high value purchasing

Enhanced telehealth and behavioral health access: rays of light in the eye of the storm?

November 30, 2021

In a prior blog article on the 2021 KFF Employer Health Benefits Survey, we noted that employers are in the eye of a hurricane and will have to confront some painful tradeoffs when costs spiral again. But the significant exceptions to employers’ “wait and see approach” to health care benefits during the first year of the COVID-19 pandemic are in the areas of telehealth and behavioral health, including at the intersection of the two.

KFF 2021 Employee Benefits Survey: Welcome to the Eye of the Hurricane

November 16, 2021

KFF released results from its 2021 survey on trends in employer health benefits. The topline takeaway: not much has changed. Employers appear committed to maintaining the status quo, with a few key adaptations that speak to the necessities of managing health care benefits during a pandemic. In 2021, employers are in the eye of a hurricane, but what comes next?

CPR’s Health Plan User Groups: An Antidote to the Dog and Pony Show

October 25, 2021

Purchasers: how many times have you attended a meeting with your health plan that focused solely on high-level concepts and success stories, but not a meaningful, tactical conversation about the issues of greatest concern to you? CPR’s Health Plan User Groups (HPUGs) are like a client advisory group meeting, but turned upside down: the clients, not the health plans, set the agenda, offering a forum for a substantive and rich two-way dialogue.

Unlocking the Power of the All Payer Claims Database – Use Cases from Colorado

October 18, 2021

Colorado passed legislation authorizing the creation of its APCD in 2010. Today, the database houses over 718 million medical, dental and pharmacy claims from 44 payers (including 35 commercial plans). What makes Colorado’s APCD so powerful, however, is its pairing with the publicly-facing reporting and analysis that CIVHC provides.

The Action is on the Field, Not the Sideline

September 28, 2021

Employers and other health care purchasers – it’s time to step off of the sidelines and onto the field. Across CPR’s membership and broader audience, there has never been more innovation and agency among health care purchasers than there is today.

Three Provisions to Give Your 2022 ASO Agreement Extra Spice

September 20, 2021

CPR published a collective set of demands that purchasers should include in their ASO agreements. When multiple purchasers ask for the same thing at the same time, it broadcasts a powerful signal to TPAs on purchaser priorities. Among these aspirational yet foundational expectations, the delivery is in the details. Here are three provisions of note in CPR’s latest model contract language.

Enhanced telehealth and behavioral health access: rays of light in the eye of the storm?

KFF 2021 Employee Benefits Survey: Welcome to the Eye of the Hurricane

CPR’s Health Plan User Groups: An Antidote to the Dog and Pony Show

Unlocking the Power of the All Payer Claims Database – Use Cases from Colorado

The Action is on the Field, Not the Sideline

Three Provisions to Give Your 2022 ASO Agreement Extra Spice

Using Policy Levers to Drive Change: A Last Resort?

Debbie Welle-Powell on Essentia’s Accountable Care Organization and the importance of risk

High-Value Health Care Strategies That Are Also Good For the Environment

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