News - Catalyst for Payment Reform

Marilyn Bartlett on NASHP’s Hospital Cost Tool

November 28, 2022

Suzanne speaks to Marilyn Bartlett about the National Academy for State Health Policy’s (NASHP) Hospital Cost Tool and her role in creating it. NASHP’s interactive Hospital Cost Tool provides anyone from policymakers to researchers with insights into how much hospitals spend on patient care services. The tool also shows how those costs relate to both the hospital charges (list prices) and the actual prices paid by health plans.

So what do the data say? Well, they confirm a lot of what employer-purchasers are feeling at the moment.

“We’re seeing just about the fastest rate of health care inflation in our data ever.”

What’s a solution? Price Transparency Data.

We have all of this price transparency data, what are we going to do with it?

Well, we need a new model if we’re going to get consumers to use it. We have to get to them upstream, we have to make it really simple, and we have to change the incentives so that they save thousands of dollars by getting with the program.

CPR’s Thanksgiving Top Pods Blog

November 18, 2022

CPR is thankful for all the top health care minds who have taken time out of their busy schedules to join us on our Podcast, Listening In (With Permission). CPR surpassed 100 episodes this year and we are not slowing down. Please take the time to listen to our top 5 most listened to episodes of 2022 (so far).

Is Payment Reform Exiting a 2+Year Shelter-in-Place?

November 14, 2022

The pandemic stimulated significant uncertainty about the future of payment reform. After all, payment reform is a disruptive strategy, requiring providers to modify practice patterns and payers to negotiate measures of performance by which providers are held accountable for care quality. The early days of the pandemic were a time during which pushing payers and providers on payment reform could have been viewed as being out of touch with the magnitude of the situation. The pandemic created a pause and stimulated leaders to rethink the potential of payment reform. For example, we pondered whether hybrid capitation/fee-for-service would gain momentum as a means for primary care providers to receive guaranteed revenue. And we continue to ponder it, because frankly, our $4+ trillion health care system doesn’t turn on a dime. CPR has been and remains in the

Karen Sepucha on shared decision making

November 7, 2022

Suzanne calls up Karen Sepucha, PhD, director of the Health Decision Sciences Center in the General Medicine Division at Massachusetts General Hospital and an associate professor in Medicine at Harvard Medical School to discuss shared decision making.

So what do the data say? Well, they confirm a lot of what employer-purchasers are feeling at the moment.

“We’re seeing just about the fastest rate of health care inflation in our data ever.”

What’s a solution? Price Transparency Data.

We have all of this price transparency data, what are we going to do with it?

Nick Reber on Doctor Quality Analytics

October 31, 2022

Suzanne calls up Nick Reber, CEO and Founder of Garner Health to talk price transparency, analytics, and quality.

So what do the data say? Well, they confirm a lot of what employer-purchasers are feeling at the moment.

“We’re seeing just about the fastest rate of health care inflation in our data ever.”

What’s a solution? Price Transparency Data.

We have all of this price transparency data, what are we going to do with it?

A Peek at CPR’s Equity Journey

October 24, 2022

As 2020 came to an end and the call to address equity in all facets of society, health care included, was at a ground swell, the Robert Wood Johnson Foundation

Jen Porto on Mental Wellness in the Workplace

October 17, 2022

Suzanne calls Jen Porto, Manager of Leader Education at Headspace Health to discuss strategies on developing a culture of mental wellness at work.

Dr. Doug Salvador on the prevalence of diagnosis errors and what to do about it

October 3, 2022

Suzanne calls Kelsey Brykman, Senior Program Officer at the Center for Health Care Strategies to talk about the intersection of primary care and health equity.

Thi Montalvo and Elodie Olsen on Data, Point Solutions, and Trend Guarantees

September 26, 2022

Suzanne calls Kelsey Brykman, Senior Program Officer at the Center for Health Care Strategies to talk about the intersection of primary care and health equity.

Kelsey Brykman on the intersection of Primary Care and Health Equity

August 12, 2022

Suzanne calls Kelsey Brykman, Senior Program Officer at the Center for Health Care Strategies to talk about the intersection of primary care and health equity.

Health Disparities Within ESI Revealed by New Analysis from NORC and Morgan Health

July 29, 2022

New Morgan Health-NORC analysis reveals important insights about the largest source of health insurance coverage in the U.S. — employer-sponsored insurance. The study is a snapshot of health outcomes and

Rachael Jones on Health Equity Strategy

July 29, 2022

Suzanne calls Rachael Jones, Senior Vice President, Performance Analytics & Quality at Cotiviti, to discuss health equity and what employers and other health care purchasers can do to advance it.

Innovative, bold, progressive: The latest public news from some of CPR’s membership

July 22, 2022

32BJ Health Fund | 32BJ Health Fund releases report and analysis on hospital prices Aon | Aon tool quantifies impact of social determinants of health Arizona Health Care Cost Containment

Bob Galvin revisits the state of payment reform

July 22, 2022

Suzanne calls up Bob Galvin, CMO of Blackstone and chairman of CPR’s board of directors, to follow up on their previous discussion on the state of payment reform. So where are we at? Progress is slow, yet steady — we’ve had rain delays, changing pitchers, changing managers, but the game isn’t over.

I decided to shop knee surgery in the San Francisco Bay Area, using the Sage Transparency tool. Here’s what I found…

July 18, 2022

In full disclosure, at the moment, I (thankfully) do not need knee surgery. But I might easily need it someday. I run a lot, my neighborhood is very hilly, and

Featured Experts who have advised our Members

July 1, 2022

Being a member of CPR is about so much more than being a leading national voice in the fight for more access, equity, and quality in health care. It’s about being a part of a team who band together to strategically push the health care system. How do members achieve this? CPR creates the space where members can engage with experts, health plans, and CPR staff to incubate trailblazing health care strategy.

Dr. Jeff Wells speaks about advanced primary care and Marathon Health

June 27, 2022

Suzanne calls up Dr. Jeff Wells, CEO and co-founder of Marathon Health to talk about advanced primary care models and how it fits in with onsite and near-site clinic, and virtual care.

Suzanne and Jeff dive into the term advanced primary care and how it differs from prior terminology used to describe high-value primary care strategies. In addition, they discuss why there is a lack of primary care providers compared to most other developed countries and what the future looks like for primary care.

The Time is Now: Purchasers, Give High-Performance Networks a Serious Look

June 20, 2022

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

Peter Lee on the last twenty years in health care reform

June 20, 2022

Suzanne calls up Peter Lee, the former Executive Director of Covered California to talk about the last twenty years in health care reform. He explains how many of the payment reforms executed in the commercial space have really been on the margins, and many employees are spending more for worse care than ever before.

So what’s the problem? Lack of real alignment on measures, and not enough dollars at play at the right level. “We focused a lot on provider level payment…not at the health plans. Health care is a team sport, if we aren’t making the quarterback of the team, the health plans, accountable for quality and value, nothing is going to happen.”

Aneesh Chopra on Price Transparency and Data

June 13, 2022

Suzanne calls up Aneesh Chopra, Co-Founder and President of CareJourney, to talk about the current state of health care transparency policy and how the US is faring. So, what’s the mood on current regulations and government oversight? “The general feeling in the field is one of skepticism,” says Chopra, but he’s much more bullish on it. According to Chopra, based on research CareJourney conducted in partnership with Turquoise Health, “two-thirds of hospitals as of the spring of 2022…actually have meaningful, high-quality transparency data.” The question now is are we going to see this information put to use?

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