The Problem: Healthcare Cost and Quality Data are Incomplete and Confusing Meaningful cost and quality information is key to building a healthcare system that pays for quality and outcomes instead of more services that may or may not improve patient health. But, despite years of measurement efforts, patients, employers, public purchasers, health plans and even providers, have almost no reliable information about the relative cost and quality of healthcare services. Payment reform and delivery system redesign are front and center as national priorities. Without transparent performance information we won’t know if or how to pay for the right care at the right cost. Value-based healthcare requires transparency.
The U.S. spends more on healthcare than any other country, but our patient outcomes are nowhere near the best. To improve we need the right information.
Our Vision: Patients, Providers and Purchasers Have Equal Access to Meaningful Information
Through a national network of locally governed regional entities, the Center for Healthcare Transparency will make information on the relative cost and quality of healthcare services available to 50 percent of the U.S. population by 2020.
The Center will enable access to information for:
- Employers, public purchasers and health plans to pay for value and purchase high-quality healthcare at a fair cost;
- Providers and health systems to improve their care, enhance provider and patient communication, and make more informed referrals; and
- Patients to make informed choices and engage in healthcare decisions.
Read our full vision here.
Listen to several Transparency Innovators talk about why they are excited about CHT.
Why it Will Work: A National Network of Local and Trusted Organizations
The Center is leveraging local expertise to drive national transformation. The Center is working with leading regional organizations representing all pieces of the healthcare puzzle – providers, patients, health plans, employers and public purchasers. The Center will be synthesizing best practices and recommendations from these 13 high performing regional entities, including many Regional Health Improvement Collaboratives with track records of successful public reporting and deep experience using data to inform their communities and to make care better.
The Center will build on these successful regional initiatives to enable these groups and others to produce and share meaningful, reliable information in a way that is scalable across the U.S. Working directly with national purchasers, policymakers, providers, patients and local stakeholders, together we can transform care resulting in better health and lower cost.
Center for Healthcare Transparency Innovation Pilots
To test solutions to several pressing transparency issues, CHT funded three innovation pilots. Two of those, one led by The Health Collaborative and the other by the Utah Health Information Network, tested solutions to integrating claims and clinical information. The other pilot project was a collaboration between Massachusetts Health Quality Partners and the California Healthcare Performance Information System which tested new ways to collect patient experience information. Read the press release announcing the funding of the pilots.
See the pilots summaries and other resources below.
Integrating Claims and Clinical Information Pilots Resources
Health Collaborative White Paper
Pilot Summary: The Health Collaborative – Document
Pilot Summary: The Health Collaborative – Presentation
Pilot Summary: Utah Health Information Network (UHIN) – Document
Pilot Summary: UHIN – Presentation
Webinar Recording: Overview of Both Pilots
Patient Experience Survey Pilot Resources
Pilot Summary: Patient Experience – Presentation
Pilot Summary: Patient Experience – Document
Pilot Research Findings Report
Webinar Recording: Overview of Patient Experience Pilot
Center for Healthcare Transparency Governance
The Network for Regional Healthcare Improvement is partnering with NRHI member Pacific Business Group on Health to deliver the planning stage of this initiative.
Overseeing the Center is an Executive Committee that includes leading thinkers from Regional Health Improvement Collaboratives (RHICs), purchasers, providers, health plans, the U.S. Department of Health and Human Services and others. Members include:
- Marc Bennett, HealthInsight Utah
- Patrick Conway, CMS
- Michael DeLorenzo, Maine Healthcare Management Coalition
- Karen DeSalvo, HHS
- Jonathan Foley, Office of Personnel Management
- David Lansky, PBGH (Co-Chair)
- Arnie Milstein, Stanford Clinical Excellence Research Center
- Elizabeth Mitchell, NRHI (Co-Chair)
- David Pryor, Comcast
- Alicia Staley, Akari Health
A User Advisory Council including RHIC, government and employer representatives has been working to ensure that the data infrastructure is designed from the outset to meet the needs of those who want to use this information: private and public purchasers; providers and provider organizations; consumers, healthplans and communities.
The project’s Technical Advisory Council has been instrumental in identifying and solving the technical challenges of delivering meaningful and accurate data to end users.
The initial planning period will be complete by the end of the fall of 2015. The key deliverable of the planning phase will be an Implementation Plan. Implementation is expected to begin in early 2016, with the goal of having transparent cost and quality information available for at least 50% of the US by 2020.
Watch our full one-hour public launch, held May 1, 2015 in Washington, DC.
- Creating a Trust Framework for Health Data Sharing in Oklahoma
- Minnesota Publicly Reports Comprehensive Total Cost of Care
- As Maine Goes, So Does the Conversation On How to Form an ACO
- Making Clinical and Claims Data Transparent to Improve Healthcare in Cincinnati