In the past few years, a growing number of state health agencies have formed partnerships with large, private employers and/or commercial health plans to realign efforts and resources and change how we pay for health care. The ultimate goal of these partnerships is to shift from volume-based health care payment models to value-based models to improve the quality and cost of care.
Public-private alignment is important for a number of reasons. Alignment allows both state and commercial payers to send clear messages to providers about the expectations they have in moving to a more value-based health care payment and delivery system. This gives providers direction when it comes to deciding what to target and invest in to improve the care they offer. It also can help streamline quality measures and reduce providers’ administrative burden.
Because of the crucial role that these new public-private partnerships can play in improving health care systems, we need to look at them more closely to understand where they are working and how they have achieved success. What are the “lessons learned” for other states, and how can we spread best practices?
Read the full report here.
Contact Steven G. Cosby, MHSA, Group Health Insurance Broker and Agent with Cosby Insurance Group, with questions or to request more information and to schedule a healthcare plan evaluation, savings analysis or group plan solution for your company.