Innovative Health Data Project Helps Employers Control Costs
Purchaser Business Group on Health's New Initiative
The Purchaser Business Group on Health (PBGH) has recently launched a groundbreaking initiative designed to empower employers in managing their health care expenditures. This nonprofit coalition represents a significant number of public and private employers across the U.S. and aims to unveil hidden costs within the health care system, thereby pushing for greater accountability from vendors.
Revealing Hidden Costs
Understanding the Health Care Data Demonstration Project
The Health Care Data Demonstration Project offers employers access to essential data, allowing them to compare actual costs they’ve incurred against what they should have reasonably paid for provided services. This transparency helps employers identify overpayments and challenge any unnecessary fees they may encounter.
Collaboration with Major Employers
In collaboration with five major employers, including notable names such as Boeing and Qualcomm, PBGH combines various data sources, including Hospital Price Transparency (HPT) and Transparency in Coverage (TiC) data. By pairing these data elements with claims information, employers gain a comprehensive view into what constitutes a fair price for health care services.
The Importance of Transparency
Elizabeth Mitchell, the president and CEO of PBGH, emphasizes the importance of transparency, noting, "For decades, the health care industry has fought to keep pricing hidden. This data gives employers the insights they need to not only see what they have paid but also to understand what they should have paid." This initiative aims to transform the sector, enabling employers to uphold their fiduciary responsibilities.
Driving Down Costs through Actionable Insights
Highlights of the Findings
The project has already enabled employers to discover inconsistencies in the pricing presented by their carriers. As Sabina Mahoney from Qualcomm remarked, it provides levels of actionable information that are currently unmatched in the market.
Strategic Partnerships
The year-long project has garnered support from various strategic partners, including Milliman and Embold Health, who played an instrumental role in analyzing health care claims and transparency data. Caroline Pearson, the Executive Director at the Peterson Center on Healthcare, highlights the project's potential to create downward pressure on prices by empowering employers.
A Roadmap for Future Initiatives
As the initiative prepares for expansion, PBGH aims to scale these services further, reaching an even larger audience among employers interested in harnessing data to manage costs and enhance quality in health care delivery.
Contact Information
If you're an employer or interested entity seeking more information, you can reach out directly to the PBGH team. Their expert staff is eager to provide insights into how this project can benefit your organization.
Frequently Asked Questions
What is the Purchaser Business Group on Health?
The Purchaser Business Group on Health (PBGH) is a nonprofit coalition representing employers and public entities in the U.S. focused on purchasing health care services efficiently.
How does the Health Care Data Demonstration Project work?
This project provides employers with access to health care cost data, helping them compare actual payments with fair market prices to identify discrepancies and challenge hidden fees.
Who participated in this initiative?
Major employers such as Boeing, Qualcomm, and the City and County of Denver participated in this data demonstration project to gain insights into health care costs.
What outcomes does PBGH expect from this project?
PBGH aims to help employers drive down health care costs, hold vendors accountable, and ensure that transparency in pricing translates into better care for employees.
How can employers get involved?
Employers looking to gain insights from this project can reach out directly to PBGH for comprehensive information on participation and benefits.
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