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New Jersey Health Care Quality Institute Releases Landmark Report on Medicaid Reform
With its eyes on the future of Medicaid in New Jersey, New Jersey Health Care Quality Institute (the Quality Institute) recently released Medicaid 2.0: Blueprint for the Future. The report was funded by the The Nicholson Foundation and is a culmination of input from a wide variety of key stakeholders throughout the state.
Upcoming NRHI Events – Save the Dates
In response to member requests for greater visibility of NRHI events and in an effort to help you plan for important opportunities to connect with other member RHICs, we will highlight upcoming NRHI events as often and as far in advance as possible. Click here to view upcoming events.
NRHI Advocacy on Capitol Hill
On March 22, NRHI President and CEO Elizabeth Mitchell met with staff for several key U.S. Senators to talk about including language on Regional Health Improvement Collaboratives (RHICs) in the American Health Care Act (AHCA). The legislation is moving swiftly through the House of Representatives and a final vote is expected this week. If it passes, the bill moves on to the Senate.
According to analysts with Akin Gump, the AHCA’s core purpose is to limit federal financial responsibility for programs that are administered by States, thereby putting more pressure on states to control costs. However, the AHCA – as currently drafted – fails to consider the importance of regional data and multi-stakeholder collaboration in identifying and tackling the root causes of rising health care costs. NRHI is proposing language that is designed to fit within the AHCA’s narrow framework, and would amend the AHCA’s new “Patient and State Stability Fund” to allow states to use the new federal funding stream to partner with RHICs in answering the affordability challenge.
The leg-work that NRHI members have already done in Washington is already paying off. The Senators with whom Elizabeth Mitchell met now know what RHICs are, and how RHICs are working inside their states and districts. They see the value in the work RHICs do, and want to help. While the success of the amendment is far from certain, the NRHI Network has a strong message and champions for it on Capitol Hill.
Key Takeaways from CPC+ Roundtable Discussion
On March 20th, NRHI hosted a members-only virtual roundtable discussion on CPC+ and how to succeed in Round Two of the program. Faculty from NRHI and from member organizations who shared “bright spots” included:

  • Sara Bolton, Senior Director of Programs and Services of The Health Collaborative of Greater Cincinnati
  • David Kendrick, MD, CEO of My Health Access
  • Elizabeth Mitchell, President and CEO of NRHI
  • Randy Chenard, Executive Director of the HealthDoers Network

Key takeaways included:

  • Ensure Effective Governance: Establish a strong foundation of multi stakeholder collaboration and trust. This will enable you to have the difficult but critical conversations around finances, measures and transparency
  • Involve providers in meetings and through on-site visits
  • Start with one aspect of transformation, work as a team and contain risk at the right level

 “Technology comes second to relationships.” – David Kendrick, MD, CEO of My Health Access

  • Convince employers/payers of the value: Provide effective date that is specific to the populations they represent, and make the case early in the process
  • Involve payers early and often in the process, and at every level
  • Leverage health information exchanges (HIEs): They are deeply embedded in the work and are critical to success

Click here to view the recorded discussion.
NRHI Members Featured at National Pay for Performance Summit
NRHI co-sponsored the twelfth National Value-Based Payment and Pay for Performance Summit (P4P) in San Francisco, CA on March 8-10. Several leaders from NRHI member regional health improvement collaboratives (RHICs) were featured speakers and highlighted ways that regions are advancing payment reform and the move to value-based care.
The Summit provided an in-depth snapshot of the progress stakeholders – providers, payers, government, non-profits and consumers – are making toward payment reform. Panels detailed local, regional and national bright spots and how regions are progressing with performance measures, alternative payment models (APMs), data transparency, accountable care organizations (ACOs) and MACRA implementation. Separate sessions, panels and “mini-summits” provided rich insight and best practices for engaging organizations and individuals in the necessary gathering and reporting of data, practice transformation and other key areas of payment reform.
“Providers need to change the way they deliver care. Payment and benefits need to support higher-value care. Patients need to be educated and engaged. We own our own fates in our own communities. We cannot wait for a solution that may not be coming. We have the leadership to do this. This is the time.” – Elizabeth Mitchell, NRHI President and CEO
Here are the discussions that NRHI and its members helped lead:
Jeff Rideout, MD, Pres. & CEO, Integrated Healthcare Association: Findings of the California Regional Health Care Cost and Quality Atlas; Addressing Regional and Product Line Performance Variation to Enhance Quality and Cost-Efficiency
David Lansky, Pres. & CEO, Pacific Business Group on Health: Why Purchasers Have to Drive Value-Based Payment
“We are working with Medicaid administrators in 10 states to sync public and private payment.” – David Lansky
Click here to view the video.
Louise Probst, MBA, Exec. Dir., Midwest Health Initiative; Mylia Christensen, Exec. Dir., Q-Corp; Ana English, MBA, CEO, CIVHC; David Lansky, Pres. & CEO, Pacific Business Group on Health; Lindsay Erickson, MSPH, Director, Value Based P4P Program, Integrated Healthcare Association and Elizabeth Mitchell, Pres. & CEO, NRHI: Mini-Summit #1 – Benchmarking Commercial Total Cost of Care and Resource Use Across 5 States
“Its surprising to us how fast people want to use this Benchmark Report information and how fast they want to get to the next level.” – Mylia Christensen
Click here to view the video.
Karen Wolk Feinstein, PhD, Pres. & CEO, Pittsburgh Regional Health Initiative and Elizabeth Mitchell, Pres. & Ceo, NRHI: Mini-Summit #11- Educating Health System Governing Boards About Potential of Value-Based Payments to Improve Outcomes, Efficiency and Population Health
“I wonder how many Boards are prepared for the new world of healthcare? Survival in a new alternative payment world will depend on waste reduction. You’ve got to get waste out of your system, you’ve got to get good a risk analysis.” – Karen Feinstein
Elizabeth Mitchell, NRHI President and CEO also presented during several other sessions. NRHI and the HealthDoers Network will be sharing much more information, best practices and will continue the critical conversations from the Summit in the months ahead.