In a meeting today in Missouri with HHS Secretary Mike Leavitt, executives from area businesses signed statements of support for a national initiative aimed at improving health care quality, information and cost-effectiveness for employees and their families. Governor Matt Blunt also agreed to support the effort, signing an Executive Order for the state.
Altogether, more than 2.6 million people will benefit by implementation of this initiative in Missouri.
The governor and executives pledged to provide quality and price information about doctors, hospitals and other medical providers for all enrollees in their health care insurance programs. This information will help employees choose health care providers based on the quality of care they deliver and the prices they charge.
In addition, the employers will support health information technology by encouraging the use of recognized interoperability standards in the health IT products used by their health plans. They also pledged to develop incentives for achieving better value in health care, including incentives for high quality care and for more active involvement by employees in choosing their health care services.
President Bush committed federal health programs to the four cornerstones through an Executive Order last August. In November, Secretary Leavitt invited all employers, in both the private and public sectors, to take these same four steps. By committing to these goals, Secretary Leavitt said, "Our individual actions will be aligned toward reaching the common national goal of better health at lower costs for all Americans. Today, purchasers in Missouri are joining with the federal government in adopting the four cornerstones of value-driven health care."
Governor Blunt and the Missouri businesses join a growing number of states and companies that are pledging to make quality and price information available to health plan enrollees in order to enable them to compare providers when they purchase health care services.
"I am proud that Governor Blunt and leading Missouri employers are choosing to support these four cornerstones to achieve better health care and better value for employees and their families," Secretary Leavitt said. "Until now, it has not been possible for patients to learn in advance about the quality of care they can expect to receive from a provider, or the cost of the services they will incur. By making this information available, employers can help their employees get better care and better value in health care."
For most purchases, consumers expect to compare cost and quality as they make decisions. But until now, this information has not been available in the health care sector. Patients have not been able to compare provider performance, either on dimensions of quality or on cost.
"One of the ways to improve the quality of life for all Missourians is to help them access high quality, affordable health care," Governor Blunt said. "Today’s executive order will help build a better health care system for Missourians with better patient care. Supporting transparency empowers the health care consumer, and an informed consumer is better able to find high quality care."
Secretary Leavitt agreed. "Patients will come to expect quality and performance information about health care providers. They will expect to have price or cost information in advance to make good value decisions about their care. They will use this information to improve health care value for themselves and their families and the choices they make will help improve value and health care quality across the health care sector," Secretary Leavitt said.
On February 28, Secretary Leavitt unveiled a plan for chartering local collaborative organizations that are working to improve quality and value in health care by assessing the performance of local health care providers and reporting these findings publicly. The plan would bring the local collaboratives into a nation-wide system, and the groups would use nationally recognized standards to measure and improve quality of care in their local areas.
Under the plan, HHS would select qualified regional collaboratives to be chartered as Value Exchanges. In such collaboratives, local area physicians, nurses, hospitals and other health care providers are working collaboratively with health plans, employers, unions and other health care purchasers to achieve reliable public reporting on quality and cost of care. As HHS-chartered Value Exchanges, they would continue to focus on quality improvement and would provide public reports on the performance of providers in their area. For information, visit http://www.hhs.gov/news/press/2007pres/20070228.html.