Introducing new tools from CPR to standardize the evaluations of Centers of Excellence, High Performance Networks, Reference Based Pricing programs, Bundled Payments. Each tool is tailored to measure relevant program performance in terms of cost of care savings, quality outcomes, changes in utilization, and member experience.
What we’ve learned from health care economists, policy experts, and business leaders has begun to illuminate the contours of a new health care economy, re-shaped in the wake of the global pandemic.
In the commercial market, health plans negotiate rates on behalf of health care purchasers; they use purchasers’ collective volume to command better value for our health care dollars – or
Listen in as CPR’s Director of Projects & Research, Julianne McGarry, checks in with Beth Waldman, JD, MPH, Senior Consultant with Bailit Health. Beth Waldman is one of the leading
Medicaid Managed Care is a fascinating and important laboratory for health care payment innovation and reform.
Data warehouse and analytics vendors are important partners for the employers and other health care purchasers who self-fund health care coverage for their employees and their dependents. A data warehouse
Unpacking the complexity of high-performance network design The National Business Group on Health (NBGH) predicted that by 2018 a staggering 61% of employers would offer narrow or high-performance networks (HPNs).
Listen in as Trent Haywood, MD, JD, Senior Vice President and Chief Medical Officer of the Blue Cross Blue Shield Association, outlines key initiatives and goals for addressing social determinants
Last week, we told you about a $4,999 surprise bill. I didn’t have a $4,999 surprise, but it was close. At 30 years old, I had a tonsillectomy. I was
What happens when a patient goes to the emergency room and gets treated by a doctor that’s out of network – even if the hospital facility is in-network? Or if
Take a moment now to think of all your monthly memberships and subscriptions – we’re willing to bet there’s at least one that you’re likely not using to its full
Nowadays, our smartphones and other devices constantly flood our minds with notifications, so much so that phone makers are rolling out ways to get you to put your phone down.
Lea Tessitore calls up George Schwartz to learn more about how palliative care positively impacted his and his late wife Judy’s experiences dealing with serious illness. After Judy was diagnosed
Nutrition interventions are gaining steam in health care world, and high-profile announcements from Lyft and BCBS at HIMSS19 are just icing on the cake. Whether it’s through medically-tailored meals or
2018 was a great year for health tech startups. According to Rock Health, venture capitalists invested in over 290 companies, giving a total of 6.8 billion dollars toward all aspects
“Act in such a way that you treat humanity, whether in your own person or in the person of any other, never merely as a means to an end, but
Employers are getting increasingly creative when it comes to health care coverage. Whether that means covering benefits on the cutting edge of medical care or figuring out ways to
If you blinked on February 20 of this year, you may have missed that the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule to loosen restrictions on
The challenges employers and other health care purchasers face and the solutions needed to solve them come in all shapes and sizes. Sometimes, it can even feel as though one
Benefit designs that emphasize consumer cost-sharing are now the norm in the U.S. As adoption of high-deductible health plans (HDHPs) and other cost-sharing models increase, we need to continue to
