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Driving Innovation In the Health Care Marketplace:

A CEO Report

Caesars Entertainment Corporation

Caesars Entertainment (Caesars) believes that a healthy workforce is critical to delivering world-class service. Caesars emphasizes the health of our 65,000 employees as part of our broader approach to employee engagement and customer loyalty. The company is a leader in changing the paradigm with respect to how employers approach health and wellness by migrating from a passive benefits program to an active partnership between the company and our employees.

Caesars offers our employees innovative health care programs that improve access to care while promoting member responsibility. In select markets, the company is leveraging improved care networks that drive members to the top-performing and best-integrated providers in those markets. We partner with key providers to test patient-centered medical home concepts. In addition, we are expanding our onsite clinical offerings by adding three new onsite wellness centers in 2014. By the end of the year, Caesars will offer onsite facilities in 11 markets. We also provide telemedicine services through MDLIVE to our employees to help them access after-hours care in all markets as part of their benefit plans.

Since opening our first wellness centers in 2008, Caesars has found that a successful health and wellness program for employees:

  • Requires collaboration from many players;
  • Is a multiyear journey to change behaviors toward wellness; and
  • Has measurable, significant benefits that include healthier and happier employees.

When participants were measured during a three-year period (2010–12) and identified as having at least one risk factor, and those measurements were then compared to the 2013 measurements for the same participants, we saw results. Across eight identified risk factors, 77.9 percent of the participants shifted at least one of their risks to a lower risk, and 69 percent eliminated at least one of their risks completely. Additionally, 7 percent of the participants eliminated all of their risks, resulting in $24 million in plan savings from biometric risk.

Caesars believes that we have a responsibility to provide our employees with access to high-quality, affordable health care. In return, employees have a responsibility to manage their own health thoughtfully. Through our win-win active partnership approach, Caesars aims to innovate with insurance providers, establish a true partnership with shared accountability, achieve better outcomes and lower costs, and create a new model for partnership and collaboration: Handshake for Health.

Handshake for Health is a seven-step model that includes a consumer-driven plan design, onsite clinics and resources, wellness programs and incentives, a focus on quality and outcomes, robust employee communications, partnership with local human resources teams, and metrics and measurements.

As part of expanding the health care partnership between Caesars and our members, we have introduced a cost transparency tool to help promote choice, quality and fiscal accountability. In 2014, we are focusing on education and measuring the meaningful savings to participants to build the case for true consumerism within the program. In the coming years, Caesars will continue to innovate and partner with members to keep costs low while still offering high-quality, affordable coverage for our members.


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BRT companies provide health coverage to more than 40 million Americans. We help American workers and their families remain healthy, receive quality treatment when necessary and achieve better health outcomes. The private-sector innovations in the insurance marketplace that enable us to provide these services to our employees and their families serve as models for public programs — but additional reforms are necessary.

This report highlights the innovations we have made and the public policy changes we believe would drive value by promoting health and improving outcomes.