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One in four Americans has trouble paying for prescription drugs. That’s why The National Alliance is pleased to join Employers’ Prescription for Affordable Drugs (EmployersRx), a coalition uniting employers to advocate for policies that will address one of our nation’s biggest health care challenges—the high cost of prescription drugs.   Built on the tenets of transparency , competition and value , Employers’ Prescription for Affordable Drugs supports public policies that drive down the cost of drugs as part of a value-based health care system. The National Alliance joins the Pacific Business Group on Health (PBGH) and the ERISA Industry Committee ...
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I have often cited that employers, as the main purchasers of healthcare, sit on top of the supply chain and have the potential to lead the much-needed transformation of this market. While a number of substantive changes in this industry have come from Medicare, many improvements that have occurred in our public programs have been built on the learnings and innovations led by employers themselves. The historical list of employer-led innovation is long -- cost containment, managed care, quality measures (NCQA), hospital patient safety (The Leapfrog Group), population health, consumerism, etc.   But the job is far from done, and the issues have become even ...
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On March 1st, the National Alliance of Healthcare Purchaser Coalitions (the "National Alliance") submitted a letter to Senator Alexander's office in response to his request for recommendations on ways to reduce waste in the U.S. health care system. Read the full letter here .
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State of the Union from the healthcare purchaser lens   Last night’s State of the Union address was light on healthcare, but here are a few key takeaways:   The Administration’s Drug Blueprint is still alive - After last week’s announcement proposing to eliminate drug rebates, the President refocused on the lack of pricing equity for drugs between the United States and other countries. This is a critical issue (see our key Rx Purchaser Policy Issues) but it’s focus should not be limited to Medicare as US employers cannot afford to be the last ones standing to pick up the brunt of the costs associated with pharmaceuticals. Other areas not addressed ...
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This guest post by Jeremy Nobel, MD, MPH, Founder and President, Foundation for Art & Healing originally published on September 25, 2018 on the American Foundation for Suicide Prevention   Lifesaver blog As a physician and public health expert, I was startled by two recent reports. We learned from a May 2018   Cigna survey   that nearly 46 percent of Americans say they sometimes, or always, feel alone. In June, the federal government   released data   on our country’s growing suicide problem: between 2000 and 2016, the age-adjusted suicide rate rose 30 percent, with an average rise of about one percent per year from 2000 through 2006—a rate that ...
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Guest post by Robert Smith, executive director,   Colorado Business Group on Health,   written on September 7, 2018  Earlier last week I read an article from   The Washington Post   titled   Where Did Our Raises Go? To Health Care.   The piece not only pointed out that health care increases are usurping salary increases for middle class workers and that, “for the bottom 60 percent of US workers, wage gains have been completely wiped out by contributions for employer-provided health insurance.” The above noted article was based on a report released on August 31 citing how “rising health care costs are diminishing US workers’ take-home pay and putting ...
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Guest post by written by Robert Smith, Executive Director, Colorado Business Group on Health Earlier last week I read an article in The Washington Post titled Where Did Our Raises Go? To Health Care. The article not only pointed out that health care increases are usurping salary increase for middle class workers and that, “for the bottom 60 percent of US workers, wage gains have been completely wiped out by contributions for employer-provided health insurance.”   Another report released on August 31 cites how “rising health care costs are diminishing US workers’ take-home pay and putting the American Dream further out of reach, particularly for ...
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Earlier this week the Trump administration announced it will finalize new rules for “short-term” limited duration insurance plans. According to HHS, the new regulations will allow this type of “skinny” plan to last up to a year, and consumers will be able to keep them for as long as three years.   Short-term insurance plans are not subject to the Affordable Care Act's (ACA) regulations, are a cheaper alternative for consumers meant to provide relief to middle-class Americans facing high premiums in ACA-compliant plans, many of whom are leaving the non-group market.   The availability of coverage regardless of health status through ACA, materially ...
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Last month, the Pacific Business Group on Health (PBGH) and the Health Care Transformation Task Force (HCTTF) released a report and contracting tool to help organizations effectively manage care programs that improve the health outcomes of high-need, high-cost (HNHC) patients. HNHC patients are a small percentage of individuals with complex medical, social, and behavioral needs. By their nature, the individuals represent a disproportionate part of the medical spend for employers and are some of the most complex patients to identify and support. The report and accompanying tool explore different types of contracting and offer specific, practical guidance ...
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Last week the Trump administration announced the highly anticipated “American Patients First” blueprint to reduce drug prices . While it was encouraging to see that it targeted some of the problem areas, it may not have the teeth to make a serious impact on the market pricing practices. Employers and other purchasers who share the brunt of the costs for these issues cannot rely on the government to mitigate these problems. One of the problems identified and written about this week in ebn by National Alliance member Cheryl Larson, president and CEO of the Midwest Business Group on Health, is that the recommendations did not place a priority on the use ...
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While most people know that May is Mental Health Awareness month, many would be surprised to learn that this is the 69 th year in which the issue has been highlighted to reach millions of people with messages of health, wellness, prevention, and recovery. There is no doubt that our country has made tremendous progress in recognizing, treating and supporting the millions of Americans facing the reality of living with a mental illness. Unfortunately, after all this time, there remains a persistence of issues that stop us from taking advantage of the progress that has been made. These problems range from a stigma that prevents people from seeking and getting ...
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Yesterday the Harvard Business Review posted an editorial, “ U.S. Health Care Reform Can’t Wait for Quality Measures to Be Perfect ,” in its online edition. Co-authored by Brian Marcotte, president & CEO of the National Business Group on Health, Annette Guarisco Fildes, president & CEO of the ERISA Industry Committee (ERIC), Leah Binder, president & CEO of The Leapfrog Group, and myself, the editorial calls for going full-speed-ahead on using validated quality and safety measures for public reporting and payment. This is a critical issue as the debate continues about whether the current measures of health care quality are adequate to support ...
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Where we're headed

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Welcome to our new 'online community' for the National Alliance of Healthcare Purchaser Coalitions!  We know the power of the National Alliance is for our members and stakeholders to connect and collaborate on common issues and opportunities across the country.  But collaboration will not be enough if we don't have leadership - of thought, of purpose, of passion - to inform and influence our collective path forward!  Fortunately, the National Alliance has no shortage of leaders - through our Coalitions, our Purchasers and our Stakeholders.  The launch of “Leadership Perspectives” will provide a great forum for any of these leaders to step out in front and share ...
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