Question: What power does the Exchange have to help to improve overall health care quality in California?
Answer: A recent Robert Wood Johnson Foundation Paper Exchanges & Quality -rwjf.org.pdf points out that states have a number of options for using their health insurance exchange to help drive quality improvement and delivery system reform, including:
- Providing plan performance information on specific quality metrics important to consumers, so that they can more easily assess which plans do a better job providing the services they want.
- Aligning quality improvement and reimbursement strategies for the exchange, Medi-Cal, CHIP, state employee benefits programs, and, possibly, private employer purchasing alliances, so that a critical mass of health plans are sending a common set of signals to their provider networks.
- Using the exchange’s Web portal to give consumers relevant and actionable information on plan and provider quality, and Web-based decision support tools to promote higher-value plans as consumers consider their plan choices.