17 Nov States: Achieve Benchmarks in Peterson-Milbank Program for Sustainable Health Care Costs

Making healthcare more affordable for residents and employers is a critical priority for many states across the country. Thankfully, there are programs that allow states to track overall costs to better serve citizens.

For example, the Peterson-Milbank Program for Sustainable Health Care Costs helps participating states to identify, establish and monitor key healthcare spending trends, and track them against agreed-upon targets.

This is achieved through increasing state capacity, soliciting participation from regional stakeholders, addressing cost savings with Providers and Payers, and adding integration and sharing capabilities in data and technology.

Much of the key drivers for states in this program have come about through legislation and Executive Orders that aim to drive down overall healthcare costs. States participating in this program include Rhode Island, Nevada, California, Pennsylvania, Oregon, Connecticut, New Jersey and Massachusetts.

A key contributor to help achieve these benchmark savings is by centralizing data aggregation and streamlining the HEDIS quality reporting process for Provider and Payer participants in the states.

For example, the State of Rhode Island is enhancing its RI Quality Reporting System (QRS), as well as its implementation approach, and service and technology requirements.

The state is also aligning with the RI Medicaid program to support the goal of shifting to value-based payment methodologies for the Rhode Island Medicaid Accountable Care Organizations (ACOs).

This is all being done though the use of the IMAT Solutions platform, which has earned the Validated Data Stream designation in the new National Committee for Quality Assurance (NCQA) Data Aggregator Validation (DAV) program.

In addition, at the 2022 Annual State HIT Connect Summit, IMAT Solutions co-presented with the State of Rhode Island to highlight the RI Quality Reporting System (QRS), its implementation approach, service and technology requirements, and the evolution to begin using certified clinical data for electronic quality measures.

You can watch the full presentation here:

Is your state participating in the Peterson-Milbank Program for Sustainable Health Care Costs, and would you like to learn about how to leverage data for driving down costs? Please contact IMAT Solutions here.