Record Detail

 
PROGRAM SPONSORSHIP

Formal name of the incentive and/or reward program initiative (if applicable)

Program name Good Signs to Wellness

Program sponsor(s) and parent organization of sponsor(s), if applicable

Program sponsor(s) Goodwill Industries of Central Indiana, Inc.

Primary program contact information

Name Keith A. Reissaus
Organization Goodwill Industries of Central Indiana, Inc.
Email kreissaus@goodwill-indy.org
Phone (317) 524-4223

Sponsoring organization type

Employer(s) Single employer
Health Plan(s) Multiple health plans

Source of funding associated with program set-up costs

Funding source
Funded by program sponsor(s)

Percent contributed by sponsor and grant organization

% Sponsor 100
Program set-up costs 20

Source of funding associated with program operations costs

Funding source
Funded by program sponsor(s)

Percent contributed by sponsor and by grant organization

% Sponsor 100
Program operations cost 120

Start date & end date of the program

Start Date 4/1/2007
End ongoing

 
PROGRAM SCOPE

Geographic scope of program Indiana
Individuals affected by program as a percentage of total population, if known
Employer/commercial health plan- active workers
(indicate %) 70
Employer/commercial health plan- dependents
(indicate %) 30
Coverage of affected individuals (for purchaser sponsors only)
Other
Specify CDHP w/o deductibles

Direct target(s) of your program's incentives/rewards

Consumers- employer covered lives (for employer respondents only)
Salaried employees
Hourly employees
Non-union
Full-time
Part-time
Dependents
Recruitment of program targets
Voluntary with no penalty for non-participation


PROGRAM PERFORMANCE MEASURES

Health plan performance measures

Performance measure weighting
Response to RFI
% or N/A 100

Consumer measures

Enrollment and/or participation in risk reduction program
Health risk appraisals
Nutrition/weight management
Physical activity
Smoking
Stress management
Enrollment and/or participation in risk management program
Asthma
Cardiovascular disease
Diabetes
Low back pain
Other
Specify COPD, pregnancy, newborn care
Provider choice Chooses high-performing physicians

Data Reliability

Sources of data

Existing or new data New data collected explicitly for program reporting
Data type
Administrative in origin (derived from claims data)
Medical record data
Self-reported
Data extracting entity
Other
Data aggregator/analyzer
Other
Ensures data accuracy Yes
Means of ensuring accuracy
Auditing
Specify who audits and how often Sponsor, quarterly
Other
Specify consumer personal account review


INCENTIVE/REWARD CHARACTERISTICS

Start date & end date of the incentive/reward

Start Date 04/01/2007
End Date ongoing

Structure of the incentive or reward for programs targeted at consumers

Financial reward - direct
Co-pay/coinsurance/and/or deductible reduction
Cash reward or reward of monetary value
Specify dollar amount variable
Financial penalty - direct
Loss of coverage
Average monetary consumer incentive 20% savings for high value providers; $250 all program components

Scoring used to determine payment

Absolute goals- patient level measures
Pay for meeting specific sub goals related to overall measure/group of measures
Frequency of reward or penalty
Monthly
Reimbursement rate increase on all claims; i.e., "continuous"
Time lag between measurement and receiving reward/penalty
One - three months
Source of financial payments for meeting performance goals
Shared savings between sponsor and target based on measured savings actually realized by payers/consumers
New funding -internal

Shared savings breakdown (percentage should add to 100) if applicable

Additional details about the incentive/reward characteristics and scoring methodology Shared based on company/employee actual health plan cost split.


COLLABORATION CHARACTERISTICS

Phases of program where sought target collaboration
Program design and creation
Program operations
Receives compensation for administrative burden of data collection No
Characteristics of post-implementation target feedback
Incentive target groups/individuals given comparative information
Information provided on how results will be used
Mechanism to consider additional information and communicate back to target
Process available for target to provide additional information and/or corrections
Frequency of performance feedback to the targets
Other
Specify continual via personal website accounts


PROGRAM EVALUATION

How the program evaluates its success
Improvements in health status of population
Sponsor financial return on investment (ROI)
Evaluator
Program sponsor
Independent entity
Specify health plan and consultants

 

© 2006 Leapfrog and Med-Vantage. Assisted by Booz Allen Hamilton and Discern Consulting.
Technical and design assistance by Raven Creative, Inc.