2023 Aligned Sourcing & Contracting Toolkit: Updated Tools for a Rapidly Evolving Health Care Landscape
Everything you need to strengthen your health plan sourcing, renewal, and contracting efforts. Align your asks with your peers in high-value purchasing!Buy
In the universe of health care vendors, there are market-takers and market-shapers. Market-takers accept health care market dynamics as they are; market-attempt to upend the status quo with strategies that alter the incentives that govern health insurance and care delivery. Some of these vendors offer a full suite of third-party administrator (TPA) services; others offer innovative network, benefit design and contracting models but do not pay claims. That’s why CPR calls these vendors Market-Shaping Enterprises (MSEs).Buy
During this Virtual Summit, you’ll hear from sophisticated purchasers about how they use data to inform their strategy. Then, CPR will team up with benefits consultants to unpack the obstacles purchasers face in data ownership, access, and use, and potential solutions around the obstacles. Finally, you’ll hear policy experts describe the benefits and limitations of the hospital and payer price transparency rules in resolving some data access issues.Buy
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.Download
CPR’s Purchaser Tools for Breaking Barriers in Data Ownership, Access, and Use includes evaluation questions and model contract language purchasers and their consultants can use to enhance data stewardship among business associates.Buy
Learn what CPR found through an 18-month long investigation into aggregated health care purchasing, or the strategy where employ-led coalitions pool member plan volume to negotiate with local providers. You’ll also hear purchasers from around the country describe how they’ve pursued a strength in numbers approach to getting better health care value.Buy
Virtual Summit: Anchoring to Medicare – Can Reference Pricing Turn the Rising Tide of Health Care Costs?
What is reference-based pricing? In this virtual summit, CPR provides an overview of RBP: how/why it works, how the model evolved, and where it’s going next. Experts discuss the risks, rewards, and regulatory implications of RBP, and a panel of real-world purchasers who have implemented an RBP strategy talk about why they chose reference-based pricing, how it’s impacted their health spending, and lessons learned along the way.Buy
The Building a High-Value Maternity Network Toolkit gives employers and other health care purchasers the resources and guidance needed to develop a network of high-quality, affordable maternity providers who are committed to patient-centered care and health equity. When paired with benefit design strategies and an effective communications campaign, this strategy can reduce a purchaser’s costs and improve the quality of care that plan participants receive. Moreover, it can create in-roads between purchaser and providers, paving avenues for continuous collaboration and progress toward greater safety, affordability, and patient satisfaction.Download
(FREE DOWNLOAD) Learn about the high-value maternity network that the 32BJ Health Fund designed and implemented to improve maternity care for its covered population.
Join Jon Schloemer, Cargill’s Senior Consultant, Health and Welfare Plans / North America, and Jeff Wells, Marathon’s CEO and co-founder, as they discuss the successful partnership in their near-site health center program.Download
Join Sandy Sakaida, vice president of benefits and human resources planning for The Cheesecake Factory, and Dr. Nikole Benders-Hadi, medical director of Behavioral Health at Included Health as they discuss the current state of mental health needs in our society, and how The Cheesecake Factory is addressing the mental health needs of their workforce of more than 40,000 employees nationwide.Download
It’s that time of year again, and now more than ever employer-purchasers need to send a deliberate and direct message to the marketplace that they expect provider competition, more price and quality transparency, more reform in payment and care delivery, more innovative benefit and network design, more action in addressing health disparities, and better collaboration.Download