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  • Health Program Health Innovation Initiative

    September 2014

    Building Better Health:

    Innovative Strategies from America’s Business Leaders A Report from the CEO Council on Health and Innovation

  • A B O U T B P C

    Founded in 2007 by former Senate Majority Leaders Howard Baker, Tom Daschle,

    Bob Dole, and George Mitchell, the Bipartisan Policy Center (BPC) is a nonprofit

    organization that drives principled solutions through rigorous analysis, reasoned

    negotiation, and respectful dialogue. With projects in multiple issue areas, BPC

    combines politically balanced policymaking with strong, proactive advocacy and

    outreach.

    D I S C L A I M E R

    This report is a product of the BPC CEO Council on Health and Innovation, whose

    membership includes the chief executives of nine diverse organizations. The Council

    reached consensus on these recommendations as a package. The content contained

    within individual CEO Council member sections represents efforts undertaken by and

    the views of the individual member companies and may not necessarily represent the

    views or opinions of BPC or other CEO Council members.

    Finally, the findings and recommendations expressed herein do not necessarily

    represent the views or opinions of the Bipartisan Policy Center, its founders, or its

    Board of Directors.

  • Building Better Health: Innovative Strategies from America’s Business Leaders 1

    CEO Council on Health and Innovation

    Dominic Barton Managing Director, McKinsey & Company

    Mark T. Bertolini Chairman, Chief Executive Officer, and President, Aetna

    Alex Gorsky Chairman and Chief Executive Officer, Johnson & Johnson

    Muhtar Kent (Co-Chair) Chairman and Chief Executive Officer, The Coca-Cola Company

    Lowell C. McAdam (Co-Chair) Chairman and Chief Executive Officer, Verizon Communications

    Brian T. Moynihan Chief Executive Officer, Bank of America Corporation

    Scott P. Serota President and Chief Executive Officer, Blue Cross and Blue Shield Association

    Patrick Soon-Shiong, MD (Co-Chair) Chairman and Chief Executive Officer, Institute for Advanced Health

    Gregory D. Wasson President and Chief Executive Officer, Walgreen Co.

  • 2

    Errol Alden, MD Executive Director and Chief Executive Officer, American Academy of Pediatrics

    Patricia Babjak Chief Executive Officer, Academy of Nutrition and Dietetics

    Nancy Brown Chief Executive Officer, American Heart Association

    Ray Chambers Special Envoy for Financing the Health Millennium Development Goals and For Malaria, United Nations

    Richard D. Cordova President and Chief Executive Officer, Children’s Hospital Los Angeles

    Delos M. (Toby) Cosgrove, MD President and Chief Executive Officer, Cleveland Clinic

    Larry Hausner Chief Executive Officer, American Diabetes Association

    Douglas Henley, MD Executive Vice President and Chief Executive Officer, American Academy of Family Physicians

    Rod F. Hochman, MD President and Chief Executive Officer, Providence Health and Services

    Shalom Jacobovitz, MD Chief Executive Officer, American College of Cardiology

    Michael Riordan President and Chief Executive Officer, Greenville Health System

    John R. Seffrin, Ph.D. Chief Executive Officer, American Cancer Society

    Marla J. Weston, PhD, RN Chief Executive Officer, American Nurses Association

    HEALTH CARE ADVISORY BOARD

    Tom Daschle Former Senate Majority Leader Co-Chair, Bipartisan Policy Center Health Project; Advisor, CEO Council on Health and Innovation

    Bill Frist, MD Former Senate Majority Leader Co-Chair, Bipartisan Policy Center Health Project; Advisor, CEO Council on Health and Innovation

    Jason Grumet President, Bipartisan Policy Center

    G. William Hoagland Senior Vice President, Bipartisan Policy Center

    Janet Marchibroda Executive Director, CEO Council on Health and Innovation and Director, Health Innovation Initiative, Bipartisan Policy Center

    John Michael DeCarlo Policy Analyst, Health Innovation Initiative, Bipartisan Policy Center

    Ann Gordon Writer/Editor

    Andrew Zack Intern, Bipartisan Policy Center

    BIPARTISAN POLICY CENTER

    BPC would also like to acknowledge the following individuals for their support and review of the report: Joann Donnellan, Senior Advisor, Communications; Kelly Isom, former Administrative Assistant, Health Innovation Initiative; Katherine Hayes, Director, Health Project; Lisel Loy, Director, Nutrition and Physical Activity Initiative; and Ashley Ridlon, Senior Manager, BPCAN.

  • Health Program Health Innovation Initiative

  • Building Better Health: Innovative Strategies from America’s Business Leaders 5

    To Our Colleagues,

    Nearly a fifth of all spending in the United States is currently devoted to health care, and the return on that investment is low. Despite spending more per capita on health care than any other nation, we rank poorly even on the most basic measures of good health such as disability and life expectancy.

    The health of the citizenry affects every aspect of American life and prosperity. Improving the nation’s health must be a national imperative, and it cannot be viewed simply as the responsibility of the health care system. It is a job that requires innovation, collaboration, and leadership from all sectors.

    The CEO Council on Health and Innovation came together to lead the U.S. business community in this work. Together, CEO Council companies employ nearly one million individuals in this country and provide insurance coverage for more than 150 million individuals. But our commitment extends beyond our own workforce and the members we serve. We are strongly committed to improving the health and wellness of the nation as a whole and to promoting higher-quality, cost-effective, patient-centered care.

    This report outlines the many ways in which our companies are working to improve health and well-being as well as the quality, cost, and patient experience of care. Many of us plan to engage in pilots that will enable us to gauge the scalability of strategies shown to be effective in our individual companies. From the range and variety of initiatives, it is clear there is no single, one-size-fits-all solution. Rather, our efforts show that there are many routes to our destination.

    America’s business community has always been an effective driver of change and progress. We feel certain that the private sector can make a significant and lasting positive impact on the nation’s health and health care by working together and taking action. We urge you to join us in this critically important work.

    Letter from the Members of the CEO Council

    Alex Gorsky Chairman and CEO Johnson & Johnson

    Mark T. Bertolini Chairman, CEO, and President Aetna

    Lowell C. McAdam (Co-Chair) Chairman and CEO Verizon Communications

    Brian T. Moynihan CEO Bank of America Corporation

    Dominic Barton Managing Director McKinsey & Company

    Muhtar Kent (Co-Chair) Chairman and CEO The Coca-Cola Company

    Scott P. Serota President and CEO Blue Cross and Blue Shield Association

    Gregory D. Wasson President and CEO Walgreen Co.

    Patrick Soon-Shiong, MD (Co-Chair) Chairman and CEO Institute for Advanced Health

  • Health Program Health Innovation Initiative

  • Building Better Health: Innovative Strategies from America’s Business Leaders 7

    Executive Summary . . . . . . . . . . . . . . . . . . . . 9

    Introduction . . . . . . . . . . . . . . . . . . . . . . . . . 19

    Call to Action . . . . . . . . . . . . . . . . . . . . . . . . 23

    CEO Council Members . . . . . . . . . . . . . . . . . 25

    Chapter 1: Improving the Health and Wellness of Individuals . . . . . . . . . . . . . . . . 35

    Overview and Benefits . . . . . . . . . . . . . . . . . . . . . . . . 35

    Common Challenges and Key Imperatives . . . . . . . . . . 36

    Menu of Employer Actions . . . . . . . . . . . . . . . . . . . . . 38

    Overview of CEO Council Member Strategies . . . . . . . . 39 Aetna . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

    Bank of America . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

    Blue Cross and Blue Shield Companies . . . . . . . . . . . . . . . . 48

    McKinsey & Company . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

    The Coca-Cola Company . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

    Verizon Communications . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

    Walgreen Co . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

    Chapter 2: Improving the Health of Communities . . . . . . . . . . . . . . . . . . . . . . 61

    Overview and Benefits . . . . . . . . . . . . . . . . . . . . . . . . 61

    Common Challenges and Key Imperatives . . . . . . . . . . 62

    Menu of Employer Actions . . . . . . . . . . . . . . . . . . . . . 63

    Overview of CEO Council Member Strategies . . . . . . . . 64 Blue Cross and Blue Shield Companies . . . . . . . . . . . . . . . . 65

    The Coca-Cola Company . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

    Verizon Communications . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

    Walgreen Co . . . . . . . . . . . . . . . . . . . . . .