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Delivery Reform

Direct Contracting with Providers to Reform the Delivery System

Still in its infancy, some employers are contracting directly with physicians in locations where they have a significant presence to hasten changes in the marketplace.

For more information on this chart, please see the Willis Towers Watson/National Business Group on Health Best Practices in Health Care Employer Survey report.

Guiding Employees to High-Value Providers

The success of employers efforts to reform the payment and delivery system are hinged on employees and their families embracing these changes. As a result, some employers are using incentives to encourage the use of high-value providers.

For more information on this chart, please see the Willis Towers Watson/National Business Group on Health Best Practices in Health Care Employer Survey report.

Offering Navigation and Consumerism Tools to Employees

Large employers offer a number of tools and programs to employees to help them better engage in the health care system and their own health. Some of the tools include: nurse coaching, decision-support tools, price transparency tools and advocacy tools/services for claims assistance.

For more information on this chart, please see the National Business Group on Health's Large Employers' 2017 Health Plan Design Survey report.

Telehealth Becoming the Norm Among Large Employers

The availability of telehealth has changed dramatically over the last few years. In 2012, fewer than one-in-ten employers offered telehealth as an option, but in 2017 only one-in-ten won’t offer telehealth.

For more information on this chart, please see the National Business Group on Health's Large Employers' 2017 Health Plan Design Survey report.

Primary Care Physicians’ (PCP) Embrace of Alternative Payment Models

Physician views of payment and delivery changes will influence how successful new payment models will be in the future. Primary care physicians are one group of doctors that might be ready for change.

For more information on this chart, please see the National Business Group on Health/Fidelity Investments' Emerging Payment and Delivery Models report.

Employers’ Current Strategy Around ACOs

With the creation of accountable care organizations, many employers have been evaluating what role ACOs can play in delivering the best care to their employees and their families.

For more information on this chart, please see the National Business Group on Health's Large Employers' 2017 Health Plan Design Survey report.

Leveraging COEs to Drive Change and Improve Outcomes

Centers of Excellence (COE) for specific conditions have been a useful method for helping employees and their families get the highest quality of care for complicated procedures. Navigating large numbers of people to COEs, has also been effective in encouraging changes in the system as a whole.

For more information on this chart, please see the National Business Group on Health's Large Employers' 2017 Health Plan Design Survey report.

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