Catalyst for Payment Reform releases model contract for employers

The Catalyst for Payment Reform released a tool to unite employers and other health care purchasers around the shared goal to make 20% of health care payments based on value by 2020. This tool should help coalitions with their efforts to reform payment in their communities.

The model contract highlights immediate opportunities to reform how health plans pay doctors and hospitals. Together with CPR’s health plan RFI (request for information) questions on payment reform, which purchasers use for selecting health plans, the contract language outlines bold purchaser expectations for progress on payment reform by their contracted plans or third party administrators. Expectations include advancement toward: value-oriented payment; quality and price transparency; comprehensive consumer decision-support tools; and monitoring of the level of competition among providers.

The CPR RFI references eValue8. NBCH and CPR have been collaborating since 2010 to synchronize as much as possible the information being asked of plans around payment reform. Some of the questions in the CPR RFI were in eValue8 2011. Since then we have worked together and with an outside consultant to refine the questions; gathering feedback from the plans in August last year for inclusion in eValue8 2012.

Additional information from CPR can be found here.