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Iowa Committee Makes Recommendations to Increase Value in Health Care
Date:10/12/2009

d those living in federally designated primary care shortage areas.

Principle No. 4: Increase wellness and prevention. The committee maintains that wellness and prevention efforts are critical ingredients in a high-value health care system, particularly with respect to chronic conditions. Over the long term, targeted wellness and prevention activities may offer a better use of limited financial resources, in addition to improving health status. Specifically, wellness and prevention are important so that individuals require less access to a "sick care system" and increasingly rely on a "health system."

Creating a culture of wellness and prevention is important to Iowa businesses. One in particular revamped its benefits program to reward healthy behavior and ensure coverage of those medicines and services most appropriate to help employees manage common chronic conditions. Initiatives such as "Lighten Up Iowa" have helped to combat obesity.

Principle No. 5: Promote individual involvement in obtaining high-value care. The committee determined that reform initiatives should engage all of the individuals who use health care, and specifically encourage individuals to choose high-value care. Accordingly, reform efforts should increase health literacy and provide usable information to them about costs, risks, benefits and outcomes of interventions. Reform efforts also should encourage healthy behaviors. Value increases as individuals increase their involvement in health promotion and prevention and take greater responsibility for managing their own treatment plans.

In Iowa, our public and private health sectors are committed to creating such a culture of individual involvement in health care. One indication of Iowans' level of involvement in their own care is demonstrated by the state's individual health insurance coverage rates, which are among the highest in the country. Targeted educational opportunities e
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SOURCE The Concord Coalition
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