Benefit Design
Do you want to learn more about how employers use benefit design and get up to speed on some examples? Interested in implementing a new benefit design?
Benefit design options are a critical piece of the puzzle in pushing for a higher-value health care system. Look at our current tools and check back as we expand our inventory.
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.
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Toolkit: Reference-Based Pricing
CPR’s RBP vendor evaluation toolkit identifies attributes that can help purchasers understand vendors’ value proposition and service offerings.
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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.
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A Growing Relationship: Metro Nashville Public Schools’ Direct Contract Bundled Payment Program
Metro Nashville Public Schools buys health care for 18,000 teachers and their dependents, spending $100 million annually. Learn about Metro Nashville Public Schools’ direct contract bundled payment arrangement for maternity. Under the program, MNPS pays a bundled price to Vanderbilt University Medical Center covering everything from first prenatal visit, enhanced services like patient navigator support, the hospital delivery, and care through three months post-partum – all with zero out-of-pocket costs for the member.
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Eliminating Cost Barriers: Sargento Foods Inc. $mart $cripts Program
$mart $cripts is a population health improvement program designed to eliminate cost barriers to medications and provide coaching support to employees with certain chronic conditions. By implementing this onsite clinic supported program, Sargento has improved medication adherence and outcomes at no cost to employees.
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High-Value Maternity Networks: Designing for Quality, Equity, and Patient Experience
Learn how the 32BJ Health Fund developed and launched its High-Value Maternity Network and accompanying Maternity Program in New York City and Northern New Jersey in July 2020. You’ll also hear a health system leader describe how this strategy benefits providers through increased volume and brand elevation.
The New Evidence Behind Direct-to-Employer Bundled Payments
Health Affairs published a new RAND study on bundled payment in March 2021. It evaluated the cost and quality results of Carrum Health’s prospective bundled payment program for self-insured purchasers. Watch this on-demand webinar recording to hear lead researcher, Christopher Whaley, provide a brief overview of the study findings. Then, hear from a panel of purchaser representatives on the study’s implications for solving today’s complicated cost and quality problem. Attendees also gain insight into how CPR’s tools and resources can help them evaluate their organization’s own payment and delivery reform strategies.
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The Road to Direct Contracting: GM
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.
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Webinar Series: Rethinking Benefit Design for Employees with Low Wages
This webinar features Sara Rothstein from 32BJ Health Fund and Jeff Levin-Scherz from Willis Towers Watson and how they are rethinking benefit design for employees with lower incomes.
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Virtual Summit: The Future Evolution of High Deductible Health Plans and Consumer Incentives in Benefit Design
This Virtual Summit will explore how high deductible health plans and other benefit design strategies might evolve to produce the right balance of incentives to encourage consumers to get the care they need, but avoid potentially harmful or wasteful care. Our panel of experts reviews trends, discusses implementation and results of benefit offerings, and engages in a dialogue focused on the consumer and payer experience with HDHPs and consumer incentives in benefit design.
BuyIntro to Benefit Design
New to benefit designs? Check out this Get Started Brief to learn about benefit designs, why employers and other health care purchasers should care about them, and some examples.
Understanding Benefit Design Options
If you already have introductory knowledge of benefit designs, dig in to this Get Started Brief to learn more about how the context in which the benefit design is implemented and the design of the incentives impact how it functions, and potential operational challenges.
Pairing Payment Reforms and Benefit Design
If you know the basics of payment reform and benefit design, you should start to think about how incentives on the provider side and the consumer side can work together to improve how care is delivered. Check out this Get Started Brief to start thinking about how to align these incentives.
Action Brief: Reference Pricing
Learn about reference pricing, how it is implemented, what has been tried, and what actions employers and other purchasers can take to implement a reference pricing strategy.
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