Employers need to share successes (and failures) with each other
Catalyst for Payment Reform’s Employer Case Studies are an extensive collection of stories that describe employers and other health care purchasers’ experience implementing a payment, delivery or benefit design innovation for their population. Explore each topic to learn from your peers.
By sharing the good, bad, and ugly, employers who want to experiment with these high-value strategies don’t need to reinvent the wheel and can follow a roadmap to implementation. You are increasing your leverage in the market. Find out how.
Find out how Self-Insured Schools of California (SISC) achieved a significant reduction in its cost trend and PMPM savings by overhauling its pharmacy benefit, implementing a waste free formulary.Buy
Guiding Members to High-Value Choices through Reference Pricing: Self-Insured Schools of California (SISC)
Find out how Self-Insured Schools of California’s Value Based Site-of-Service Benefit program used reference-based pricing to achieve $3.1 million in savings in its first year.Buy
Read how auto manufacturer, General Motors Company, contracted directly with Henry Ford Health System through a shared risk payment arrangement to create a new insurance product for salaried employees. Since its 2018 launch, 12% of eligible employees have enrolled in the product, known as ConnectedCare, which features enhanced patient concierge services.Buy
Find out how 32BJ Health Fund analyzed hospital prices in New York City to implement a high-value benefit design that will preserve low out-of-pocket costs for its plan participants. But before it could implement the program, the Health Funded needed to overcome a carrier-hospital contract dispute.Buy
Learn how Qualcomm Incorporated assessed its opportunity for a direct, customized health care solution for its San Diego employee population. After evaluating health care cost and quality variation, the local market dynamics, and defining benefit design principles, Qualcomm selected Scripps Health and UnitedHealthcare for its direct contract accountable care organization arrangement in order to deliver a superior patient experience.
Learn from Washington State Health Care Authority and its partners about the Accountable Care Program it implemented for its public employee and retiree population. The program’s success includes improved health care quality and care coordination, financial savings, high participant satisfaction, and positive enrollment results.
Learn how The Dow Chemical Company worked with Aetna to implement the Compassionate Care Program, allowing seriously ill employees to take advantage of hospice care without having to abandon curative treatment.
Opportunities and pitfalls abound as employers work toward promoting consumerism in health care among their covered populations. Learn from FedEx about its decision to replace a traditional PPO plan design with consumer- directed health plans and health reimbursement accounts and how they ensured that members continued to receive first dollar coverage for primary care services.
Certain health care services can vary tremendously in quality, leading employees to receive low-value and unnecessary care. Learn about the centers of excellence strategy Walmart Stores, Inc. implemented to address inappropriate care and the valuable insights and recommendations the company has for other employers.Buy
Learn how The Michaels Companies, Inc. started offering health care navigation support for employees in anticipation of big changes to its health plan offerings. The relationship with Compass Health helped stabilize health care spend, improve plan participants’ quality of care, and made the retailer’s benefit options more attractive to potential hires.Buy
The price of health care services and procedures can vary significantly in a given market and have no correlation to quality. Learn about the benefit design The Home Depot, Inc. explored to address price variation and the valuable lessons the company learned from its population’s response.Buy
Interested to learn how a prospective bundled payment program can create savings and improve quality of care? Hear directly from health care purchaser, the County of Santa Barbara, in a case study designed just for employers and public purchasers. Get an exclusive look at Carrum Health’s unique product and how to replicate the County’s success in your own benefits strategy.Buy
Learn from a small, family-owned manufacturing company about developing and implementing a near-site clinic in Rockford, Illinois to combat a lack of primary care access for an employee population.Buy