Publications & White Papers

Conducting research to stay ahead of the curve


We know it's hard to track the issues contributing to our current system's complexity and to figure out where it's going next.

CPR is here to help by keeping a pulse on what is working and not working in our system through thoughtful, independent research and analysis. Check out our publications and white papers designed to advance our collective thinking on key topics and strategies.

Combinations of State-Based Health Care Policies to Constrain Commercial Prices and Rebalance Market Power

It’s become painfully apparent that health care doesn’t adhere to the laws of economics, and well-meaning market-based interventions (price transparency, consumer-driven health plans, innovative care delivery models, even provider payment reform) cannot exert enough pressure to right this capsized ship. With this degree of dysfunction, we need a more powerful force to referee the marketplace and level the playing field.

We need government intervention – specifically, state government intervention. 

Type:
White Paper

Issue Brief #1: The Case for Public Policy Intervention

Market-based interventions have provided insufficient relief from rising commercial health care costs. As a result, states have a unique and pressing opportunity to enact policies that place downward pressure on unit prices and rebalance market power toward health care purchasers and consumers. The geographic, political, and economic diversity across the 50 United States opens possibilities for state governments to shape their own policy agendas; however, states will likely find that a single piece of legislation proves insufficient to deliver meaningful relief, and/or will create vulnerabilities that are easily exploited by stakeholders who benefit from the status quo. Therefore, state legislators may want to consider combinations or menus of policy options to create complementary infrastructure, close loopholes and plan for contingencies.

Type:
Action Brief

Issue Brief #2: Policies to Prevent/Punish Bad Actors

Market-based interventions have provided insufficient relief from rising commercial health care costs. As a result, states have a unique and pressing opportunity to enact policies that place downward pressure on unit prices and rebalance market power toward health care purchasers and consumers. The geographic, political, and economic diversity across the 50 United States opens possibilities for state governments to shape their own policy agendas; however, states will likely find that a single piece of legislation proves insufficient to deliver meaningful relief, and/or will create vulnerabilities that are easily exploited by stakeholders who benefit from the status quo. Therefore, state legislators may want to consider combinations or menus of policy options to create complementary infrastructure, close loopholes and plan for contingencies.

Type:
Action Brief

Issue Brief #3: Shore up Market Against Consolidation and Rising Prices

Market-based interventions have provided insufficient relief from rising commercial health care costs. As a result, states have a unique and pressing opportunity to enact policies that place downward pressure on unit prices and rebalance market power toward health care purchasers and consumers. The geographic, political, and economic diversity across the 50 United States opens possibilities for state governments to shape their own policy agendas; however, states will likely find that a single piece of legislation proves insufficient to deliver meaningful relief, and/or will create vulnerabilities that are easily exploited by stakeholders who benefit from the status quo. Therefore, state legislators may want to consider combinations or menus of policy options to create complementary infrastructure, close loopholes and plan for contingencies.

Type:
Action Brief

Issue Brief #4: Empower Existing Market Balancers

Market-based interventions have provided insufficient relief from rising commercial health care costs. As a result, states have a unique and pressing opportunity to enact policies that place downward pressure on unit prices and rebalance market power toward health care purchasers and consumers. The geographic, political, and economic diversity across the 50 United States opens possibilities for state governments to shape their own policy agendas; however, states will likely find that a single piece of legislation proves insufficient to deliver meaningful relief, and/or will create vulnerabilities that are easily exploited by stakeholders who benefit from the status quo. Therefore, state legislators may want to consider combinations or menus of policy options to create complementary infrastructure, close loopholes and plan for contingencies.

Type:
Action Brief

Issue Brief #5: Regulate Provider Prices

Market-based interventions have provided insufficient relief from rising commercial health care costs. As a result, states have a unique and pressing opportunity to enact policies that place downward pressure on unit prices and rebalance market power toward health care purchasers and consumers. The geographic, political, and economic diversity across the 50 United States opens possibilities for state governments to shape their own policy agendas; however, states will likely find that a single piece of legislation proves insufficient to deliver meaningful relief, and/or will create vulnerabilities that are easily exploited by stakeholders who benefit from the status quo. Therefore, state legislators may want to consider combinations or menus of policy options to create complementary infrastructure, close loopholes and plan for contingencies.

Type:
Action Brief

Issue Brief #6: Pick the Low-Hanging Fruit

Market-based interventions have provided insufficient relief from rising commercial health care costs. As a result, states have a unique and pressing opportunity to enact policies that place downward pressure on unit prices and rebalance market power toward health care purchasers and consumers. The geographic, political, and economic diversity across the 50 United States opens possibilities for state governments to shape their own policy agendas; however, states will likely find that a single piece of legislation proves insufficient to deliver meaningful relief, and/or will create vulnerabilities that are easily exploited by stakeholders who benefit from the status quo. Therefore, state legislators may want to consider combinations or menus of policy options to create complementary infrastructure, close loopholes and plan for contingencies.

Type:
Action Brief

Market-Shaping Enterprises: New Vendors Want to Rescue Health Care

CPR evaluated seven market-shaping enterprises (MSE) vendors and interviewed industry experts to uncover how, why and whether these vendors can reshape the harmful incentives that underpin rising health care costs.

Type:
White Paper

The Great Steeplechase

Type:
White Paper

Advancing Payment Reform in Florida: Tampa-Orlando Market Assessment Report

The Advancing Payment Reform in Florida Report provides a data-driven understanding of the health care stakeholder dynamics in Tampa and Orlando and identifies the most promising ways for employers and other health care purchasers to improve health care value moving forward.

Type:
White Paper
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Aggregated Purchasing of Health Care Services: Lessons Learned and Blueprints for Success

CPR launched an extensive examination of employers’ efforts at aggregated purchasing to understand the reasons why so many fall apart and to distill the key ingredients for success. This report shares CPR’s findings.

Type:
White Paper
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Reference-Based Pricing: Risks and Rewards of Playing Health Care Hardball

CPR’s white paper Reference-Based Pricing: Risks and Rewards of Playing Health Care Hardball examines the evolution, mechanisms and strategy behind RBP solutions, and explores the most important questions health care purchasers should consider when evaluating an RBP vendor.

Type:
White Paper
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Bundled Payment Options in the 2020 Marketplace: A Guide for Employers and Other Health Care Purchasers

CPR evaluated ten bundled payment administrators to educate employer-purchasers on how they can implement effective bundled payment strategies.  Here is what we found.

State Policies on Provider Market Power Report

Download this report to learn about existing state statutes designed to address market power imbalances that enable anti-competitive practices and escalating health care costs!

Type:
White Paper
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Medicaid MCOs as Agents of Change in Payment Reform

Download this compendium of payment reform strategies, to learn about the landscape of payment reform strategies pioneered through Medicaid Managed Care agencies!

Type:
Sourcing & Contracting Tool
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