Not all evaluations are created equal.
In response to growing health care costs and uneven quality of care, employers and other health care purchasers are implementing a variety of value-oriented strategies to improve health care quality and make it affordable. In order to ensure these strategies are effective, purchasers need to conduct formal program evaluations. However, there are many different ways to go about doing this depending on the strategy.
When conducting a formal evaluation, purchasers should understand the various evaluation methodologies available to them, and which methods to use in which circumstances. Purchasers should also be able to articulate which questions they want the evaluation to answer.
Contents of the Guide
This guide is designed to help purchasers that have developed and implemented a value-oriented strategy evaluate its impact on health care costs and quality. Specifically, this guide will:
- Reviews a range of qualitative and quantitative methodologies purchasers can use to evaluate their program,
- Compares the advantages and disadvantages of each methodology and gives real-life case examples,
- Provides key questions purchasers should ask themselves when identifying which methodology to use, and
- Presents a meaningful and comprehensive way to assess a value-oriented ACO program’s impact.
Other CPR resources on this topic: CPR will be releasing additional reform evaluation frameworks (REFs) to assess an array of other value-oriented strategies in early 2020.
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