GENERAL

Blueprint for collective action

A Blueprint for Action

January 28, 2020

In the commercial market, health plans negotiate rates on behalf of health care purchasers; they use purchasers’ collective volume to…

Emily Chen, MediQuire

Emily Chen of MediQuire on using data in direct contracting arrangements

December 17, 2019

CPR’s Program Director, Andréa Caballero, calls up MediQuire’s CEO, Emily Chen, to learn why purchasers are choosing to directly contract…

Medicaid Managed Care

Will Medicaid Managed Care States invent next-gen payment reform?

November 19, 2019

At present, 39 states plus the District of Columbia contract with managed care organizations (MCOs) to provide care for some…

Robert Smith

Robert Smith on how a purchaser alliance can change Denver’s market dynamics

November 12, 2019

Robert Smith, Executive Director of the Colorado Business Group (CBGH) on Health, checks in with Suzanne Delbanco on what’s new…

Cost Neutral plan by Mark Fendrick

Mark Fendrick on unveiling a cost-neutral Value-Based Insurance Design option

September 10, 2019

Listen in as Mark Fendrick, Director of the University of Michigan Center for Value-Based Insurance Design and a practicing general…

Brooks Daverman

Brooks Daverman on Tennessee Medicaid’s bundled payment success

August 26, 2019

Listen in to Brooks Daverman, Deputy Director of TennCare (Tennessee’s Medicaid program), debate Catalyst for Payment Reform’s Suzanne Delbanco on…

Cheryl DeMars

Cheryl DeMars on achieving longevity in group health care purchasing

August 19, 2019

Listen in as Suzanne Delbanco calls Cheryl DeMars, President & CEO of The Alliance – a cooperative of 240 self-funded…

Trent Haywood

Trent Haywood on BCBSA’s role in addressing community barriers to health

July 29, 2019

Listen in as Trent Haywood, MD, JD, Senior Vice President and Chief Medical Officer of the Blue Cross Blue Shield…

federal proposals

Can surprise billing happen to you?

July 22, 2019

Last week, we told you about a $4,999 surprise bill. I didn’t have a $4,999 surprise, but it was close.…

Surprise billing

A $4,999.00 Surprise

July 12, 2019

What happens when a patient goes to the emergency room and gets treated by a doctor that’s out of network…

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