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HealthInsight Awarded Grant to Advance Health Care Transparency

Salt Lake City, October 8, 2014 — HealthInsight, a private, nonprofit, community-based organization dedicated to improving health and health care in Nevada, New Mexico and Utah, has been selected as one of 14 organizations nationwide to participate in a project aimed at making information on the cost and quality of health care more readily available. The Center for Healthcare Transparency (CHT) is funding 14 regional organizations, including HealthInsight, to lay the groundwork for making health care cost and quality information available to 50 percent of the U.S. by 2020.

CHT is a non-profit organization created to address the biggest barrier to health care transparency today: access to credible data. CHT has recruited the Network for Regional Healthcare Improvement (NRHI) and the Pacific Business Group on Health (PBGH) to lead a practical five-year implementation plan to make provider cost and quality data available for at least 50 percent of the U.S. CHT is leveraging the know-how of successful efforts in markets across the country and linking these efforts to federal and state policy efforts to improve the value of health care.

Measuring and publically reporting the quality and cost of care gives all stakeholders a better understanding of how to improve the system. The provider-level transparency that will be made possible by CHT and local organizations, like HealthInsight, will lead to more informed health care purchasing decisions by consumers and will enable public and private health care purchasers to design pay for value programs. Concurrently, providers will be able to make better decisions about how to improve the quality and efficiency of the care they offer.

Health care analytics efforts in all three states have helped HealthInsight achieve the success needed to qualify for the CHT grant. HealthInsight Nevada has successfully launched and implemented HealtHIE Nevada, community-based health information exchange (HIE), which connected major hospitals, lab and images centers, as well as physicians' offices enabling physicians to receive real-time information needed for providing timely and coordinated health care to their patients. In New Mexico, HealthInsight has successfully implemented public reporting in the ambulatory inpatient settings for the last five years. This experience helped HealthInsight become a Qualified Entity (QE) certified by the Centers for Medicare & Medicaid Services to receive and publicly report Medicare Fee-for-Services data combined with the other lines of business such as Commercial, Medicaid and Medicare Advantage.

HealthInsight Utah is actively involved in price transparency work and actively supports state All Payer Claims Database (APCD) activities.

"These organizations have been national leaders in providing meaningful and reliable cost and quality information to the public. They represent all of the perspectives in the health care puzzle - providers, patients, health plans, employers and public purchasers. Most important, they have actually used these data to inform their communities and to make care better, and can do so across the country," says Elizabeth Mitchell, President and CEO, NRHI. "Their recommendations will inform CHT's blueprint for regional organizations to produce information that is credible, viable and scalable across the U.S."

Grantees include:

  • HealthInsight (Nevada, New Mexico, Utah)
  • California Healthcare Performance Information System
  • Center for Improving Value in Health Care (Colorado)
  • Health Collaborative (Ohio)
  • Integrated Healthcare Association (California)
  • Louisiana Healthcare Quality Forum/Louisiana State University Health Care Services
  • Maine Health Management Coalition
  • Minnesota Community Measurement
  • Oregon Health Care Quality Corporation
  • Wisconsin Collaborative for Healthcare Quality/Wisconsin Health Information Organization/Wisconsin Statewide Health Information Network

About the Center for Healthcare Transparency

The Center for Healthcare Transparency (CHT) is an initiative led by the Network for Regional Healthcare Improvement (NRHI) and the Pacific Business Group on Health (PBGH). The CHT is working with organizations across the country to provide meaningful cost and quality information to 50 percent of the US by 2020. By leveraging the groundbreaking work done in regional data and analytics organizations, CHT brings the power of informed decision-making to every stakeholder in the healthcare puzzle - patients, providers, plans, employers and public purchasers. Follow CHT on Twitter at @CHT_Transparent.

About HealthInsight

HealthInsight is a recognized leader in convening and partnering with communities to improve health and health care by advancing quality, efficiency and value for patients and providers. We are leading experts in quality improvement; transparency and public reporting; use of health information technology; engaging patients to improve their health; and redesigning how care is paid for and delivered. Learn more at healthinsight.org and follow HealthInsight on Twitter at @HealthInsight_.