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Health Economics Group - Your Benefits Partner Since 1978
  Research/Commentary - Research By HEG

Stephen D. Hooper, President
Health Economics Group, Inc.

Steve Hooper established Health Economics Group, Inc. in 1978 as a Third Party Administrator. Health Economics Group manages employee benefit plans, including dental, medical, prescription drug, cafeteria/flex, short-term disability and prevailing wage (Davis-Bacon) programs for more than 100,000 individuals throughout the United States. In addition, the company assists county governments in the management of the Early Intervention Services Program, a program that pays medical providers and agencies for services rendered to developmentally at-risk infants.

Responsibilities with Health Economics Group, in addition to general management, include actuarial analysis and dealing with employers in matters of employee benefit plan design, plan economics, cost containment, and plan operations. He also oversees marketing as well as employer, sponsor, and provider communications.

Mr. Hooper has lectured (to healthcare providers and benefit managers) and published extensively on various aspects of the economics of healthcare, and the design and operation of employee benefit plans.

He served as a Research Associate in Community Dentistry at the Eastman Dental Center where he was an instructor in a post-doctoral seminar "Social Issues in Dentistry." His areas of focus were dental care economics, quality management, and dental benefits plans.

From 1994 to 2000 he was a member of the Health Care Transaction Steering Work Group of the ANSI-X12N Insurance Subcommittee Task Group dealing with health care electronic data interchange (EDI) transactions. Subsequently he developed a website dealing with HIPAA-EDI requirements, for member firms of the Society of Professional Benefit Administrators.

In 1992 he was appointed to the Monroe County (New York) Board of Health. He served for ten years, two of which as President. For twelve years he was a member of a commission that advised three successive Monroe County Executives on matters dealing with financial management and department effectiveness. He was a member of the Rochester/Monroe County Private Industry Council, and was a founding member of the Rochester/Monroe County Workforce Investment Board. He chaired the WIB's Welfare to Work Committee. Previously he was chairman of the Steering Committee of Goals for a Greater Rochester, a volunteer organization that facilitated interaction among the many non-profit entities in the area.

Early in his career he worked at Eastman Kodak Company, first as a cost engineer and then as a financial analyst. He then was employed by a unit of what now is KPMG LLP as a consultant dealing with weapon system program management. His efforts centered on PERT/Cost analysis and interpretation for the development of the MK-48 Torpedo. Mr. Hooper was product development manager for Nalge Company, a division of Sybron Corporation. He was responsible for creating new products and developing new markets for the plastic labware company. Subsequently he created and managed Sybron Dental Administration Inc.

Mr. Hooper earned a B.S. in Industrial Engineering and an M.B.A., both from Stanford University. In addition, he has taken courses in epidemiology at Tufts University. He served in the U.S. Coast Guard Reserve for eight years. He is a member of the Oral Health and Health Administration sections of the American Public Health Association. Health Economics Group is a member of the Society of Professional Benefit Administrators.

Stephen D. Hooper: Publications and Presentations

Forty+ Years of Dental Benefit Plans in the United States: Only a Limited Effect
on Utilization; Accepted for presentation at the American Public Health
Association annual meeting, October 2016.

Dental Benefit Plans, Then (1976) and Now (2015): Progress but not Panacea; American Public Health Association annual meeting, November 2015.

Expenditure Patterns During Twenty-five Years of Dental Benefit Plan Coverage; American Public Health Association annual meeting, November 2013.

Twenty-five Years of Dental Plan Coverage: An Analysis of Utilization Patterns; accepted for presentation at American Public Health Association annual meeting, November 2013.

Dental Utilization and Expenditure Patterns: Variations By Age and Gender; with Nathalie E. Marchand; American Public Health Association annual meeting, October 2012.

Unhealthy Profits? Three Ways Insurance Companies Make Money From Health Care; American Public Health Association annual meeting, October 2012.

Dentists, Demographics, and Data: Variations in Dental Services by Age and Gender; with Nathalie E. Marchand; American Public Health annual meeting, October 2012.

Variation of Dental Fees Within Geographic Areas: Economic Implications for Program Planners and Managers; American Public Health Association, November 2010.

Diagnostic and Preventive Dental Benefits for a Medicare Population: Utilization and Costs in a 5-Year Period; American Public Health Association, November 2010.

Near-congruence of Dental Utilization and Voting Patterns: The Need for a Multi-disciplinary Approach by Public Health Professionals; American Public Health Association, October 2008.

Dental Benefits in a Medicare Advantage plan: Utilization During the First Two Years; American Public Health Association, November 2007.

Medicare Part D: Projected Utilization and Expenditure Patterns and Resultant Prescription Drug Benefit Levels; American Public Health Association, November 2006.

Electronic Data Interchange: A Manual for Third Party Administrators (tpaedi.org); an internet-based publication prepared for the Society of Professional Benefits Administrators, active 1998 to 2006.

Estimating Medicare Prescription Drug Costs: A Decade of Data from an Employer-sponsored Plan; American Public Health Association, November 2003.

Dental Expenditures and Utilization Patterns of a Population Age 65 and Older; with Emily A. Zeman, American Public Health Association, November 2002.

Mental Health Utilization Among Individuals Covered by Three Employer-Sponsored Medical Plans; with Emily A. Zeman, American Public Health Association, November 2002.

Developing a Public/Private Partnership to Improve the Public's Health in Three Rural Counties in Western New York; with Cathleen F. MacInnes and Jay A. Gsell, American Public Health Association, November 1997.

Healthy People 2000: Are Oral Health Objectives Realistic?; American Public Health Association, November 1997.

A Decade of Dentistry for Adults in Rochester, New York: Baseline Data for Public Health Efforts; American Public Health Association; November 1997.

Removing the Blue-Colored Glasses: A Clearer View of the Economics of Health Care in Rochester, NY; presented at the seminar "The Rochester Experience: What Happened" sponsored by the Healthcare Management Association of Central New York, Syracuse, NY, April 1994.

The National Health Care Debate: An Economic Overview; presented to the Access to Care Working Group, Batavia, NY, March 1994.

Health Care in Rochester, NY; presented at a hearing convened by Congressman John J. LaFalce, Rochester, NY, December 1993.

Economics of Health Care: A View From the Trenches; presented at SUNY College at Brockport, April 1993.

TQM and the Health Care CFO; presented at a conference sponsored by the NYS Medical News, August 1992.

"You Are What You Think" lectures dealing with mental health, various, 1985, 1986, 1991.

Effective Benefit Management; presented at the Health Care Benefit Management Seminar, sponsored by SUNY College at Brockport's Business and Industry Center, and The Institute for Management Development, November 1990.

Equity, Expectations, and Economics of Medical Plan Design; American Public Health Association, October 1989.

Costs of a "Major Dental" Benefit Program: Issues of Equity; American Public Health Association, October 1989.

Health Insurance Issues Facing Individuals with Disabilities; presented at the Tenth Annual Conference on Quality of Care, sponsored by the NYS Commission on Quality of Care for the Mentally Disabled, May 1988.

Age-Related Differences in Dental Care Expenditures and Benefits; American Public Health Association, October 1987.

Medical Plan Design, Issues of Expectations and Values; presented at the seminar, Health Care Today: An Economic & Ethical Dilemma, sponsored by the Stanford Club of New York/New Jersey, New York City, March 1987.

Quality Assurance: Perspectives of Third Parties; Dental Clinics of North America, Vol. 29, No. 3, July 1985.

Dental Expenditures During a Three Year Period Following Inception of a Dental Benefit Plan; with Zweiben, American Public Health Association, November 1983.

Economic Aspects of Dental Services Management; presented at the Lutheran Medical Center, Brooklyn, NY, June 1982 and June 1983.

Computer Applications in the Dental Office; with Boffa, presented at Academie des Generalistes Dentaires (Quebec), December 1992.

Variations in Dental Fees within Geographical Areas; with Leverett, American Public Health Association, November 1982.

Dental Expenditures within Groups: Similar Patterns Over Time; with Leverett and Zweiben, American Public Health Association, November 1982.

Dentist: Population Ratio and Other Predictors of Dental Care Activity; with Leverett and Ferris, American Public Health Association, November 1981.

Marketing, Predicting Utilization, and Computation of Dental Capitation Rates; presented at: Dental Capitation in Government Funded Programs, sponsored by State of New York Office of Health Systems Management, February 1981.

Dentistry for Children: Demand for Dental Care in the Denti-Cal Program; with Leverett, American Public Health Association, October 1980.

Effects of Third-Party Plans on the Practice of Dentistry; Rochester Dental Study Club, January 1980.

Development of Cost Estimates by an Actuarial Method: Dentistry Under National Health Insurance; American Public Health Association, November 1979.

Determining Area Differences in Dental Care Costs and in Services Provided; with Leverett and Wightman, National Center for Health Statistics, Third Annual Data Use Conference, November 1978.

Estimating Dental Service Costs Under a Proposed National Health Insurance Program; with Nikias, Spolsky, and Sharke, American Public Health Association, October 1978.

The Effect of Community Water Fluoridation on Dental Prepayment Claims; with Leverett and Wightman, American Public Health Association, October 1978.

An Index of Dental Care Costs; American Public Health Association, November 1977.

Distribution of Dental Care Costs Within Groups; American Public Health Association, November 1977.

State of California Dental Study: Application of Simulation Model; prepared for the State of California, Department of Finance, 1977.

A Study of Dental Care Benefits for State of California Employees; with Arnold, et al., prepared for the State of California, Department of Finance, 1977.

Dental Plan Utilization and Expenditures: Variations with Time; American Public Health Association, October 1976.

Unexplained Variance in Utilization of a Prepaid Dental Plan; with Waldow, et al., American Public Health Association, October 1976.

Variations in Utilization of a Multi-State Company Dental Plan; with Leverett, et al., American Public Health Association, November 1975, and Am. J. Public Health 67:1173-1178, December 1977.

Looking Inside Plastics; with P.K. Brantingham, published by Nalge Company, 1975.

An Introduction to Plastics for Science Teachers; a series of workshops presented to meetings of the National Association of Science Teachers, 1974 and 1975, with Hepinstall.

The Adventures of Little Buoy Blue: A Lesson in Water Safety; published for U.S Coast Guard, 1969.

Project Gulf Stream, a case in PERT-Cost; prepared for Canadian Department of National Defense, published by Peat, Marwick, Livingston and Co., 1967.

 

 

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