|NC Chamber Foundation Unveils Healthcare Benchmarking Study|
|By: Gary Salamido, NC Chamber Vice President of Governmental Affairs|
The NC Chamber Foundation, a long-term policy center
established by the NC Chamber in 2013, recently released The
Roadmap to Value-Driven Health: Benchmarking Study Results and Implications for
North Carolina, a benchmarking study that analyzes two Regional Health
Improvement Collaboratives (RHICs) and several Health Information Exchanges
(HIEs) that are successfully driving health care value. The study also
highlights implications and possible next steps for North Carolina to do the
This study serves as a follow-up to the Roadmap
to Value-Driven Health, a study commissioned by the NC Chamber Foundation
in 2016 to develop a high-level strategic pathway for North Carolina to become
a top-ten state for health and health care value.
When it comes to health care value – improved outcomes at a
manageable, predictable cost – North Carolina has it backwards. Unfortunately,
health care costs in the state continue to rise while outcomes remain below
average. Not only is this detrimental to the health and well-being of those who
call North Carolina home, but it is also a major competitiveness issue from a
business standpoint. It makes North Carolina a tough sell to any business
looking to relocate or expand in the state, especially considering health care
is a top concern for job creators.
Understanding the impact North Carolina’s health care value
could have on the state and its people’s futures, the NC Chamber Foundation
commissioned the 2016 study to kick-start transformation. However, it quickly
became evident something was missing. More information was needed on potential
models that could be implemented in North Carolina to drive value. While no
initiative examined by the benchmarking study is identical, one constant
remains – stakeholders across the health care supply chain are working
together, using a common language, to improve health care value. That
commitment from everyone across the supply chain, be they employers,
intermediaries, providers or manufacturers, is required if North Carolina is to
make value-driven health care a reality.
Other key study findings include:
Think big, act small: Change takes place one
community at a time, meaning job creators and their follow stakeholders should
work within their communities to ignite change locally, driving transformative
change that can grow over time.
Data should be treated as a common good: Data
should not be used as a commodity, rather it should be treated as a common good
to drive transformative change towards value.
No RHIC in the Southeast: While states in every
other region of the country have either an operating RHIC or are in the process
of developing one, this region is lagging behind.
State HIE is Not Meeting Employer Needs: North
Carolina does have a state HIE, however, it mostly uses Medicaid data and is
not meeting the needs of the state’s private sector employers.
North Carolina has no private APCD: North
Carolina has no private all-payer claims database, which is important when
matching claims and clinical data. In order to grasp the full scope of our
state’s outcomes and cost of care, matching claims data to clinical data is
vital, as is organizing that data by community and region.
As outlined in the study’s possible next steps, job creators
and those across the health care supply chain must now work together to
evaluate what model makes most sense for the state and take action to implement
it. Only then will North Carolina begin to drive health care value.