Our Work
The Florida Alliance for Healthcare Value serves a unique role in identifying the most pressing healthcare needs facing Florida’s employers and healthcare purchasers, and then collaborating with healthcare stakeholders to drive meaningful change.
Our work currently focuses on achieving two primary goals:
- Driving Quality Improvement
- Leading Transformation to Value-based Delivery of Care and Payment Reform
DRIVING QUALITY IMPROVEMENT
From our organization’s beginning in 1984, we have been conducting ground-breaking quality improvement work. Data, transparency, standardization, and consistency form the foundation of our quality improvement programs and projects which currently include:
This employer-led project directly addresses the significant differences that exist between what private health plans and Medicare pay for the same hospital services, measuring and publicly reporting the gaps. It empowers our employer members to ensure that their insurance carriers are effectively negotiating reasonable prices.
LEADING TRANSFORMATION TO VALUE-BASED DELIVERY OF CARE AND PAYMENT REFORM
As the second largest purchaser of health care in the United States after the federal government, employers have the opportunity to align and transform health care from fee-for-service delivery and payment for care to value-based delivery and payment for care. Our current Transformation to Value-Based Delivery of Care and Payment Reform initiatives include the following:
Assessing Market Readiness for Change
We are active members of the Catalyst for Payment Reform (CPR), a national alliance of progressive employers and healthcare purchasers working to get better value for their healthcare dollar. Through this membership, we are involved in the following:
- Our employer members are able to participate in CPR’s Health Plan User Groups, tools, and webinars.
- The Catalyst for Payment Reform and the Florida Alliance for Healthcare Value partnered on a multi-methods study examining the dynamics underlying and shaping the Tampa-Orlando area’s healthcare marketplace and identifying which purchasing and payment reform strategies will have the best chance of success given the market’s characteristics. This effort will help the region move toward meaningful transformation of healthcare delivery and payment. The study was completed in April 2021. For more information, contact Karen van Caulil.
- Florida Alliance for Healthcare Value President and CEO Karen van Caulil serves on the Catalyst for Payment Reform-Peterson Advisory Council which works on joint efforts to strengthen the effectiveness of employers and other healthcare purchasers in their efforts to buy high-value care.
The Florida Alliance for Healthcare Value has been a national leader in the evolution and education of Alternative Payment Models (APM). Case rates, bundled payments, Centers of Excellence, and episodes of care all fall under the APM umbrella. Through this initiative, we:
- Advocate for the usage of uniform clinical definitions
- Encourage the use of quality metrics to measure outcomes
- Promote the use of standardized and consistent clinical definitions coupled with quality benchmarks to achieve better outcomes
- Work with employers, providers, health plans, and conveners to integrate APMs in employee health benefit design
The Florida Alliance works to improve access to high-quality mental health and substance use disorder care for employees and their families. Our work helps employers strengthen behavioral health benefits, address mental health parity, and identify gaps in access, quality, and outcomes. We bring employers together with experts and practical resources to advance benefit strategies that support better mental health and greater accountability.
The United States spends more on health care than any other country, and it is estimated that more than $340 billion annually is spent on low-value care. This includes services that provide little or no benefit to patients, have the potential to cause harm, incur unnecessary cost to patients, or waste limited healthcare resources. With the need to reduce healthcare costs and improve quality, the Florida Alliance for Healthcare Value is working to identify and address the most prevalent low-value care issues in Florida.
The Central Florida Health Care Coalition, Incorporated d/b/a Florida Alliance for Healthcare Value is providing this information to our employer members solely in our capacity as a 501c3 nonprofit education organization and not as advice in any capacity. The information that is not in the public domain is private and confidential.