Purchasing High Performance Archive

Purchasing High Performance is a bulletin for employers and others interested in promoting value in health care. It is produced in partnership with the National Business Coalition on Health.

Supreme Court Poised to Rule on Health Reform, but Change Is Here to Stay

Late last month the Supreme Court heard a record-breaking five-and-one-half hours of oral arguments on the Affordable Care Act. The big issue on the table is the constitutionality of the individual mandate to buy health insurance that is at the core of the law. But whatever the ruling, certain key changes and trends will likely continue.

Midsize Employers in Kansas City Think and Act Big on Benefits; Will Others Follow Suit?

Benefits managers at small and midsize companies are often daunted by the idea of customizing wellness programs to an employer's population. But a group in Kansas City is showing that smaller employers can profit from tailoring benefits and wellness strategies to their unique populations.

Specialty Drug Costs Poised to Skyrocket but Many Employers Have Yet to Take Note

If the rising cost of specialty drugs is not at the top of your list of health care concerns, it may be soon. Specialty drugs currently account for about 17 percent of the average employer’s overall pharmacy costs, and they’re rising fast.

Update: Medical Homes Gain Momentum

In late 2009, Purchasing High Performance published an article introducing readers to the patient centered medical home (PCMH)—a new health care delivery model that was being closely watched. Three years later, results from early PCMH demonstrations suggest the medical home does appear to improve quality and make care more efficient.

Interview: Dr. Arnold Milstein Talks About Accelerating Health Care Delivery Innovation, What Doctors Can Learn From Systems Engineers, and When It's Okay to Declare Victory

Purchasing High Performance talked to Dr. Arnold Milstein about the Clinical Excellence Research Center, a year-old entity that brings together experts from the fields of medicine, business, and engineering to develop new care delivery models that lower per-capita health spending while improving health and patient satisfaction.