Your Boss Wants You to Think Twice About That Back Surgery

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Corporations typically use data mining of personal information in order to sell more stuff to their customers. However, corporate wellness programs are mostly used in an effort to sell less stuff to their employees. For example:

Based on data such as an individual’s history, the firms can identify a person who might be considering costly procedures like spinal surgery, and can send that person recommendations for a second opinion or physical therapy.

Spinal surgery, which can cost $20,000 or more, is another area where data experts are digging in. After finding that 30% of employees who got second opinions from top-rated medical centers ended up forgoing spinal surgery, Wal-Mart tapped Castlight to identify and communicate with workers suffering from back pain.

To find them, Castlight scans insurance claims related to back pain, back imaging or physical therapy, plus pharmaceutical claims for pain medications or spinal injections. Once identified, the workers get information about measures that could delay or head off surgery, such as physical therapy or second-opinion providers.

So what do you think? Programs designed to lower health care costs are a good idea. Providing useful health information to employees is a good idea. But how about providing information specifically designed to influence a course of treatment? Is this an attempt to steer employees away from fly-by-night doctors who recommend back surgery for everyone? Or just another green-eyeshade attempt to persuade employees to forego expensive procedures?

Hey, those are good questions! Answers will be forthcoming some day.

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IT'S NOT THAT WE'RE SCREWED WITHOUT TRUMP:

"It's that we're screwed with or without him if we can't show the public that what we do matters for the long term," writes Mother Jones CEO Monika Bauerlein as she kicks off our drive to raise $350,000 in donations from readers by July 17.

This is a big one for us. So, as we ask you to consider supporting our team's journalism, we thought we'd slow down and check in about where Mother Jones is and where we're going after the chaotic last several years. This comparatively slow moment is also an urgent one for Mother Jones: You can read more in "Slow News Is Good News," and if you're able to, please support our team's hard-hitting journalism and help us reach our big $350,000 goal with a donation today.

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