Although the Affordable Care Act now offers individuals greatly expanded access to health coverage, simply having an insurance card does not guarantee access to high-quality health care.
Find out how health care data can be used to measure and improve the quality of health care that patients receive.
In health care, one of the most common questions asked by doctors, researchers, policymakers, and even patients is, “What works?” The answer lies in measuring and quantifying the quality of the different types of health care services that patients receive. To do this, quality measures are developed, typically through evidence-based research that points to a specific treatment, procedure, or drug as the clinical standard of care for a disease or condition. This research (often in the form of clinical trials) underpins much of what is practiced in medicine, providing critical information that helps the field determine the most effective treatments and approaches to helping patients.
Our infographic shows how a consumer’s costs vary depending on the provider he or she chooses for a sample medical procedure that is subject to reference pricing.
Explains how reference pricing programs, when implemented in consumer-friendly ways, can minimize price variation and encourage consumers to shop for care based on price and quality.
Reference Pricing Programs Need to Follow Key Guidelines to Ensure That They Don’t Shift Costs to Consumers
Recent news articles have highlighted how some employer-based health plans have started to set dollar caps on what they will pay for certain health care services. If a consumer goes to a provider that charges more than the cap for that type of care, he or she must pay the difference. This strategy is called reference pricing.
Reference pricing is meant to encourage consumers to shop for the best care at the best price, and it even has the potential to pressure some expensive providers to set more competitive prices.
Countries that spend more on health care often also have a higher life expectancy, though many other factors can contribute to variations across countries. We graphed health care spending and life expectancy for countries competing in the 2014 World Cup Group of 16 to see how these two health indicators played out.
New Survey Finds That Most Consumers Oppose Penalties in Employee Health Insurance Wellness Programs
Earlier today, the Kaiser Family Foundation released findings from a new survey on consumer sentiment around the role of employee wellness programs. The poll found that, while 76 percent of the public supports employers offering wellness programs that promote healthy behaviors, the majority of consumers (75 percent) are opposed to employers charging higher premiums if workers don’t meet the health goals of their workplace wellness program.
Early last week, Health and Human Services Secretary Sylvia Burwell announced a new initiative designed to support state efforts to improve the health of Medicaid beneficiaries and the care they receive.
As part of the Medicaid Innovation Accelerator Program (IAP), the Center for Medicare Services (CMS) will develop new resources for and provide technical assistance to states engaged in efforts to reform their Medicaid programs. The IAP seeks to achieve the triple aim of better care, better health outcomes, and lower costs.
Consumers, employers, and policymakers all need greater transparency in health care pricing. Learn what federal and state policymakers can do to improve access to health care price information.