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Developing Partnerships Between Healthcare and Business

The Lowndes County Partnership for Health. Developing Partnerships Between Healthcare and Business. Together we can make a difference. Presented by:. Mark Wilson Vice President Director of Human Resources Langdale Industries 229-333-2557.

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Developing Partnerships Between Healthcare and Business

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  1. The Lowndes County Partnership for Health Developing Partnerships Between Healthcare and Business Together we can make a difference

  2. Presented by: Mark WilsonVice President Director of Human ResourcesLangdale Industries229-333-2557 John SparksExecutive DirectorLowndes County PartnershipFor Health229-245-0020 August 22, 2006

  3. Developing Partnerships Between Healthcare and Business Individual Employer Individual Community Regional Communities State Network of Communities

  4. The Langdale Company (1894) • 112 Year Old Family Business • Self Insured with 1200 Employees • Identified Health Plan Cost Problems Since 1990 • Double Digit Cost Increases • Lack of Credible Data

  5. The Langdale Company (1894) Problem: Double-digit Health Care Cost Increases 2000 PEPY* Cost Trending to $6,400 Solution: Self Administer Claims = Access to Data Wellness and Disease Management Network Savings, Education and Incentives Results: PEPY Cost Held Level for 6 Years *Per Employee Per Year

  6. The Langdale Company (1894) • 2000 – $5,500 (Self Administered in 8/2000) • 2001 – $4,950 • 2002 – $5,621 • 2003 – $5,142 • 2004 – $5,545 • 2005 – $5,231 2005 PPO Cost for State of Georgia Approximately $7,000 PEPY (William Mercer Survey)

  7. The Langdale Company (1894) • Access to Paid Claims Data – Critical • Evaluate Plan Cost Drivers • Negotiate Areas that Most Impact the Plan • Langdale Co-Founder of Partnership for Health • Langdale Forest Products First Well Workplace Program • Develop Wellness and Chronic Disease Prevention Programs

  8. Developing Partnerships Between Healthcare and Business February 10, 2005 meeting of the National Governors Association” “…Just as they did with welfare reform a decade ago, states can once again play a lead role in driving change. Through demonstration projects in partnership with the private sector, states can illustrate the benefits of large-scale system reforms.” The paper called for the “establishment of a National Health Care Innovations Fund to support large-scale demonstrations emphasizing cost-effectiveness and quality improvements in the health care system.”

  9. Developing Partnerships Between Healthcare and Business Individual Employer Individual Community Regional Communities State Network of Communities

  10. Lowndes County Partnership for Health Problem: Access to care, chronic disease, rising costs No single stakeholder can solve Solution: Enhance communication and resource channel Leverage synergy Results: Improved preventive care Improved access to care Collaborative problem solving approach Transforming health of Lowndes County and surrounding area Educated Consumers

  11. Lowndes County Partnership for Health Excerpt from letter written by Mr. Joseph Parker, President of Georgia Hospital Association to Mr. Tom Williams, CEO, Healthcare Research, Inc. dated July 30, 1996. “Based on almost four years of experience with the Community Decision Making Program, we have seen the need to adapt and change the original program model. …The Georgia Hospital Association is currently working with the administrative staff at South Georgia Medical Center and other community leaders in the Lowndes County area to organize and implement a demonstration Partnership for Health program. The expected result is a replicable model which can easily be adopted by communities across the state.”

  12. Community Decision Making Model Leadership Group Health Council Community Action Team Community Action Team Community Action Team

  13. Lowndes County Partnership for Health Board of Directors Executive Dir. Staff Executive Committee Program Development Board Development Resource Development Financial Management Marketing

  14. Board of Directors Executive Dir. Staff Executive Committee Program Development Board Development Resource Development Financial Management Marketing Lowndes County Partnership for Health Hospitals Public Health Health Care Providers Industry School Systems University City Government County Government Faith Community Other Organizations

  15. Lowndes County Partnership for Health • History • 1996 – Planning/Start-up Grant ($35,000 Healthcare Research) • 1997 – Incorporated; 501(c)(3) • 1997 – Community Health Needs Assessment • 1998 – Small CVD Initiatives • 1999 – Wellness Initiatives in Businesses, Churches, and Schools ($531,000 HRSA Grant) • 2001 – Well City Initiative ($258,000 from local Hospitals) • 2002 – Well City Diabetes Initiative ($571,000 HRSA Grant)

  16. Lowndes County Partnership for Health • History • 2003 – MedBank ($110,000 from local Hospitals) • 2003 – Obesity Task Force ($12,500 Planning grant from Public Health Chronic Disease Program) • 2004 – Partnership Cancer Fund (Local Fundraising) • 2005 – Uninsured Committee Formed • 2005 – Partnership Health Center Planning Begun • ($17,500 from Georgia Department of Community Health) • 2006 – Disease Management Project with the Langdale Company (Part of $145,000 Grant from Healthcare Georgia Foundation)

  17. Lowndes County Partnership for Health Wellness Center: Physical Activity, Nutrition Smoking Cessation, Stress Management Wellness Business, Churches, Schools MedBank Obesity Task Force Church Wellness Council Uninsured/Underinsured Lowndes County Partnership for Health Disease Management Cancer Fund Insurance Products Free Clinic Community Access

  18. Developing Partnerships Between Healthcare and Business • Some Lessons Learned • Carefully consider and adopt wellness model • Collaboration brings communication which decreases conflict between payers and providers • Always consider the bottom line (ROI)

  19. Developing Partnerships Between Healthcare and Business Individual Employer Individual Community Regional Communities State Network of Communities

  20. The Lowndes County Partnership for Health Developing Partnerships Between Healthcare and Business Together we can make a difference

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