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Value-driven health care purchasing: four states that are ahead of the curve : overview
Value-driven health care purchasing: four states that are ahead of the curve : overview
Health care purchasers, suppliers, and consumers are rallying for better-quality health care. In response, several states are pursuing value-based purchasing (VBP) initiatives that emphasize collection of quality-of-care data, transparency of quality and cost information, and incentives. In this overview of public/private VBP efforts in Massachusetts, Minnesota, Washington, and Wisconsin, the authors find that tiered premiums, pay-for-performance measures, and the designation of high-performance providers as "centers of excellence" are paying off. Minnesota, for example, has used incentives to achieve about $20 million in savings in 2006. Similarly, Wisconsin's Department of Employee Trust Funds has announced premium rate increases in the single digits for the third straight year. More research is necessary to determine the true impact of VBP, but health plans and providers are paying attention to and learning from these current efforts. (Note: Accompanying the overview report are four separate state case studies, available at http://www.commonwealthfund.org/publications/publications_show.htm?doc_id=515778.)
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