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
It’s no secret that teens today are under a great deal of stress and experience high levels of anxiety due to the demands of school, their jobs, extracurriculars, social life, and a general uncertainty about their futures. Catalyst for Payment Reform, in collaboration with Headspace Health, is excited to invite you to join our webinar, Fostering Teen Mental Health.
Over the past year, CPR has researched the barriers purchasers and their business associates encounter when they request data from a health plan or other vendor. We gathered information from a diverse group of stakeholders – employer-purchasers, vendors, consultants, and even health plans to inform a 360° view of data stewardship between purchasers and their business associates. This research culminated in the creation of a new suite of tools that purchasers can use to assess their TPA’s and other vendors’ willingness to “play nice” in the data sandbox. In January, we published these tools – Purchaser Tools for Breaking Barriers to Data Ownership, Access, & Use and hosted a virtual event – Data is the New Health Care Currency. Are Purchasers Getting Short-Changed.Download
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.Buy
$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.Buy
Learn how purchasers can align their asks and demands of health plans and other stakeholders in critical areas of interest to employers and other health care purchasers.
Topics include: high and rising prices, provider competition, transparency, payment and care delivery reform, and benefit and network design. This webinar features expert consultants from Willis Towers Watson: Jeffrey Levin-Scherz, MD and Population Health Leader, and Drew Hodgson, FSA MAAA and National Health Care Practice Delivery Leader.
Learn how UNITE HERE HEALTH’s health promoters provided vital ‘boots on the ground’ support for members throughout, and in the wake of, the COVID-19 pandemic. The role of a health promoter spans activities ranging from trust building within the community to health coaching, care coordination, and social work, among others. Plus, hear directly from a health promoter as they’ve transitioned to educating members about the COVID-19 vaccine.
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.
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.Buy
Back in 2016, benefits staff at CHG Healthcare found a charge for $174K in the monthly claims spend report. It wasn’t a mistake; it was the actual price for a specialty drug being used to treat a rare medical condition. Forecasting further exorbitant costs without evidence of effectiveness, CHG Healthcare partnered with VIVIO Health Inc in 2017 to implement a specialty drug carve-out plan that covers both pharmacy and medical benefit drugs. Between 2017 and 2020, the program netted this progressive purchaser $4.4M in savings with their plan participants paying $0 for their speciality medications.Buy
Carrie Beshears, Well-Being Manager at San Francisco Health Service System, and Deb LaManna, Account Manager at ComPsych, and Terri Creasey, Team Lead at ComPsych share in detail the implementation of SFHSS’ new mobile app for first responders and early results of their expanded EAP.Buy
Jessica Hill, Director, Strategic Planning & Innovation at TennCare, presents TennCare’s 2019 cost and quality results for the various episodes of care they have implemented over the past several years.Buy
The Reform Evaluation Framework (REF) for Health Plan Administered Bundled Payment Programs evaluates this type of program’s impact on the purchaser’s population!Buy
The Reform Evaluation Framework (REF) for high performance networks (HPN) evaluates the impact of this type of network on the purchaser’s costs and member outcomes and utilization!Buy
The Reform Evaluation Framework (REF) for Reference-Based Pricing evaluates program impact on the purchaser’s costs and member outcomes and utilization!Buy