1. Pacific Business Group on Health (PBGH) System Transformation

2. PBGH
501(c)(3) with societal vision: A healthcare system driven to deliver the best health outcomes, experience, and affordability for consumers and purchasers
>60 private and commercial purchasers of healthcare, including…

3. Accelerate Transparency
Change Levers
Accelerate Transparency
Care Redesign
Pay for Value
Influence Policy
Apply strategies in tandem (e.g., payment to support care redesign) and across patient populations (Medicare, Medicaid, and commercial)
Multipayer
Align the levers
Change care from the patient
We want what you want: person-centered, coordinated care, as much at home as comfortable

4. Example Impacts
4,800 CA clinicians transforming primary care for 3 million Medicare, Medicaid and commercial patients
Hospitals accounting for 39% of CA births committed to maternity best practices
50% of unnecessary spine surgeries avoided through PBGH COEs
Adopt a single hospital payment for C-Section or vaginal birth
Influenced MACRA to reward primary care transformation
Assure availability of CMS and Health Plan data for public reporting
Release of first statewide physician-level quality measures
Consumer Reports publishes physician group Patient Satisfaction scores

5. Pulling the Levers Scaling Payment Transparency Policy Scale
Innovate
Pilot and Demonstrate
Scale
Program in one location
HNHC patients in Rural county
Program Adapted for multiple locations
TA for 39 organizations
Change the environment
1. CMS Policy
2. Payment by health plans
Examples 10

6. Finding Local Partners…
Network for Regional Health Improvement
SIM Grants to States