Changing our Healthcare System for the Better
Employers, the largest overall purchasers of healthcare services and benefits in the U.S., cannot sit back and wait for others to change the healthcare system, without employer input. Nor can they risk "going it alone" in trying to improve the system. Like employers, no provider group or health plan alone has the leverage that a larger, focused and mutually-reinforcing group of these stakeholders can have.
The trend is for employers to work together. The New Mexico Coalition for Healthcare Value, an employer-led, multi-sector alliance brings together those who purchase healthcare, deliver healthcare, influence health policy, consume healthcare and insure employees. Our collective voice is more effective and carries more weight when the Coalition confronts complex issues of healthcare cost, quality, transparency, and outcomes of interest to all New Mexicans.
Improving the Healthcare System for All:
- Networking to develop joint strategies that address barriers to high-value healthcare.
- Leveraging our collective, combined organizational power to impact the healtlh system so New Mexicans get the best care possible, at the right time, in the right place, for the right price and for best outcomes.
- Representing employers in state policy meetings on key issues like developing an All Payers Claims Database.
Performance Measurement and Reporting:
- Annual reporting on HEDIS and other healthcare performance indicators so employers can better assess, compare and select quality health plans for employees.
- Surveying NM employers on their health benefit strategies, concerns and costs to help members understand what peers are doing to better plan their own health insurance initiatives.
- Providing cutting-edge educational summits and networking round tables--as well as monthly news up-dates--to share best-practices and innovations. This helps healthcare decisionmakers identify and implement strategies, techniques and policies to improve patient care or health insurance coverage, while lowering costs.
High Value Payment Reform:
- Engaging employers and purchasers in healthcare payment reform by...
- providing input on NCQA Health Plan Accreditation,
- participating in national hospital price transparency studies (RAND), and
- joining National Alliance of Healthcare Purchaser Coalitions national-level health system change efforts.
Healthcare issues were formerly centered on access and cost. The Coalition has gotten quality on the table in New Mexico.” --Nurse Leader