Why do some hospitals cost more?  Some less?

Findings from the RAND Hospital Price Transparency Study 2.0

Chapin White is a, adjunct senior policy researcher at the RAND Corporation, specializing in health economics, and a Pardee RAND Graduate School faculty member. At the Forum, he will be discussing the recent findings within the RAND Hospital Price Transparency Study that includes hospital costs for facilities in Michigan. Join us on May 15^th and learn why some hospitals charge more and some charge less.

Mr. White is currently leading the development and application of RAND’s Health Care Payment and Delivery Simulation Model (PADSIM), and recently completed an analysis of health reform options for the state of Oregon. In other recent work, White has analyzed the spillover effects of Accountable Care Organizations (ACOs) on the Medicare fee-for-service program, out-of-network hospital care in New Jersey, and alternatives to the “Cadillac” tax using RAND’s COMPARE micro-simulation model.

He has been a lead researcher on two multi-site qualitative studies of the impacts of health reform—the first, funded by the Robert Wood Johnson Foundation, examined ACA-driven changes in health insurance markets in eight metropolitan areas; the second, funded by the American Medical Association, examined the impacts of payment reform on physicians and their practices. White has conducted projects analyzing the effects of changes in Medicare payments for inpatient hospital care on hospitals’ operating expenses, the prices paid by private insurers, and the volume of services provided.

The creation of ConnectedCare, the partnership between General Motors and Henry Ford Health System

With over 20 years of experience in manufacturing, retail and insurance industries in the areas of finance, operations, design strategy and vendor management related to global benefit plans, Sheila Savageau, is an expert when it comes to innovation and ideas.

Currently she is U.S. Healthcare Leader at General Motors. Shelia has been with General Motors since November 2013 and is responsible for U.S. healthcare benefits plan design strategy and policy for hourly and salaried employees. Sheila has been instrumental in establishing and executing the healthcare benefits strategy for General Motors and managing over $1 billion in annual expense. She is an advocate for improving experience, engagement and efficiencies across the healthcare industry.

Join us on May 15^th at Shelia takes us on her journey of how General Motors and Henry Ford Health contracted together and created what is now called ConnectedCare.

Related Articles:

• Henry Ford Health System, GM sign contract to bring new healthcare option to automaker’s employees
• Community partnerships key to future of care delivery, experts say

Pay-for-performance in healthcare can take on many different definitions and be conducted by different agencies, employers and organizations. Our expert panelists will discuss which programs are working and which are not.

Some of the pay-for-performance tools the experts will talk about include:

• ACO is a network of doctors and hospitals that shares financial and medical responsibility for providing coordinated care to patients in hopes of limiting unnecessary spending. At the heart of each patient’s care is a primary care physician.
• Bundled payments represent one form of alternative payment models (APMs) that are designed to move toward value-based care by incentivizing providers to advance coordination and efficiency of care while also improving quality and outcomes at lower costs. With bundled payments, the total allowable acute and/or post-acute expenditures (target price) for an episode of care are predetermined. Participant providers share in any losses or savings that result from the difference between this target price and actual costs. Knee and hip replacements are currently leading the way for bundled payments.
• Centers of excellence—specialized programs within healthcare institutions which supply exceptionally high concentrations of expertise and related resources centered on particular medical areas and delivered in a comprehensive, interdisciplinary fashion—afford many advantages for healthcare providers and the populations they serve.
• Performance incentives:  a very informative article explaining the ins and outs of performance incentives is “What Is Pay for Performance in Healthcare?” You can read it here:  https://catalyst.nejm.org/pay-for-performance-in-healthcare/

The 2019 EAM Health Purchaser Forum will focus on value purchasing of health and pharmacy.

Speakers are from companies leading the industry in benefits design such as General Motors, Walgreens, Pacific Business Group on Health, University of Michigan and others!

Topics include:  identifying low value care, convincing the C-suite on the value of investing in health, the relationship between health outcomes and hospital costs, and direct contracts direct contracts between employers and hospitals with focus on the General Motors and Henry Ford Health partnership and a 4-D Hospital Price Scan: Overview of a National Employer-led Transparency Study – A MUST SEE!

Light breakfast and lunch included. Please join us for a day of learning and networking.

DETAILS

When:  Wednesday, May 15, 2019

Where:  The GM Renaissance Conference Center in Downtown Detroit

Time:  8:00 am to 3:00 pm

8:00 am light breakfast & networking, Forum begins promptly at 8:30 am

CLICK HERE TO REGISTER

CLICK HERE TO VIEW AGENDA

CLICK HERE TO MEET THE PRESENTERS

CLICK HERE FOR DIRECTIONS & HOTEL DETAILS