Webinar Learning Session National Scorecard and Compendium on Payment Reform May 9, 2013 Host: Jeff Biehl, president of Access HealthColumbus, co-chair of Ohio Patient-Centered Primary Care Collaborative, member of Governor’s Advisory Council on Health Care Payment Innovation Welcome!
Access HealthColumbus is a public-private partnership supported by the following organizations and individuals! Lead Support
Major Support
Additional Support 100% Access HealthColumbus Board & Staff
Individual & Corporate Donations
www.accesshealthcolumbus.org
Learning Agenda WELCOME & FRAMING WHO? WHY? WHAT? HOW? LEARNING FROM YOUR QUESTIONS AND REFLECTIONS
Learning Agenda WELCOME & FRAMING WHO? WHY? WHAT? HOW? LEARNING FROM YOUR QUESTIONS AND REFLECTIONS
• Webinar Purpose: to objectively explore recent studies and promising best practices on improving the value of health care • 1st Webinar Series focused on payment reform.. an enabler of health care transformation
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April: Report of the National Commission on Physician Payment Reform
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May: The National Scorecard and Compendium on Payment Reform, Catalyst for Payment Reform
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June 20: State Innovation Models Initiative (SIM) , Center for Medicare and Medicaid Innovation (CMMI)
Learning Agenda WELCOME & FRAMING WHO? WHY? WHAT? HOW? LEARNING FROM YOUR QUESTIONS AND REFLECTIONS
WHO?
• Catalyst for Payment Reform (CPR) is an independent, nonprofit corporation working on behalf of large employers and other health care purchasers to catalyze improvements in how we pay for health services and promote highervalue care in the U.S. • Mission: CPR's mission is to accelerate reforms to payment that promote the Institute of Medicine's six aims. We have a national framework for payment reform along with tools that catalyze change in the marketplace and align public and private-sector strategies. To catalyze a better payment system, purchasers and other stakeholders need to work together.
"More than ever, all of us feel the urgency to contain costs and are acutely aware of the health system’s failings in safety and quality. Our approach to how we pay doctors and hospitals is a critical lever we can use to create better care and better value. CPR provides thought leadership to and coordination among large health care purchasers who want to shape a more sustainable health care system. Come work with us and chart the path forward.” --Suzanne Delbanco, Executive Director, CPR
Source: Catalyst for Payment Reform www.catalyzepaymentreform.org
WHO? • Principles: Payments for the prevention, diagnosis and treatment of disease should be assessed based on the extent to which they meet the following patient‐centered and societal goals: Promote and reward high‐quality, patient‐centered care that is cost‐effective and reduces disparities; Ensure patients receive the “right care, at the right time, from the right provider,” incorporating the values and preferences of patients; Foster improvement and innovation; and, Effectively slow the growth of the costs of health care. • Private & Public Members: 3M, Arizona Health Care Cost Containment System (Arizona Medicaid),AT&T, Bloomin' Brands, Inc., The Boeing Company, CalPERS , Capital One, Carlson, Dow Chemical Company, eBay, Inc., Equity Healthcare LLC, GE, Group Health Insurance, Commonwealth of MA, The Home Depot, IBM, Ingersoll Rand, Marriott International, Inc., ODJFS/Office
of Medical Assistance
(Ohio Medicaid), OhioPERS, Pennsylvania Employee Benefit Trust Fund,
Pitney Bowes, Safeway, Inc., South Carolina Department of Health and Human Services (South Carolina Medicaid) , TennCare (Tennessee Medicaid), Verizon, Inc. , Wal-Mart Stores, Inc., Wells Fargo Source: Catalyst for Payment Reform www.catalyzepaymentreform.org
Learning Agenda WELCOME & FRAMING WHO? WHY? WHAT? HOW? LEARNING FROM YOUR QUESTIONS AND REFLECTIONS
WHY? PAYMENT FACTS • The U.S. health care system needs CPR to save dollars and lives; we spend entirely too much on care that is wasteful or even dangerous and that amount keeps rising. • Those who purchase health care are spending more and more; they need the status quo to change. • Payment Reform has several flavors that have proven to reduce spending and improve care. Bundled payment Global payment Reference pricing, price transparency, consumer engagement
Source: Catalyst for Payment Reform www.catalyzepaymentreform.org
Learning Agenda WELCOME & FRAMING WHO? WHY? WHAT? HOW? LEARNING FROM YOUR QUESTIONS AND REFLECTIONS
WHAT?
Source: Catalyst for Payment Reform www.catalyzepaymentreform.org
WHAT?
Source: Catalyst for Payment Reform www.catalyzepaymentreform.org
WHAT?
Please use webinar chat feature to share questions and reflections on national scorecard
Source: Catalyst for Payment Reform www.catalyzepaymentreform.org
WHAT?
Source: Catalyst for Payment Reform www.catalyzepaymentreform.org
Please use webinar chat feature to share questions and reflections on benchmarks
Source: Catalyst for Payment Reform www.catalyzepaymentreform.org
WHAT?
Report Card on State Price Transparency Laws, March 18, 2013
WHAT?
Levels of Price Transparency: • Pricing information reported to the State only • Pricing information available upon request by an individual consumer • Pricing information available in a public report • Pricing information available via a public website Scoring Criteria: • Scope of price: including charges, average charge, amount paid by the insurer and amount paid by the consumer (allowed amount) • Scope of services covered under the law including: all medical services, inpatient services only, outpatient services only or the most common inpatient and outpatient services • Scope of providers affected by the law including: hospitals, physicians, and surgical centers
Source: Catalyst for Payment Reform www.catalyzepaymentreform.org
Report Card on State Price Transparency Laws, March 18, 2013
Source: Catalyst for Payment Reform www.catalyzepaymentreform.org
WHAT?
Report Card on State Price Transparency Laws, March 18, 2013
Please use webinar chat feature to share questions and reflections on price transparency Source: Catalyst for Payment Reform www.catalyzepaymentreform.org
WHAT?
WHAT? CPR urges plans, providers to add their payment reform programs to our National Compendium CPR's National Compendium on Payment Reform is a brand new searchable , sortable website, designed to catalogue payment reform efforts underway across the country. Those implementing payment reforms are encouraged to share a description of their efforts in the compendium, a resource for health care purchasers, payers, providers, policymakers, researchers, and journalists
Source: Catalyst for Payment Reform www.catalyzepaymentreform.org
Please use webinar chat feature to share questions and reflections on compendium CPR urges plans, providers to add their payment reform programs to our National Compendium CPR's National Compendium on Payment Reform is a brand new searchable , sortable website, designed to catalogue payment reform efforts underway across the country. Those implementing payment reforms are encouraged to share a description of their efforts in the compendium, a resource for health care purchasers, payers, providers, policymakers, researchers, and journalists
Source: Catalyst for Payment Reform www.catalyzepaymentreform.org
WHAT?
Learning Agenda WELCOME & FRAMING WHO? WHY? WHAT? HOW? LEARNING FROM YOUR QUESTIONS AND REFLECTIONS
HOW?
Source: Catalyst for Payment Reform www.catalyzepaymentreform.org
Public & Private: Payment Reform Framework
Source: Catalyst for Payment Reform www.catalyzepaymentreform.org
HOW?
Learning Agenda WELCOME & FRAMING WHO? WHY? WHAT? HOW? LEARNING FROM YOUR QUESTIONS AND REFLECTIONS
LEARNING FROM YOUR QUESTIONS AND REFLECTIONS
WHAT are your questions of clarity on the information presented? WHAT are your reflections on the potential opportunities and challenges of utilizing the National Scorecard and Compendium on Payment Reform?
THANK YOU! SCHEDULED WEBINAR LEARNING SESSIONS • Thursday, June 20th from 1:00-2:00p Topic: State Innovation Models Initiative (SIM) , Center for Medicare and Medicaid Innovation (CMMI) Via the poll, please share your observations on the value of today’s webinar learning session!