NRHI Member Capabilities and Expertise
NRHI members are active in driving health and healthcare improvement in their regions and work with NRHI to share, scale, and spread their expertise.
NRHI Lead Initiatives
The Network for Regional Healthcare Improvement (NRHI) was selected by the Centers for Medicare and Medicaid Innovation (CMMI) as one of 10 support and alignment networks (SAN) under the Transforming Clinical Practice Initiative (TCPI) to provide learning programs and technical assistance to clinicians working with Practice Transformation Networks (PTNs).
RHICs provided the faculty support for the NRHI SAN. They leveraged their own regional expertise and experiences to provide tools, resources and real-world insights to support TCPI’s five phases of practice transformation.
Healthcare costs are driven by prices, waste, and a payment system that incentivizes volume over value.
Between 2014 and 2019, with funding from Robert Wood Johnson Foundation, NRHI lead a multi-region initiative to measure and report on differences in the total cost of care (TCoC) within and across regions. Fourteen full and affiliate members participated in the initiative.
Network for Regional Healthcare Improvement was one of 11 organizations chosen by the Centers for Medicare & Medicaid to provide technical assistance and support to eligible individual or small group practices of 15 or fewer to support their transition of Medicare payments from a fee-for-service system to one based on performance and patient outcomes under the Quality Payment Program (QPP) Small, Underserved, & Rural Support (SURS) program.
The Network for Regional Healthcare Improvement and Regional Health Improvement Collaborative (RHIC) members in Colorado (CIVHC), Massachusetts (MHQP), and Oregon and Utah (Comagine Health) partnered with the National Bureau of Economic Research (NBER) and Harvard University in the Comparative Health System Performance Initiative Study funded by the Agency for Healthcare Research and Quality (AHRQ).
In an effort to ensure that patients get the care they need, over 50 specialty societies have joined the Choosing Wisely® campaign.
Six NRHI member RHICs received grants to further help physicians and patients engage in conversations aimed at reducing unnecessary tests and procedures.
Areas of Work
Payment & Delivery Reform
Significant changes in the way healthcare is paid for, the way providers are organized, and the way consumer benefits are structured will be needed to achieve greater value in healthcare. To be successful, these changes must be made in a coordinated way.
Regional Health Improvement Collaboratives can serve as catalysts for payment and delivery system reforms, as neutral planning and problem-solving forums where win-win multi-payer, multi-provider payment and delivery reforms can be designed, and as sources of both leadership and technical assistance in implementing needed reforms.
Performance Measurement & Improvement
You cannot manage what you cannot measure. In the case of healthcare, communities must be able to identify opportunities for reducing costs and improving quality, and monitor whether those opportunities are being successfully addressed.
Regional Health Improvement Collaboratives can serve as a trusted source of actionable information about the cost and quality of healthcare services, the health of the population, and/or the extent to which innovative methods of delivery, payment, and health promotion are being used in their community.
- Between 2006 and 2016, the average premium contribution paid by American families with employer-sponsored health insurance increased by 77 percent, from $2,973 in 2006 to $5,277 in 2016.
- During the same period, median household income rose by just under 19 percent, from $48,451 to $57,617.
The cost of healthcare is a crisis that is harming families and the U.S. economy—and the problem is getting worse. Healthcare spending is crowding out investments in infrastructure, education, and other societal priorities—many of which directly impact health.
Patient & Community Engagement
Even the best-performing healthcare providers can only do so much to improve quality and reduce costs without strong support and engagement from patients and communities.
Regional Health Improvement Collaboratives help community members by understanding and actively engaging them in activities that will maintain and improve their health, showing them how to choose providers and services based on cost and quality, and supporting the delivery of higher-quality, better-coordinated care.