Employers need to step up: Demand for high-quality healthcare, says report


Employers spend more than $1 trillion on healthcare annually, so employers need to build an information ecosystem to access quality information from healthcare providers, says a new report. there is

Employers who provide insurance to nearly half of all Americans are key gatekeepers of the health care system. They now have access to easily understandable data to drive better quality of care.

According to the NEJM Catalyst report, “These data help people identify quality healthcare providers, clinicians receive meaningful and actionable feedback, and employers and health insurers Better quality networks and referrals can be handpicked.” “Employer-sponsored healthcare should be an investment in the overall well-being of employees and their families. is uniquely positioned to set new quality standards for the U.S. healthcare system.”

Employer-sponsored insurance is the most common form of insurance for Americans, with approximately 180 million people insured and responsible for more than $1 trillion in medical spending annually. Given the large investment in health insurance, it is reasonable for employers to assume that individuals covered by sponsored health insurance are receiving consistent, high-quality care.

Inconsistent quality of health care workers is an important cause of poor health, missed opportunities for life-saving care, and unnecessary care. Historically, physician-level variability (manifested across the spectrum of clinical practice, including diagnosis, clinical processes, and treatment planning) was measured partly because data measuring quality was siled by payer. was difficult. However, new data assets and approaches are becoming increasingly available for assessing provider quality in a robust and clinically relevant manner.

One way employers can facilitate broader quality improvement is by creating an information ecosystem that enables members and providers to access and act on providers’ quality information. This has three purposes for her:

  • First, it helps us better inform our employees’ choices about which doctors they may choose for their particular needs.
  • Second, it creates an environment in which physicians receive feedback on where they are performing well and how they can improve.
  • Third, employers can select better quality networks and gain a foundation to guide their employees to quality clinicians.

When employers provide their members with transparent, high-quality data on the performance of healthcare professionals, it simplifies the process for patients to identify and select quality physicians.

“Employers are now uniquely positioned to improve the quality of care for the millions of Americans who have employer-sponsored insurance and set new standards for the nation’s health care system.” The report concludes. “Despite high employer-sponsored premiums, participants continue to receive variable care that may not meet quality standards. By leveraging it in their operations and giving members access to this data, employers can take a leading role in building healthcare systems that consistently provide quality care to employees and their families. You can get a lot of opportunities.”



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