Data is the Spark, Collaboration is the Fuel

Healthcare Affordability: Data is the Spark Collaboration is the Future

"There are ways we can work together to change the system, this report provides trusted data to focus our collective efforts and measure our shared success. "
Ellen Gagnon
Executive Director, Healthcare Affordability, Network for Regional Healthcare Improvement

This interactive page features resources that can enable stakeholders to take action, both locally and nationally, to address healthcare affordability. Click on an icon below to get started.

What is the HealthPartners Measure?

This Getting to Affordability learning module details HealthPartners’ Total Cost of Care Framework, how it is calculated, and how it can be used.

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This white paper, created by HealthPartners, provides an in-depth look at TCOC. 

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Stakeholder Resources

Multi-payer reporting enables providers to validate, challenge, and change practice patterns, select high-value specialists, and monitor the impact of change over time.

Oregon Health Care Quality Corporation’s sample report includes claims incurred from January 2014 to December 2014. The goal of the Clinic Comparison Report is to demonstrate clinic variation in cost and quality compared to a state average.

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Learn lessons from the field from the University of Texas on engaging physicians in transparency. 

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Physician leaders have added challenges in that they must help the provider see beyond their natural tendencies to be autonomous, errorless and a strong sense of being isolated from the rest of society by nature of their profession. It all starts with establishing a mutually supportive and respectful relationship. This report shares key takeaways from NRHI’s National Physician Leadership Seminar in August of 2016.

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The benchmark report provides meaningful information to inform policy targeted at the actual drivers of healthcare costs.

Read the published report from the  2017 National Affordability Summit in this informative and honest depiction of the state of our healthcare system and the work we need to do to make care affordable for Americans.

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What does the road to healthcare affordability look like? Elizabeth Mitchell, NRHI president & CEO, shares her thoughts on the Health Affairs blog. “For months, the US public has watched Congress debate the future of the US health care system—or more accurately—the future of the Affordable Care Act. But despite all we heard about deductibles and bronze versus silver plans, the debate in Washington was focused on the wrong thing. We can’t have affordable insurance until we have affordable health care, and we won’t have affordable health care until we address the drivers of rising health care costs…”

In 1960, $1 in $20 was spent on healthcare. Today that number is $1 in $6. What can we do to change this? Read more by visiting the blog today.

The data helps purchasers identify high-value providers and health plans, which  informs purchaser’s benefit network design.

Following the National Employer Leadership Seminar guidance for employers was distributed to attendees. Purchaser Roadmap: Pathway to Better Value provides purchasers an overview of opportunities and best practices associated with the implementation of various value-based purchasing strategies shared at the two-day seminar.

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 In this learning module you will hear from purchasers about national efforts to address affordability, how regions can work collaboratively with purchasers to influence and drive the availability of affordable healthcare, and tips from employers who are doing this work.

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This data provides aggregated cost information payers wouldn’t otherwise have access to, and can drive improvement in the market.

Hear from the Washington Health Alliance on how they secured the commitment from the six major commercial insurers, the five Medicaid Care Organizations and the largest self-insured purchasers in Washington State to support their voluntary APCD. 

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Hear from The Health Collaborative on how they achieved full stakeholder buy-in to move forward with public reporting on cost data. 

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Public reporting raises patient awareness of the variation that exists and informs selection of higher quality, more cost-efficient providers.

The Maryland Health Care Commission is providing this cost and quality information so that patients and providers are aware of how cost and quality differs among hospitals. With this information everyone in Maryland can join a statewide conversation to better understand the differences in cost and quality that exist, work together to find solutions to reduce those differences, and help patients make the best choices for their care.

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Too often, patients may receive care that not only does not improve their health, but may increase their risk and cost. In an effort to ensure that patients get the care they need, over 50 specialty societies have joined the Choosing Wisely® campaign. See how Choosing Wisely is helping people and their physicians communicate and make shared decisions about the type of care that is right for them.

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