Adding Muscle To Plans’ Push For Value-Based Health Care


Dow Chemical corporate headquarters in Midland...

Dow Chemical corporate headquarters in Midland, Michigan (Photo credit: Wikipedia)

The July 24, 2006 issue of Fortune, featuring ...

The July 24, 2006 issue of Fortune, featuring its Fortune 500 list (Photo credit: Wikipedia)

Topics: Health Costs, Insurance, Marketplace

Mar 27, 2013

A survey from Catalyst for Payment Reform, a nonprofit lobbying group comprising highly profitable Fortune 500 giants, found that many of  its members do not feel like they are getting the value for which they are paying.

Medscape: Corporations Demand More Bang For Their Healthcare Buck
A coalition comprising some of the largest and most powerful healthcare buyers in the United States claims its members are not getting the value they are paying for. Only 10.9% of commercial in-network payments to doctors and hospitals goes toward “value-oriented” care, defined as payments that are either tied to performance or designed to cut waste, according to Catalyst for Payment Reform (CPR), a nonprofit lobbying group comprising highly profitable Fortune 500 giants, including 3M, Boeing, Dow Chemical, Verizon, and Walmart, among others (Osterweil, 3/26).

Modern Healthcare: Value-Based Insurance Plans Gain Momentum
The movement among employers to push insurers to adopt health plan benefit designs that improve medical outcomes without raising costs is slowly gathering steam, according to an employer coalition pushing payment reform. While only 11% of payments that commercial insurers made to in-network providers in 2012 were “value-oriented,” according to a survey from Catalyst for Payment Reform, that’s more than halfway to its goal of 20%, which the group hopes to attain by 2020. The numbers suggest there is reason to believe the insurance industry and providers can achieve the coalition’s goal, said Suzanne Delbanco, executive director of the not-for-profit coalition of employer groups, which issued its first-ever National Scorecard on Payment Reform (Block, 3/26).

Related KHN Coverage: Slow Progress On Efforts To Pay Docs, Hospitals For ‘Value,’ Not Volume (Mitchell, 3/26)

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