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The springboard for this sixth volume in the Industry and Health
Care series was a conference sponsored by the Center for Industry
and Health Care of Boston University on June 9 and 10, 1978. That
conference had a gradual genesis. Over a year ago we spent some
time with Kevin Stokeld of Deere and Company and heard his views on
self-insurance and self-administration as one device for a
corporation to achieve better management control of its health
benefit. More recent discussions with representatives of American
Telephone and Telegraph Company and other corporations made it
increasingly clear to us that management's need for data to monitor
the use of employee health benefits was emerging as a critical
policy issue. Subsequent meetings with executives at John Hancock
Mutual Life Insurance Company in Boston and Mobil Oil Corporation
in New York, among others, convinced us that simple answers would
be elusive or inadequate and that there was a need for an objective
and careful look at the evolving relationships between employee
health benefits, claims administration, health services
utilization, and corpo rate health care cost containment programs.
Since self-funding and particularly self-administration represent a
fun damental change in the traditional insurance relationship, the
conference was convened to explore the advantages and disadvantages
of self-insurance for employee health benefits, with some attention
to claims production but with special emphasis on the originating
question of data for effective management of an employee health
benefit."
Address to the Conference on Employee Mental Wellness by Walter B.
Wriston, Chairman, Citicorp The mental well-being of employees is a
subject of fundamental importance to each of us, our companies, our
professions, and the nation. Both the Washington Business Group on
Health and Boston University's Center for Industry and Health Care
should be commended for the timely initiative this conference
represents. I hope it will be come an ongoing effort to improve the
mental health services to the nation's private sector workers and
their dependents. I have had a deep interest in the delivery of
health care for a long time, both from the perspective of a major
employer and from my participation in the governance of New York
Hospital-Cornell Medical Center. It has also been my privilege to
chair the Business Round table's Task Force on Health and to serve
on the President's Labor Management Committee which, among other
things, has been working on heaith care problems. This experience
obviously does not give me any claim to special expertise on the
issue of mental health. It may prove helpful, however, as we work
together formulating our thoughts about the nation's health system,
the role of industry, and where the mental health issue fits into
the picture."
With this first monograph, Springer-Verlag launches an unusual
publishing venture. The purpose of the Springer Series on Industry
and Health Care is to explore in depth the current and potential
future role of industry both management and labor in all private
sector enterprises-as a financer of health care benefits, as a
provider of health care services, and as an extremely influential
"consumer" of health care. The assumption behind the series is that
private industry has the capabil ity, as an alternative to
increased government intervention, to effect major change in the
health care delivery system and is beginning to show evidence of
exercising that influence. The subject matter covered by the series
crosses boundaries between disciplines and
specialities-occupational medicine, medical care, public health,
economics, business administration, law, public policy, medical
sociology-and arises in disparate arenas-labor-manage ment
relations, corporate negotiations with insurance carriers,
physician patient interactions, public policy, and politics. The
Springer Series will draw much of its material from
interdisciplinary working conferences, will analyze and synthesize
the discussions, add timely background material, and be published
within no more than six months of the conferences on which they
build. The series will consist of four monographs a year and two
volumes of background papers."
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