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Better Alignment

We can improve our health care system better and faster when the public and private sectors align their expectations around cost and quality. The Consumer-Purchaser Alliance specifically encourages collaboration and alignment in performance measurement and payment.

The public and private sectors can set consistent expectations for our health care system, but they first need to align how they measure and pay for health care. Aligning quality improvement and reimbursement strategies can help drive health care improvement by sending a common set of signals to the health care market.

Joining public and private sector purchasers in a conversation presents an opportunity to define and create higher quality, more affordable care. The Consumer-Purchaser Alliance regularly identifies the best practices of both sectors and brings leaders together to create consensus. For example, the organization’s Patient Charter [LINK to relevant page] brought a wide variety of stakeholders together to agree on how health plans should measure and tier providers in their networks. These efforts helped guide the work of federal and state reporting bodies, ensuring alignment between private plans and public payers.

 

September 20, 2011
PBGH Medical Director Arnie Milstein, MD Shares His Expert Opinion In the Wall Street Journal
The Wall Street Journal published an opinion piece from PBGH Medical Director Arnold Milstein and CP Alliance member Robert Krughoff, along with George Shultz, explaining that the release of public data from the Medicare program is an important step towards publicly reporting information on how well physicians care for their patients. To that end, the authors urge HHS to be judicious in the restrictions, burdens, and costs associated with distributing data in order to maximize accessibility for the public.

 

August 8, 2011
Consumers and Purchasers Commend Release of Medicare Data for Performance Reports and Call for Broad Availability
Thirty-eight consumer and purchaser organizations voiced their strong support for CMS releasing Medicare Data for performance reporting. The organizations called for permitting the broadest possible use allowed under the law to achieve the greatest public benefit, while protecting patient privacy and data security and also recommended making the data more affordable, especially for non-profit organizations. On September 20, 2011 the Wall Street Journal published an opinion piece from PBGH Medical Director Arnold Milstein and CP Alliance member Robert Krughoff, along with George Shultz echoing CP Alliance's August comment.

 

September 27, 2010
Releasing Medicare Data for Performance Reporting
The availability of Medicare data for performance measurement is key to achieving a system that uses value to inform decisions about care and payment, both in the public and private sector. It is a public good that should be shared broadly with qualified entities, as long as protections of patient privacy and data security are in place, and there should be flexibility to promote innovative measurement activities. Read more in our comment letter to CMS on how we think this piece of the Affordable Care Act should be implemented.

 

June 24, 2008
Hospital Performance: The Expansion of Public Reporting, Performance-based Payment, and Quality Improvement in Public and Private Sectors
Resources & Background Material
Hospital Performance: The Expansion of Public Reporting, Performance-based Payment, and Quality Improvement in Public and Private Sectors
Peter V. Lee, Co-Chair, Consumer-Purchaser Alliance and National Policy Director, Pacific Business Group on Health
CMS' Progress Toward Implementing Value-Based Purchasing
Thomas B. Valuck, MD, Ph.D., Medical Officer & Senior Adviser, Center for Medicare Management, CMS
The Public Reporting and Payment Landscape
Barbara Rudolph, PhD, Director, Leaps and Measures, The Leapfrog Group
Consumer Decision Support: Challenges and Issues Related to Chooser Tools for Helping Individuals with Health Care Transactions
Ted von Glahn, Director, Performance Improvement and Consumer Engagement, Pacific Business Group on Health
Private Sector Reporting: Stakeholders Helping Consumers Manage Their Health
Christine Muldoon, MBA, Director of Product Management, WebMD Health Services