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High-value care

Right Care. Right Place. Right Price.

What if you could cut costs without sacrificing quality?

For certain healthcare services where quality is relatively uniform, like infusion therapy, imaging, and labs,  there are dramatic differences in cost based on where the service is delivered. At the same time, Healthcare Purchaser Alliance member data shows that utilization is heavily skewed toward more expensive sites of care.

To address this issue, the HPA partners with SmartShopper to offer a consumer shopping program that pays cash stipends to patients who shop their care and choose high-value providers. SmartShopper provides patients with an online or telephonic transparency tool, and their concierge service will change appointments, update referrals, and transfer medical records to make sure it is as easy as possible for patients to access high-value providers.

When implemented by purchasers in other markets, encouraging the redirection of care to high-value sites has yielded significant savings, and it has had the added bonus of increasing access in rural areas of the state by creating enough demand for services to encourage high-value providers to enter the market. In New Hampshire, the New Hampshire Health Trust has realized an 8:1 ROI after paying incentives, and they have seen providers like Quest Diagnostics expand access to rural areas. Hospitals have also lowered their prices to ensure they are included on the list of high-value providers.