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Catalyst for Payment Reform Releases Model Contract for Employers

From the National Business Coalition on Health:

The Catalyst for Payment Reform released a tool (see model health plan contract language) to unite employers and other health care purchasers around the shared goal to make 20% of health care payments based on value by 2020.

This tool will help MBGH with our efforts to reform payment in the greater Memphis area. The model contract highlights immediate opportunities to reform how health plans pay doctors and hospitals. Together with CPR’s health plan RFI (request for information) questions on payment reform, which purchasers use for selecting health plans, the contract language outlines bold purchaser expectations for progress on payment reform by their contracted plans or third party administrators.

Expectations include advancement toward: value-oriented payment; quality and price transparency; comprehensive consumer decision-support tools; and monitoring of the level of competition among providers.

CPR's RFI and eValue8 have been synched as much as possible to drive consistent expectations from purchasers to health plans around payment reform.

MBGH members and other self-insured employers are encouraged to adopt the model contract language to move the Memphis market toward payment methodologies that are aligned with our expectations for high quality, safe, and efficient care.

Posted by Cristie Travis at 11:15 PM

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