Episode Details

In Episode 491, Stacey Richter interviews Elizabeth Mitchell, CEO of the Purchaser's Business Group on Health (PBGH), about the PBGH Transparency Demonstration Project.

They discuss the project's aim to provide jumbo self-insured employers with transparency in healthcare costs, quality, and safety data. Collaborating with Milliman and Embold and funded by the Peterson Center on Healthcare, PBGH's project reveals no correlation between higher prices and quality in healthcare services.

The episode highlights the impacts on TPAs, consultants, and clinical organizations, and underscores the importance of employers using this new transparency data for strategic advantage and compliance with the Consolidated Appropriations Act. Richter and Mitchell delve into the broader implications for creating high-value networks and fostering market competition based on quality and affordability.

=== LINKS === 🔗 Show Notes with all mentioned links: https://cc-lnk.com/EP491

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06:35 How did PBGH's transparency project start?

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07:39 Why the changes to the CAA and ERISA meant heightened risk for employers and individuals within companies.

09:09 "You can't outsource the risk."

11:10 How PBGH's transparency project demonstrated some clients being noncompliant.

12:52 Why is it irresponsible not to use the data presented if you're a self-insured employer?

15:06 How did PBGH use the transparency data and apply it effectively to improve their offerings and business?

18:37 Why TPAs should not negotiate contracts.

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20:58 "There is no good price for unsafe care."

21:36 How PBGH found using the transparency data to be totally feasible.

25:03

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