Health America – Texas, and was recently elected to the
board for Employee Assistance Society of North America
(EASNA). He has presented programs on behavioral healthcare
management to numerous groups including Benefit Management
Forum & Expo, SPBA, TABA, WorldatWork, SIIA, URAC, Pharmacy
Benefit Management Institute (PBMI), and Health Care
Administrators Association (HCAA). In addition, he has
authored several articles for industry publications
including The Self-Insurer, The Journal of Employee
Assistance, and TABA’s The Benefit.
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