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National Business Group on Health, Helen Darling, President and CEO

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Darling believes “[The] number one issue for employers is employee engagement: engagement in controlling costs and in taking responsibility for improving their own health. If employees don’t understand what is driving health care costs and what they can do to control them, then employees will pay more and more for health benefits and employers will too.”

She observes that some 60% to 80% of health problems are preventable and are directly related to choices people make. “For example, they are not: eating the right food in reasonable amounts, being physically active, wearing seat belts and helmets, not smoking and drinking in moderation.”

To deal with reform and combat costs, Darling says “employers must have a comprehensive health care, wellness and benefits strategy” that uses an aggressive cost management and health improvement strategy. In addition, she recommends “sourcing for best in class vendors who provide the best networks, best care management, centers of excellence, and care and disease management that are highly targeted,” as well as measuring results with sophisticated data warehouses.

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