At the risk of appearing tone deaf, we think it’s time for employers and other health care purchasers to give high-performance network plans a serious look. Yes, we realize employers
“What’s great about [direct contracting] relationships is they allow for an employer to work directly with a health system in developing a solution that’s specific to their employee base. They can design programs that address their specific needs, such as addressing diabetes issues within their employee population or behavioral health. In return, the health system expects employers to develop benefit plans and contribution strategies that steer their employees to that health system.”
Catalyst for Payment Reform will focus on three strategies in 2021.
The first is to help purchasers stimulate a more competitive and cost-conscious health care system.
During the economic recovery, we need competitive health care markets as a counterweight against health care price inflation. With the economy struggling, employers and other health care purchasers have less money than ever to spend on health care and need every tool at their disposal to keep expenses under control. Employers across the country will be watching to see if the Sutter case will serve as a warning to other dominant providers, or if anticompetitive behavior will be given a COVID hall pass. As Secretary of Health and Human Services, Becerra’s understanding of these dynamics will inevitably shape his work on health care delivery and payment reforms, policies regarding transparency of price and quality information, and much more.
A database might sound like something that only law students and policy wonks care about. But most stakeholders would benefit from understanding the legal constraints and opportunities that state laws create when it comes to improving the functioning of the health care system.
The health care marketplace continues to evolve, as health care organizations consolidate and experiment with new value-oriented models. As these new strategies emerge to drive high-value purchasing, there has been
This is going to be quite a year. At CPR we’ve fastened our seatbelts for full speed. The core of what we do remains the same: we are pushing for
