September 05, 2017

CPR’s Scorecard on Payment Reform team is proud to announce its selection of two states to pilot Scorecard 2.0, each led by a local sponsoring organization.  A pilot in New Jersey will be facilitated by the New Jersey Health Care Quality Institute or Quality Institute (NJHCQI).  A pilot in Virginia will be sponsored jointly by the Virginia Center for Health Innovation and the Virginia Association of Health Plans.  CPR will announce a third state soon!

Like our previous national and state-level Scorecards on Payment Reform, Scorecard “2.0,” will continue to measure how much payment reform there is and of what type.  It will also measure, at a macro level, the impact that payment reform is having on the health care system. To that effect, CPR has added 12 new metrics to the Scorecard that, together with the original ones, gauge the economic signals that payers are sending to health care providers, how the health care system may be transforming and whether there is an impact on outcomes.  A multi-stakeholder advisory committee assisted in developing the framework and identifying specific metrics for 2.0.

The advisory committee helped CPR refine the Scorecard by tapping into a variety of national measurement efforts, including pulling five metrics from the Healthcare Effectiveness Data and Information Set (HEDIS), and one metric each from the National Immunization Survey (NIS), the Behavioral Risk Factor Surveillance System (BRFSS), and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), in addition to composite measure of preventable hospital admissions from the Agency for Healthcare Research and Quality (AHRQ). However, CPR had to craft original metrics and a process for populating them where there were gaps. Look out for an upcoming commentary about this process!

While there are many measurement efforts underway each with its own niche to fill, Scorecard 2.0 is the first to look at how payment reform implementation impacts the functioning of the health care system broadly. Now it’s up to CPR, in collaboration with the local sponsors, to work health plans in New Jersey and Virginia (and the third state TBD) as they voluntarily report on claim and program analytics for both commercial and Medicaid markets.

We’d like to thank the funders of this project, the Laura and John Arnold Foundation and the Robert Wood Johnson Foundation, for their generous support and steadfast guidance as we embark on the next era of benchmarking payment reform and its impact on the health care system. Together we can use the data Scorecard 2.0 to steer change for the better at the state and national level.