In the world of TPAs and other point solution vendors, there are takers and shapers. Takers accept the health care market dynamics as they are and try to squeeze out a few extra dollars of savings with another round of discount negotiation thumb-wrestling or perhaps a shiny new app. Shapers, on the other hand, aren’t afraid to upend the status quo. They intrepidly adopt disruptive network and benefit design strategies that elevate high-value providers; they insist on holding providers accountable through alternative payment models; they hand purchasers the steering wheel by enabling direct contracting. Some of these vendors are TPAs, but others aren’t in the business of paying claims: that’s why we call them market-shaping enterprises.
We hope you’ll join CPR and a star-studded roster of thought-leaders, employers, vendors and consultants, as we explore the ways that health care purchasers can take back their market power and forge their own pathway toward superior quality, affordability, and care experience.
Additional resources for health care purchasers and consultants:
- Toolkit: The market-shaping enterprises toolkit includes RFI questions and specifications, and MSE solution evaluation template. The toolkit is free to health care purchasers and CPR members.
- Summary scorecards: Profiles of the 7 vendors who participated in CPR’s MSE study, which are available for purchase and free for CPR members.
- Detailed scorecards: Verbatim responses from MSE vendors for the full set of questions included in the RFI, an exclusive resource for CPR members.
- White Paper: Market-Shaping Enterprises: New Vendors Want to Rescue Health Care examines the evolution, mechanisms and strategy behind MSE solutions, and explores the most important questions health care purchasers should consider when evaluating an MSE vendor. This paper is free for all audiences.
Recorded October 11, 2022 1pm – 3:30pm ET