Value-driven health care purchasing: case study of Wisconsin's Department of Employee Trust Funds

Value-driven health care purchasing: case study of Wisconsin's Department of Employee Trust Funds

Collection:
Health Policy and Services Research
Author(s):
Silow-Carroll, Sharon, author
Alteras, Tanya, author
Contributor(s):
Commonwealth Fund, issuing body.
Publication:
[New York, New York] : Commonwealth Fund, August 2007
Language(s):
English
Format:
Text
Subject(s):
Cost Savings
Health Benefit Plans, Employee -- economics
Health Care Coalitions
Organizational Case Studies
Quality of Health Care -- economics
United States
Wisconsin
Genre(s):
Technical Report
Abstract:
The Wisconsin Department of Employee Trust Funds (ETF), the largest purchaser of employer coverage in the state, has pursued value for state and local government employees and their families through a number of means, including: public reporting of health plan performance; tiered premiums used to encourage members to purchase more efficient plans; financial rewards to health plans that meet cost and quality benchmarks; an innovative pharmacy benefit management model emphasizing transparency; and a statewide public--private health data repository. Cooperation and dialogue among like-minded stakeholders is very strong in the Wisconsin health care market and has contributed to ETF's success in moderating its costs. One of the challenges ETF now faces is how to shift its value-driven strategies from models that emphasize cost to ones emphasizing quality. The community is also experiencing challenges in minimizing duplication and confusion in its efforts to pursue value in health care purchasing.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Extent:
1 online resource (1 PDF file (v, 15 pages))
NLM Unique ID:
101470473 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/101470473