How Employers Are Improving Care and Lowering Costs for Complex Patients

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Several large U.S. employers have had success in deploying health care purchasing strategies and redesigning benefit packages to improve quality and reduce utilization for workers with high health needs and costs. Case studies of these effective models can stimulate interest among other private- and public-sector purchasers seeking more affordable, higher-quality care. The Pacific Business Group on Health (PBGH) will produce case studies of up to three models for improving the value of health care provided to medically complex patients: the Intensive Outpatient Care Program, implemented by Boeing, CalPERS, and Pacific Gas & Electric; the employer-driven accountable care arrangements in place at Boeing and Intel; and one other innovation to be determined and approved by The Commonwealth Fund. Project staff will interview at least one benefits administrator and one senior executive at each of the companies involved, with questions on: success metrics and performance-guarantee structures; data reporting and exchange; improvement in patient experience or cost savings; challenges encountered during rollout; compatibility with other benefit strategies; and alignment with public purchasing efforts. In addition, PBGH staff will review internal quantitative data on quality and utilization for each model.

Grant Details

Grantee Organization:
Pacific Business Group on Health
Principal Investigator:
William Kramer, M.B.A.
Award Amount:
$157,342.00
Approval Date:
April 12, 2016
Related Topics
Health Care Delivery

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