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 |
|
| Employer/commercial health plan- dependents |
|
|
| 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 |
|
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 |
|
| Data aggregator/analyzer |
|
| 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 |
|
| 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 |
|
| 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 |
|
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