The value of dividends in health: a call to align stakeholders.

Objective: The purpose of this paper is to describe the philosophy and utility of value-based designs (VBDs), with an eye toward defining a pathway for a shift to VBDs across US businesses involved in the health care discussion.

Methods: A 12-question survey of 36 companies that had been identified as emerging leaders in health and productivity management was administered by telephone interview and, later, by online interview. Information collected included company size, business sector, prevention, wellness, data accessibility and integration, condition management, C-suite visibility, and culture of health.

Wellness, hard to define, reduces trend up to 4 percent.

The purpose of this qualitative study was to identify a common language for "wellness" and a correlating health cost trend reduction through incentive-driven prevention and wellness. Mapping the results of the survey with the trend lines reported by innovative employers could uncover increased financial value in health investments. A 10-question survey was designed for telephone interviews with 26 businesses (Innovators) from the Board of the Center for Health Value Innovation; a paper-based survey with the same questions was completed by attendees at a seminar.