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Marc H. Bennett is president and chief executive officer at HealthInsight. As CEO, Mr. Bennett is responsible for all of HealthInsight’s contracts and activities.

Nationally, Marc is a past president and chairman of the board of directors of the American Health Quality Association, the trade association for Medicare Quality Innovation Networks – Quality Improvement Organizations (QIN-QIO). Additionally, Marc serves on the Quality Alliance Steering Committee, a body that coordinates federal and private sector quality initiatives in the United States. Marc is a frequent contributor to national policy forums in health information technology, health information exchange and improvement. He is also a member of the National Advisory Board for the Center for Healthcare Quality & Payment Reform and serves as a board member for the Network for Regional Health Improvement.

Regionally, Marc currently serves as the chairman of the board of directors of the Utah Health Information Network, the community-based health information network and clinical health information exchange (cHIE). He also serves on the advisory board for the Utah Health Insurance Exchange. In Nevada, Marc served as vice-chairman of the Governor’s Health Information Technology Blue Ribbon Task Force, and has served previously as a non-voting public member of the Nevada State Legislature’s Interim Healthcare Committee. He also served previously as board chairman for the Shared Health Information Network of Nevada and as a member of the Nevada Patient Safety Committee.

Recommendations for Medicare’s Future Quality Improvement Initiatives

Group meeting

In my last post, I put forward some core “change principles” to guide our communities in working to transform the U.S. health care system. In this installment, I’ll try to apply those principles in recommending ways to enhance the value of the quality improvement work that HealthInsight and similar organizations perform for the Medicare program.

As the nation’s largest single purchaser of health care, the Centers for Medicare & Medicaid Services (CMS) has long been a pacesetter and incubator for change. The Quality Improvement Organization (QIO) program represents the largest sustained investment in large-scale quality improvement in history. HealthInsight has served as a contractor for this program since 1984, and our mission has evolved throughout the decades, at the leading edge of change in this national effort, to address changing goals, changing theories about what drives improvement, and changing models of care and care delivery support.

CMS is now designing its quality improvement initiatives for the Quality Innovation Network-QIOs (QIN-QIOs), spanning the 2019‒2024 contract period. These new initiatives give CMS a crucial opportunity to propel the health care system toward meaningful transformation.

At HealthInsight, we believe that sustainable quality gains and cost reductions will not occur without active participation from every segment of the health care system. Multiple stakeholders need to work together and employ diverse, but aligned, strategies and approaches to drive transformation.

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Change Principles for Health Care Transformation

Doctor, Patient and Family

HealthInsight has worked with providers and patients for more than 40 years to improve health and health care. We feel both proud of and humbled by this experience. Proud, because our services have improved health outcomes and helped transform the care delivered to millions of people. And humbled because experience has taught us that real transformation takes time and sustained commitment—and it is hard. We also know our efforts often fall short of the vision of what is possible. So, in quality improvement terms, we seek to design better models.

In support of our core business of improving health and health care, we seek to be a thought leader, shaping the future of our communities and nationally. We are continually considering and reconsidering the best ways to help our system work better. In that spirit, we’d like to share some of our ideas.

Broadly, we believe that sustainable improvement will happen only when patients, providers, payers and purchasers come together at the community level to promote, demand and support transformation based on the following change principles.

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