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Healthcare Affordability: Untangling Cost Drivers
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Healthcare Affordability: Untangling Cost Drivers, is NRHI’s second annual report comparing the total cost of care for those with private insurance in various U.S. regions. The report uses the average cost of healthcare for comparable populations as its benchmark, and compares each state to that average. Like other recent studies, Untangling Cost Drivers finds that healthcare costs vary widely between states. The NRHI report, however, digs into the “why” and reveals how different care delivery patterns and local prices contribute to the significant cost differences between Oregon, Utah, Colorado, Minnesota, and Maryland. Each state’s numbers tell a story, giving stakeholders insight into the role that local policies, demographics, and market factors play in driving healthcare costs. This knowledge can enable them to take steps to address their specific issues.

NRHI has collaborated with several of its members on its Total Cost of Care initiative since November 2013. The national comparison detailed in this report is supported by practice-level reporting that each member does in its region. Four of the five states participating in the 2015 effort also participated in the 2014 benchmark study released by NRHI in January 2017. With the publication of this report, NRHI now has two sets of regional cost comparisons, and another round is scheduled for release in late 2018. With three years of data, trends will begin to emerge to support existing hypotheses and/or challenge long-held assumptions.

Healthcare Affordability: Untangling Cost Drivers was developed with support from the Robert Wood Johnson Foundation.

Also available: abbreviated two-page summary of report.

National Affordability Summit Summary
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In September 2017, a shared urgency to reduce healthcare spending while improving/maintaing high-quality care brought health policy experts, physicians, employers, and regional healthcare leaders from around the country together at the National Affordability Summit. This summit was convened by NRHI, with support from the Robert Wood Johnson Foundation. At the National Affordability Summit, participants spent the day in deep, often pointed, discussion centered on the changes needed to achieve affordable care and how payment models must continue evolving to support more effective care, reduce avoidable harm to patients and decelerate price escalation. Read about participants’ key takeaways from the day in the full recap.


National Payment Reform Summit Final Summary Report: Accelerating the Implementation of Value-Based Care and Payment
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Stakeholders who are working to develop Alternative Payment Models (APMs) are facing a number of significant barriers and challenges, and those who would implement APMs or receive care supported by them have expressed a number of serious concerns about the way APMs are currently being designed and about potential negative consequences poorly-constructed APMs may have on patients, providers, payers, and communities. Failing to address these problems in a proactive and effective way will slow progress in improving the quality and affordability of healthcare and make it difficult to build support for implementing more effective payment models.

To address these issues and formulate recommendations on how stakeholders might approach barriers in a collaborative way, more than 80 national and local health care leaders from 33 states convened in Washington D.C. in June for the 2016 National Payment Reform Summit. The Summit was convened by the Network for Regional Healthcare Improvement with assistance from the Center for Healthcare Quality and Payment Reform and with generous financial support from the Robert Wood Johnson Foundation. Together the group compiled the recommendations contained in this Summary Report. The group included physicians from 16 different specialties; executives of national and regional self-insured businesses; leaders of employer purchasing coalitions; representatives of hospital and medical associations; health plan executives; foundation leaders; directors of Regional Health Improvement Collaboratives; federal and state government officials; executives of health care Quality Improvement Organizations; consumers and representatives of labor organizations; and others with expertise and experience in efforts to design and implement better payment systems.

The recommendations are detailed in sections that reference eight key barriers and challenges to successful payment reform. We hope you will share this report with colleagues and other stakeholders and use it to continue conversations in your organization, community and region.

Payment Reform Recommendations from the June 17 Payment Reform LiveEvent
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Here are the 17 Recommendations the Summit participants arrived at during our June 17 Payment Reform Live Event. We hope you use them to facilitate dialogue in your region and communities, and that collectively we keep the conversations going. Together we are stronger than we are individually.


NRHI Anthology
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NRHI has released an Anthology where you can learn more about Regional Health Improvement Collaboratives, the expertise each member organization offers, and the work they do to advance transformation of health and healthcare.


Maine Healthcare Databook

Maine Health Management Coalition released a databook that includes an array of information about the demographics and health status of Maine’s population, the utilization and delivery of healthcare in the state, and the quality and cost of care – all…

How 10 High Achievers Do It

In the August issue of Minnesota Medicine, there are stories from ten clinics and medical groups in Minnesota that have improved quality or the patient experience, and are reporting their results to one of our members, Minnesota Community Measurement (MNCM). …

How Data Can Boost the Value of Care

Read about how Oregon hospitals, physicians and insurers are sharing more and more information about the quality of care provided to patients with each other.  Their learnings are leading to real changes in the way Oregonians receive their care.  Read…