When the health care payment reform movement began, the first thing CPR saw was an uptick in pay for performance. Because payers had some experience with providing bonuses to health
Would 2020 be the year that health care purchasers finally abandon broad PPO networks in favor of curated solutions like narrow, tiered or high-performance networks? Julianne McGarry review’s KFF’s 2020 Employer Health Benefits Survey to find out.
The economic downturn has only heightened the need for Colorado employers to implement high-value health care purchasing strategies. This is challenging due to Colorado’s market dynamics. We decided to revisit the recommendations in CPR’s Denver-Area Market Assessment Report to explore how Colorado can overcome the stalemate with large health systems.
Simply put, it’s not easy for employer-purchasers to put the RAND study results to use. That’s why Employers’ Forum of Indiana asked CPR to help build out its Employer Price Transparency Project website as a companion to help guide more employers on taking action.
Suzanne Delbanco chats with Rick Abbott, VP of Product and Market Solutions at Premera Blue Cross. Suzanne and Rick discuss if narrow networks, also known as high-performance networks, represent a viable way to lower prices in the employer-sponsored health insurance market.
“What I see now is confusion, disorientation, uncertainty, and anxiety. That creates an opportunity, but it doesn’t provide a direction.” – David Blumenthal, President of The Commonwealth Fund, speaking at
Suzanne Delbanco connects with Chris Cigarran, CEO of Imagine Health, an alternative health plan offering curated provider networks in select markets across the country. Prior to Imagine Health, Chris built the employer and government sales division of a wellness company and has also served as Chief HR Officer.
Suzanne Delbanco interviews Ashok Subramanian, CEO and Founder of Centivo Health, an alternative Third-Party Administrator (TPA) that emphasizes value-based direct contracting and utilization of high-quality providers.
Listen in as Suzanne Delbanco connects with Alan Muney, MD, MHA, former Chief Medical Officer of Cigna, former CEO of Equity Healthcare, and current health care advisor to multiple venture equity firms. This interview is part of CPR’s current work to understand whether group purchasing efforts can secure better health care value for employer-purchasers.
U.S. employers are hungry for new approaches to managing health care costs and improving quality. The average annual premium for employer-sponsored family health coverage surpassed $20,000 in 2019, and annual increases remain
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.
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.
Suzanne Delbanco chats with Anna Sinaiko, PhD, Assistant Professor at the Harvard T. H. Chan School of Public Health. Anna Sinaiko studies patient or individual decision making in health care settings, a concept known as “consumerism” in health care.
Suzanne Delbanco speaks with Peter Lee, Executive Director of Covered California Health Exchange, to discover how Covered California plans to accelerate positive change in the health care system. Hint: Alignment with other large health care purchasers is at the center.
Sixteen states received a passing grade in CPR’s 2020 Report Card on State Price Transparency Laws. While it is a win that more consumers have access to price information to select lower-cost providers, consumer shopping is not the silver bullet to the nation’s health care cost problem.
Suzanne Delbanco chats with Zach Brown, PhD, Assistant Professor of Economics at the University of Michigan. Zach Brown used a quasi-experimental approach to analyze the impact of New Hampshire’s price
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.
Health equity provides the principles and framework to address the maternal health disparity crisis in the U.S. The premise is simple: By improving care for those most likely to face poor outcomes, stakeholders can ensure that the health system is preventing poor outcomes for all patients.
Bob Galvin MD, Operating Partner of Equity Healthcare and former Executive Director of Health Services and Chief Medical Officer for General Electric, suggests that the novel coronavirus paired with a challenging economy offers employer-purchasers a powerful inflection point.
For the past three years, Suzanne Delbanco and other CPR staff have interviewed health care thought leaders as part of CPR’s Listening In (With Permission) podcast. Each new podcast garners
