But Activision Blizzard, an entertainment company that employs more
than 6,000 people in the United States, has been spending less on
healthcare than projected for the last few years, in large part
because it is offering better options for cancer care.
"I’m a cancer survivor myself. I know what it’s like when you get a
diagnosis," said human resources head Milt Ezzard, who joined the
Santa Monica, California-based company six years ago. "You go into a
black hole and just get through it."
Cancer is one of the most expensive conditions to treat, driving
about 20 percent of a company's healthcare spend, said Hugh Ma,
co-founder and Chief Executive Officer of Robin Care, which guides
workers through cancer illnesses.
Rather than focus on the big picture of cutting costs, some
companies are designing benefits that specifically target certain
conditions.
Often the first step is for a company to contract a third-party
patient advocate like Robin Care or Edison Health that specializes
in cancer cases. This is because human resources departments cannot
delve into the particulars of an employee's health issues, due to
privacy rules.
The benefit of these subcontractors is that they can really be there
and hold your hand, said Dave Chase, co-founder of Health Rosetta,
which promotes healthcare reform.
"All they deal with is cancer. Having somebody available on your
side is good," Chase said.
Tom Emerick, CEO of Edison Healthcare, works with about 5,000 client
companies and gets personally involved in cancer cases.
Emerick's first priority is to make sure that the cancer gets
diagnosed properly. About 30 percent of the cases he handles are
misdiagnosed originally, he says. Many workers are sent for surgery
they do not need or expensive treatments that will not help them, he
added.
Edison works to get patients to the right place for treatment based
on the type of cancer they have.
A top echelon of cancer treatment hospitals are designated as
Centers of Excellence, and companies can contract for services with
them directly or through their insurance provider. Centers of
Excellence also help workers with organ transplants.
Currently, 40 percent of large companies use Centers of Excellence
for cancer care, up 10 percent over the past two years, according to
the National Business Group on Health (NGBH), a nonpartisan research
group for large employers.
About 24 percent more large employers have said they plan to start
offering this benefit by 2021.
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In addition to helping with specialized care, companies are easing
the cancer burden in other ways.
Some companies, like Delta Air Lines, will also cover travel costs
up to $10,000 for the patient and accompanying family to go to a
special facility.
"That goes a long way," said Vickie Strickland, director of health
strategy and resources for Delta, which is based in Atlanta,
Georgia.
Only a few of the few thousand employees dealing with cancer hit the
$10,000 limit each year, from a workforce of 150,000.
"It’s a nice message to send to the employee: They care enough about
you to send you to the Mayo Clinic to make sure you get the best
treatment. With the misdiagnosis rate, it easily pays for itself,"
said Health Rosetta's Chase.
Top cancer centers can do advanced genetic testing on patients to
identify those mostly likely to benefit from particular treatments,
avoiding extremely costly new regimens for those unlikely to be
helped by them.
"I can't imagine what our costs would be if we weren't doing all of
this," said Delta's Strickland.
Nearly 30 percent of large companies are also offering incentives
for employees with cancer to use the case management companies or an
on-call nurse to help manage their condition, which can involve
dealing with treatment side effects and future care choices.
Employers deposit money into the health savings account or offer
some other type of monetary reward, according to NGBH.
Sometimes getting to the right place is just the start. At Robin
Care, Hugh Ma helped an employee deal with her elderly mother's
stomach cancer diagnosis. All the experts concluded that the woman
needed her stomach removed, and fast, but she balked.
Ma assessed the situation. He found another elderly Vietnamese woman
who had the same surgery to reassure the patient that the treatment
was safe.
"We were visiting her in the recovery room four days later," Ma
said. His conclusion: "When you take the approach to support the
human being, you’ll have better outcome and lower costs."
(Editing by Lauren Young and Bill Berkrot)
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