Bailit formed the Massachusetts Healthcare Purchaser
Group in January 1993 with 40 other private and public health insurance purchasers in the State.
At the same time, cost-shifting by employers and the rise of consumerism are producing a much more engaged healthcare purchaser
. Consumers' service expectations are rising, and they are demanding better products, more real-time information and greater personalization, all for less cost.
In this interpretation, the government as principal might not have complete information about the resource allocation decisions and behaviours of healthcare purchasers
. There is a potential, therefore, for purchasers to make decisions that are highly responsive to local health priorities, but only pay limited attention to national priorities and guidance and thereby undermine equity of patient access across the health system as a whole.
As this new breed of disruptive tools and technologies enter the market, healthcare purchasers
struggle to identify those that will most significantly impact outcomes and improve patient care.
Among the numerous topics covered in the report: advances in healthcare system development being spurred by the ACA: advances being made in caring for the so-called "dualeligibles"--individuals qualified to receive both Medicare and Medicaid benefits; issues around the changing perspectives and roles of healthcare purchasers
and consumers; and issues around getting beyond cost reduction and towards transformation of care delivery.
During open enrollment, as individual healthcare purchasers
flood portals to investigate plan choices, BPM systems automatically collect pertinent information about each consumer from all back-end systems to guide and personalize the sales experience and increase sales-close ratios.
Professor Ross Naylor, a member of the UK Audit Steering Group, said: "Healthcare purchasers
and providers must stop tolerating delays in the system and address the problems.
The Leapfrog Group is a consortium of Fortune 500 companies and other large private and public healthcare purchasers
who have a goal to initiate breakthroughs in the safety and quality of healthcare in the U.S.
The purpose of this article is to offer thoughtful speculation regarding the short-term and long-term effects of community hospital price disclosure; whether price information in the possession of corporate healthcare purchasers
carries the potential for altering regional referral patterns; whether periodic and ongoing publication of audited prices would constitute sound public policy; and significantly, whether such publication would alter hospital and/or physician pricing behavior?
According to the company, LHRP is the only nationally standardized incentive program that can be licensed and used by healthcare purchasers
and health plans.
Consumers may not be expert healthcare purchasers
yet, but they sure know how to comparison-shop for PDAs, mortgages, furniture, digital cameras, brokerage services and airline tickets.