
Beth Waldman on the ins and outs of Medicaid managed care
Listen in as CPR’s Director of Projects & Research, Julianne McGarry, checks in with Beth Waldman, JD, MPH, Senior Consultant with Bailit Health. Beth Waldman is one of the leading
Listen in as CPR’s Director of Projects & Research, Julianne McGarry, checks in with Beth Waldman, JD, MPH, Senior Consultant with Bailit Health. Beth Waldman is one of the leading
Medicaid Managed Care is a fascinating and important laboratory for health care payment innovation and reform.
Robert Smith, Executive Director of the Colorado Business Group (CBGH) on Health, checks in with Suzanne Delbanco on what’s new in Colorado’s capitol since CPR and CBGH released the Denver-Area
Price transparency is not one-size-fits-all. The optimal price information for a patient is different from the price transparency a physician would find useful and different, too, from what an employer-purchaser
Data warehouse and analytics vendors are important partners for the employers and other health care purchasers who self-fund health care coverage for their employees and their dependents. A data warehouse
How and why are social determinants of health programs making their way into the Medicaid managed care realm? To find out, Suzanne Delbanco calls Tricia McGinnis, MPP, MPH, Executive Vice
Listen in as Mark Fendrick, Director of the University of Michigan Center for Value-Based Insurance Design and a practicing general internist, provides an overview of the new developments in the
Listen in to Brooks Daverman, Deputy Director of TennCare (Tennessee’s Medicaid program), debate Catalyst for Payment Reform’s Suzanne Delbanco on the need for standard bundled payment definitions. They draw on
Listen in as Suzanne Delbanco calls Cheryl DeMars, President & CEO of The Alliance – a cooperative of 240 self-funded employers pooling their purchasing power to control costs and improve
Unpacking the complexity of high-performance network design The National Business Group on Health (NBGH) predicted that by 2018 a staggering 61% of employers would offer narrow or high-performance networks (HPNs).
Listen in as Trent Haywood, MD, JD, Senior Vice President and Chief Medical Officer of the Blue Cross Blue Shield Association, outlines key initiatives and goals for addressing social determinants
Last week, we told you about a $4,999 surprise bill. I didn’t have a $4,999 surprise, but it was close. At 30 years old, I had a tonsillectomy. I was
What happens when a patient goes to the emergency room and gets treated by a doctor that’s out of network – even if the hospital facility is in-network? Or if
Suzanne Delbanco chats with Frank Opelka, MD, FACS, Medical Director for Quality and Health Policy with the American College of Surgeons, to understand how surgeons across the United States view
What started as a localized solution for improving access to care in New Mexico has quickly spread through the country. By utilizing technology and embracing a knowledge-sharing culture, Project ECHO,
California is leading the charge to defy the distressing maternal mortality trends nationwide. While nationally the rate of maternal deaths rates rose from 2006-2013, California achieved a 55 percent reduction.
Take a moment now to think of all your monthly memberships and subscriptions – we’re willing to bet there’s at least one that you’re likely not using to its full
Are you someone who manages health care benefits within a private company or a public agency, aka a “purchaser”? Have you ever asked yourself, what is CPR and what can
There was a time when benefit design was straightforward, consisting of a flat $20 co-pay and insurance covered the rest. Then, health care costs began to grow at an unsustainable
Suzanne Delbanco calls Rachel Brodie, Director of the Performance Information programs at Pacific Business Group on Health (PBGH) to discuss patient-reported outcomes (PROs). Listen in to learn how PROs work