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PBGH, CalPERS and PG&E launch new program designed to help chronically ill employees get the right care
Starting July
5th, select CalPERS and PG&E employees
with chronic illnesses began recieving better
quality, more affordable care. The two purchasers teamed
up with PBGH, Humboldt IPA and Anthem to create "Priority Care," a
new care delivery and payment model that focuses on providing targeted
primary care to medically complex patients. Priority Care is
modeled after similar successful pilot programs developed by PBGH
Medical Director Arnie Milstein, MD. Comparable programs,
including one used by PBGH member Boeing in Seattle, improved care and
reduced costs by as much as 15-20 percent. To learn more about how the
model is so effective, read Dr. Milstein's article in the Health Affairs
blog at http://healthaffairs.org/blog/2008/09/10/medical-homes-and-medical-home-runs/ .
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PBGH and Consumer-Purchaser Disclosure Project celebrate a win on hospital payment policy
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Last
spring, PBGH and the Consumer-Purchaser Disclosure
Project advocated strongly to ensure the new Medicare Hospital
Value-Based Purchasing Program would begin to pay hospitals based
on value, not volume. On April 29th, they were very pleased when
the final rule reflected their input. Under the program, hospitals
are rewarded based on a complex formula that now includes
consideration of more meaningful quality measures, the patient
experience, and mortality rates. All three were included at the
urging of the Consumer-Purchaser Disclosure Project, and raise the bar
for hospitals to provide better quality care. "This is about ensuring
hospitals are paid because they provide better quality, more affordable
care to real patients," explained Bill Kramer, Executive
Director for National Health Policy for PBGH, and co-chair of
the Consumer-Purchaser Disclosure Project.
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Catalyst for Payment Reform shares insights, tools for purchasers
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PBGH
is a founding partner of Catalyst for Payment Reform (CPR), an
organization of health care purchasers working to improve how we pay for
health care in the U.S. CPR serves as a staunch advocate in
policy circles, while providing employers with practical tools they can
use to change how to they pay for health care today. Hot off the
press, read CPR Executive Director Suzanne Delbanco's expert
insights on how purchasers must work with providers to reform
payment. Her Modern Healthcare commentary is under latest news at www.pbgh.org .
CPR welcomes all employers to participate in its
efforts and to use its freely available tools. Learn more at
http://www.catalyzepaymentreform.org/ .
A special webinar for purchasers to learn more is
scheduled for August 11th. Email Suzanne Delbanco at
sdelbanco@catalyzepaymentreform.org.
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