Dr Suzanne Delbanco: Employers Have a History of Pushing for Healthcare Transformation

Dr Suzanne Delbanco: Employers Have a History of Pushing for Healthcare Transformation


So, employers have a lot vested in the health of their populations, and even though it seems like they’re not a big player in the healthcare system, they actually foot the bill for a lot of Americans and benefit directly when their populations are healthy and productive and not distracted by dealing with the challenges of the healthcare system. So, employers have been involved in everything from pushing for standard ways to measure healthcare performance, public reporting on that performance, and now tying payment to that performance and even price and quality transparency writ large have been areas of interest to employers. So, they’re involved mostly through pushing their health plans to change the way that they’re operating and the contracts that they have with providers, but also some of them, especially the larger, more sophisticated ones, have entered into direct contracts with providers, and through those direct relationships have been able to really focus on quality, on efficient use of resources, and on getting more affordable care for their populations I think employers want to see more bundled payment happen. The results have been on the whole promising, and there are some procedures and services that they buy over and over again for their population members that are unevenly priced and where there’s uneven quality out in the market, and there have been examples of where, in working directly with providers and paying them through a bundled payment, employers have seen much more appropriate care delivered where patients let’s say who weren’t appropriate for having a spine surgery are turned away by providers who now have the right incentives to only focus on patients who need the care and are paid in a way that enables them to do that.

Author:

Leave a Reply

Your email address will not be published. Required fields are marked *