Be Heard: Employer Health Care Alliance Survey Question Title * 1. As an employer and community leader, would you agree/disagree with the following? Strongly disagree Disagree Agree Strongly agree Managing health care costs is a top concern for the company. Managing health care costs is a top concern for the company. Strongly disagree Managing health care costs is a top concern for the company. Disagree Managing health care costs is a top concern for the company. Agree Managing health care costs is a top concern for the company. Strongly agree The company is actively exploring options to control health care costs. The company is actively exploring options to control health care costs. Strongly disagree The company is actively exploring options to control health care costs. Disagree The company is actively exploring options to control health care costs. Agree The company is actively exploring options to control health care costs. Strongly agree I have the information I need to help manage costs. I have the information I need to help manage costs. Strongly disagree I have the information I need to help manage costs. Disagree I have the information I need to help manage costs. Agree I have the information I need to help manage costs. Strongly agree I am interested in alternative models and options. I am interested in alternative models and options. Strongly disagree I am interested in alternative models and options. Disagree I am interested in alternative models and options. Agree I am interested in alternative models and options. Strongly agree Comments? Question Title * 2. The newly formed Employer Health Care Alliance will give employers a seat at the table. Please indicate your company's interest in: No Maybe Yes Expanding my options Expanding my options No Expanding my options Maybe Expanding my options Yes Creating a group that improves our buying power and cost control Creating a group that improves our buying power and cost control No Creating a group that improves our buying power and cost control Maybe Creating a group that improves our buying power and cost control Yes Lobbying for employer interests in health care reform Lobbying for employer interests in health care reform No Lobbying for employer interests in health care reform Maybe Lobbying for employer interests in health care reform Yes Question Title * 3. Do you believe you currently work close enough with your insurance company and other healthcare partners to control costs? Yes No Comments? Question Title * 4. Does your company currently utilize any of the following cost-control mechanisms: Yes No Wellness programs (with premium incentives/surcharges) Wellness programs (with premium incentives/surcharges) Yes Wellness programs (with premium incentives/surcharges) No High Deductible Plan Options High Deductible Plan Options Yes High Deductible Plan Options No Disease Management Programs Disease Management Programs Yes Disease Management Programs No Question Title * 5. Would you like more information? Name: Company: Email Address: Done