Innovate Blog
High Prices Spur Innovation and Policy Engagement from Employers
Rising health care costs are steadily devouring America from within – threatening patient health, triggering personal bankruptcy and, for employers, robbing dollars from critical business investment and employee compensation needs.
A Journey of Resilience and Advocacy in a Complex Health Care Landscape
When David Ford received a life-altering colorectal cancer diagnosis in 2015, he was thrust into the complex world of navigating the health care delivery system which revealed significant disparities especially prevalent in minority communities.
Exploring Capitated Payment for Primary Care in California
Hybrid payments that include capitation offer a promising alternative to traditional fee-for-service models, focusing on quality over quantity to enhance patient outcomes and system efficiency.
Empowering Care: The Role of Alternative Payment Model Design in Advancing Equity
Alternative Payment Models (APMs), incentivizing clinicians to provide high-quality, cost-efficient care beyond traditional fee-for-service payments, hold immense potential to revolutionize health care delivery, expanding access, improving outcomes and addressing health disparities.
From Data to Delivery: Measuring Advanced Primary Care in California
CQC and IHA executed a pilot project in California, bringing together four large health care purchasers — Covered California, California Public Employees’ Retirement System (CalPERS), eBay and San Francisco Health Services System — and 13,055 primary care practices.
Hospital Posturing on Finances Obscures Grave Crisis of Health Care Affordability
It’s true many smaller hospitals serving rural and disadvantaged populations are suffering post-pandemic financial hardship, and targeted policy solutions are essential to ensure their sustainability. But for the country’s larger health systems, the situation is hardly as bleak as advertised.
Changing the Game: Groundbreaking Drug Benefit Purchasing Standards for Large Employers
PBGH’s PBM Purchasing Standards build on a long history of combatting rising drug costs and helps employers and other health care purchasers combat abusive PBM contracting practices.
Employees Ready for Action to Address High Health Care Costs
For years, employees have faced increasing premiums and cost-sharing. But how well do they understand the sources of those increases, and how ready are they for employers or policymakers to take action?
What Employers Need to Know About Removing Gag Clauses from Health Care Contracts
Before the clock strikes midnight on December 31, 2023, private employers and other public health care purchasers will have been required to attest to their benefit plan contracts being free of gag clauses.
Advanced Primary Care Key to Reducing Health Inequities
Robust, comprehensive primary care – a critical foundation for a more cost-effective, high-functioning health system – is equally important in helping boost health equity.
