Commercial

Innovations

Countywide, Public–Private Consortium Conducts Outreach and Provides Enrollment Assistance, Enhancing Access to Coverage for Low-Income and Uninsured Residents 09/18/14

A jointly governed consortium of more than 100 local organizations, the Milwaukee Enrollment Network helps county residents (particularly low-income and uninsured individuals) learn about and...

Reference-Pricing Policy for Hip/Knee Replacements Generates Significant Savings by Encouraging Enrollees To Choose High-Value Facilities 12/18/13

In collaboration with Anthem Blue Cross, the California Public Employees' Retirement System (more commonly referred to as CalPERS) changed the benefit design for its self-funded preferred provider...

State Uses Financial Incentives To Fund Nursing Home–Initiated Quality Improvement Projects Through Competitive Bidding Process, Leading to Better Care 11/07/13

Authorized in 2006 by the State legislature, Minnesota's Performance-Based Incentive Program funds nursing home–initiated quality improvement projects for 1 to 3 years through increases of up to 5...

Statewide Health Information Exchange Provides Daily Alerts About Emergency Department and Inpatient Visits, Helping Health Plans and Accountable Care Organizations Reduce Utilization and Costs 08/07/13

The Nation's largest health information exchange (with more than 90 facilities linked through a secure, robust network), the Indiana Health Information Exchange provides health plans and Medicare-...

Financial Incentives and Education Do Not Help Patients Better Manage Hypertension or Reduce Racial and Ethnic Disparities in Management of the Disease 06/20/13

Using a $258,500 grant from Robert Wood Johnson Foundation's Finding Answers: Disparities Research for Change program, CIGNA Healthcare offered a small financial incentive and educational...

QualityTools

Designing an Exchange: A Toolkit for State Policymakers 05/21/12

This legislative toolkit, from the National Academy of Social Insurance (NASI), can assist State policymakers with the design of health insurance exchanges, a key element of the Patient Protection and Affordable Care Act (ACA). It was developed...

Consumer Financial Incentives: A Decision Guide for Purchasers 03/19/08

Consumer Financial Incentives: A Decision Guide for Purchasers is designed for health plans, State Medicaid agencies, and employers who are considering implementing a consumer financial incentives program. The guide is intended as a tool for...

New York Regional Health Care Report Card 03/19/08

This online report allows health care consumers to compare the cost and quality of commercial health insurance plans by county in New York and New Jersey. Additionally, consumers have access to information regarding the quality of care, mortality...

Medical Expenditure Panel Survey (MEPS) 12/17/07

The Medical Expenditure Panel Survey (MEPS) is a set of large-scale surveys of families and individuals, their medical providers, and employers across the United States. MEPS is the most complete source of data on the cost and use of health care...

Theory and Reality of Value-Based Purchasing: Lessons from the Pioneers 12/17/07

This report summary provides early lessons on the scope, patterns, barriers, and possibilities of value-based purchasing. It is drawn from in-depth discussion with nine employers and coalitions as well as written material from many other...

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