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Book Cover
Author Lewis, Alfred, author

Title Why nobody believes the numbers : distinguishing fact from fiction in population health management / Al Lewis
Published Hoboken, N.J. : John Wiley & Sons, Inc., [2012]


Description 1 online resource (xxi, 213 pages) : color illustrations
Contents Introduction. Chapter 1. Actuaries behaving badly -- Chapter 2. Plausibility-testing : how to measure outcomes using ingredients -- Chapter 3. Case studies that flunk every plausibility test known to mankind -- Chapter 4. Case studies that flunk every plausibility test known to mankind and then some -- Chapter 5. Case Studies of Where, When, and How Wellness Programs Have Actually Worked -- Chapter 6. Yes, Virginia, There Is a Savings Clause -- Chapter 7. Disease management programs that actually work (Pinch me) -- Chapter 8. Contracting/RFP checklist of do's and don'ts (mostly don'ts) -- Appendix: the Keys to the numerical kingdom
Summary "The health care industry is fraught with numbers that both human resource professionals and health plan executives cannot believe or understand. Health care vendors routinely show you outcomes reports for your Population Health Improvement programs whose numbers are much closer to fiction than fact. But you don't know why these numbers are fictional, do you? You leaf through these vendor outcomes reports, and wonder the best way to save money for your business while providing an optimal service. Measurement of savings, whether described as Return on Investment or another term, is the most contentious issue in disease management. Why Nobody Believes the Numbers provides information on benefits decisions that can be estimated without math, using observational data to figure out whether you are "moving the needle" or not. Better decisions can be made by looking critically at the data and using the information to make smart decisions in the future. For example, you can look at actual event rates over time (heart attacks, asthma attacks, etc.) and ask whether the return-on-investment (ROI) that a vendor is insisting you received is plausible given the changes in event rates over time in your population. Why Nobody Believes the Numbers counsels the opposite of the health care industry standard. You check every piece of arithmetic you see because in this field most calculations are wrong, often to the point of being impossible. With the information provided, health plan providers and benefits departments will be able to better understand the numbers in outcome measurement reports to provide quality services and save money"-- Provided by publisher
Bibliography Includes bibliographical references
Notes English
Online resource; title from electronic title page (ebrary, viewed on June 23, 2015)
Subject Health maintenance organizations -- United States -- Evaluation
Managed care plans (Medical care) -- Standards -- United States
Health Care Sector -- economics
Costs and Cost Analysis -- economics
Health Promotion -- economics
Health Status Indicators
Insurance, Health -- economics
BUSINESS & ECONOMICS -- Human Resources & Personnel Management.
Health maintenance organizations -- Evaluation.
Managed care plans (Medical care) -- Standards.
SUBJECT United States
Subject United States.
Form Electronic book
LC no. 2012014003
ISBN 9781118332061