Updated on October 21, 2019
No two employers are alike especially when it comes to health care purchasing. Benefits offerings need to reflect unique characteristics, like employee demographics and health status, company culture, and regional market dynamics. Yet despite these differences, employers share in many of the same challenges and frustrations in attempting to address them. So even though health care purchasers are ultimately on their own when it comes to their strategies, we’re really all in this together.
Just like any innovation, it is the early adopters who learn first-hand what works, and what doesn’t, and help pave the way for others. We know large, self-funded purchasers have pushed to be among the first to implement innovative programs, like reference pricing, value-based insurance design, bundled payments, or Centers of Excellence. Sharing the good, bad, and ugly means that the next employer who wants to experiment with these high-value strategies doesn’t need to reinvent the wheel. It also gives those who are more risk averse a roadmap to follow.
Moreover, these early adopters stand to gain when others follow in their footsteps. Creating increased demand for these innovations moves the market forward by motivating health plans and other vendors to improve their products or offerings to meet customer needs. When a large swath of customers demanded price transparency, for example, we quickly saw vendors rise to the challenge. Health plans may be more inclined to invest in infrastructure to support prospective bundled payment if they know that a large customer base expects it.
CPR wants to make it easier to help employers share their successes and failures. Back in 2018, we announced our Employer Case Study series. In each case study, we spotlight one employer’s experience implementing a new payment, delivery, or benefit design innovation. We outline the problem they faced, their rationale for choosing the specific strategy, how it was designed and implemented, results to date, and any lessons learned.
Since March of 2018, CPR has released case studies on a variety of topics. Purchasers have access to these tools for free by creating a Catalyze.org account on our website. Some of the topics we have featured include:
- How a small employer spearheaded the launch of a near-site clinic
- How telemedicine helped an employer solve utilization challenges
- How a retailer offered a high-touch health care navigation solution
- How pairing a Center of Excellence with bundled payment led to more appropriate care
- What a large employer learned by experimenting with reference pricing
- How an employer addressed high health care costs using prospective bundled payment
- How an employer enhanced primary care access within their high-deductible health plan
- And more!
CPR wants to tell your story!
As one of CPR’s most popular offerings, the Employer Case Study series provides insider information on implementing high-value purchasing strategies. We are searching for the next great success (or lesson learned) to feature and want to hear from you! Send us an email at info@catalyze.org with your case study-worthy purchasing strategy!