This podcast is part of The Healthcare Highway, a limited series from CPR featuring conversations with public and commercial healthcare purchasers—and the advocates working alongside them—across the country. In this
This podcast is sponsored by AbbVie. Join CPR and AbbVie on June 10 for the webinar, Understanding the Impact of Mental Health Disorders on the Workplace. Tune in to explore
Kendra Gipson, Director, Vendor Services & Contracts for the State of Tennessee, speaks with Ryan Olmstead to discuss key healthcare reforms in Tennessee, particularly around pharmacy benefit managers (PBM) and
Andréa Caballero, Vice President of Policy at Catalyst for Payment Reform, calls Patricia Kelmar, Senior Health Care Campaigns Director for U.S. PIRG to discuss one of the most pressing issues
Andréa Caballero, Vice President of Policy at Catalyst for Payment Reform, calls Katie Gudiksen, Executive Editor at The Source on Healthcare Price and Competition, and Brent Fulton, Associate Research Professor
In this inaugural episode of the Healthcare Highway, CPR’s limited podcast series, Ryan Olmstead sits down with Misha Sharp, the Assistant Director of Policy at the 32BJ Health Fund, to
2024 was a difficult year for our CPR community. In May our beloved founding executive director, Suzanne Delbanco, lost her four-year battle with cancer. Her family, the CPR staff, and
In the latest episode of Listening In (With Permission), we dive deep into the challenges and potential solutions around high healthcare costs that employers face in states like Florida, Michigan,
On this episode Ryan calls Glen Tullman, CEO of Transcarent, to discuss the untapped power of generative AI in revolutionizing healthcare accessibility and affordability. Glen describes the concept of “wayfinding”,
In this episode, Ryan sits down with Paul Grady, Principal at Alera Group to discuss the critical role of purchaser activation in mitigating rising costs in healthcare and improving outcomes.
Tune into our latest episode of Listening In (With Permission) as Ashok Subramanian, CEO and founder of Centivo, and Ryan Olmstead dive deep into the critical issues of healthcare affordability
In this episode of Listening In (With Permission), Ryan calls Chris Chan, Chief Value Officer of finHealth, to discuss the pitfalls many self-insured employers face related to their claims review
In this episode of Listening In (With Permission) Dr. Matthew Resnick, Chief Medical Officer at Embold Health, discusses with Ryan the evolution of quality measurement and improvement in healthcare, emphasizing
In this podcast episode Dayne and Tim Huke, Chief Growth Officer for Cedar Gate Technologies, explore firsthand the core of CPR’s latest case study, Unlocking Value: Diabetes Care Management Vendors’
$935 billion. It’s hard to imagine what that number really means. It’s approximately the amount the United States spends on Medicare, it exceeds our national military spending, and it’s more than what
32BJ Health Fund | New York’s pricey hospitals draw pushback from labor Aon | U.S. Employers Eye Provider Networks Amid Looming Medical Cost Pressures, Aon Reports CalPERS | CA VBID Program Boosted Primary
At CPR, we have a saying: if you don’t have a REF, you can’t trust the scoreboard. That’s why CPR created “Reform Evaluation Frameworks,” or – affectionately – REFs.
REFs are program evaluation tools that compel plan administrators and point solution vendors to use a standardized methodology and standardized set of performance indicators to measure cost savings, clinical quality and utilization.
Suzanne calls up Candace Shaffer, Senior Director, Benefits at Purdue University to discuss the benefits purchasing strategies that she and her team have implemented and some of the tremendous savings as a result of those strategies.
The pandemic stimulated significant uncertainty about the future of payment reform. After all, payment reform is a disruptive strategy, requiring providers to modify practice patterns and payers to negotiate measures of performance by which providers are held accountable for care quality. The early days of the pandemic were a time during which pushing payers and providers on payment reform could have been viewed as being out of touch with the magnitude of the situation. The pandemic created a pause and stimulated leaders to rethink the potential of payment reform. For example, we pondered whether hybrid capitation/fee-for-service would gain momentum as a means for primary care providers to receive guaranteed revenue. And we continue to ponder it, because frankly, our $4+ trillion health care system doesn’t turn on a dime. CPR has been and remains in the
Suzanne calls up Karen Sepucha, PhD, director of the Health Decision Sciences Center in the General Medicine Division at Massachusetts General Hospital and an associate professor in Medicine at Harvard Medical School to discuss shared decision making.
So what do the data say? Well, they confirm a lot of what employer-purchasers are feeling at the moment.
“We’re seeing just about the fastest rate of health care inflation in our data ever.”
What’s a solution? Price Transparency Data.
We have all of this price transparency data, what are we going to do with it?
Well, we need a new model if we’re going to get consumers to use it. We have to get to them upstream, we have to make it really simple, and we have to change the incentives so that they save thousands of dollars by getting with the program.
