National Health Plan Playbook

Purchasers traditionally have had little leverage when it comes to ensuring that their health plan consistently delivers the optimal mix of care value and quality. That’s why PBGH developed a first-of-its-kind tool that enables health care purchasers to collectively influence health plan decisions about supporting higher-value care.

The Health Plan Playbook includes nine performance indicators — selected by experts at PBGH in consultation with member companies — that create actionable insight into a purchaser’s health plan spending and incentivize both short- and long-term improvements in care for participating companies’ employees.

PBGH serves as the program’s facilitator on behalf of the more than two dozen large employers currently participating in this initiative. In that role, PBGH directly engages with health plans to track their performance against these selected metrics.