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Resolution Health to Assess Quality of Care for Nation's Largest Physician Profiling Initiative, Sponsored By Care Focused Purchasing, Inc.

Posted on: Tuesday, 31 October 2006, 12:00 CST

Resolution Health Inc. (RHI), a leading provider of health care data analysis and targeted member and physician messaging services, has been selected to assess the quality of care provided by individual physicians and physician groups in the largest private or public clinical performance measurement initiative in the nation, sponsored by Care Focused Purchasing, Inc. (CFP). Three years in the making, CFP represents a coalition of major insurance carriers and more than 50 national self-insured employers who will contribute de-identified medical and pharmacy claims data for an evaluation of the quality and efficiency of care provided by physicians to their members and employees across the US.

Formally incorporated as a not-for-profit entity in mid- 2005, CFP's member employers, many of them Fortune 100 companies, are united in the belief that the solution to America's health care cost crisis lies in higher quality and more efficient medical care. CFP has signed agreements to partner with seven major health plans including Aetna, CIGNA, Fiserv Health, Humana, Preferred Care, Regence BlueShield and WellPoint (Anthem BlueCross Blue Shield) which will provide claims data on more than 18 million members. This data will then combined in a "data warehouse" with claims data related to more than 2 million self-insured lives from the CFP employers.

"Given the importance of CFP, we needed to identify an entity with substantial expertise and experience in analysis of claims data to perform our evaluation of quality of care," said Dr. Alan Spiro of WellPoint, Inc. "Following a thorough assessment of potentially qualified vendors, we selected Resolution Health to perform this work because of the clinical and methodological sophistication of its approach to clinical performance measurement. RHI will enable CFP to achieve its goal of developing an assessment of the quality of care delivered by individual physicians and physician groups based on comparison of actual practice to evidence-based clinical practice guidelines."

According to Earl P. Steinberg, MD, MPP, President and CEO of RHI, and Adjunct Professor of Medicine and of Health Policy and Management at Johns Hopkins University, "Given the wide variation in the quality and cost of health care in the U.S., and payers' and consumers' growing interest in meaningful measures of provider performance, we are pleased to have been selected by CFP and its advisors to perform the analysis of quality of care for this groundbreaking project."

According to Robert Ihrie of Lowe's Companies Inc., "Members of CFP share a common concern about escalating health care costs, inconsistent quality, varied outcomes, and unacceptable error rates in the care delivered to employees and their families. This far-reaching physician profiling project moves CFP closer to its goal of improving both the quality and efficiency of health care through better information regarding provider performance."

About Resolution Health, Inc.

Resolution Health Inc. is a health care data analytics and communications company that produces and implements targeted patient and physician communications and profiling analyses to help companies reduce health care costs and improve health care quality. RHI clients include health plans/insurers, large self-insured employers, third party administrators, pharmacy benefit and disease management companies, and benefits consultants. Visit www.resolutionhealth.com.

About Care Focused Purchasing, Inc.

Care Focused Purchasing was created after an initial meeting of interested employers facilitated by Mercer Health & Benefits LLC in May 2003. The group was legally incorporated as a nonprofit 501(c) corporation in July 2005. CFP's over 50 member companies include household names such as: Assurant; The Boeing Company; Hannaford Bros. Co.; Lowe's Companies Inc.; Northrop Grumman; Penske Truck Leasing; Smiths Group Americas, LLC; Sprint Nextel.

CFP is supported by contributions from employer members and carrier partners. For more information, contact the Governance Committee at CFPGovernanceCommittee@mercer.com.

Source: Business Wire

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