Measuring and improving the quality & efficiency of health care.

Performance measurement is critical to achieving durable health care reform that truly improves cost and quality of care by enabling value-based purchasing and performance-based incentives. Yet performance measurement poses one of the biggest challenges in the U.S. health care industry: What elements make up a fair, accepted system for assessing the quality and efficiency of care provided to patients?

To that end, OptumInsight has opened an online forum for public review of the methodologies behind our patented Episode Treatment Groups® (ETG®) and Procedure Episode Groups® (PEG®). We believe this is an important contribution to advancing the national performance measurement conversation. Now, any interested stakeholder can access, understand, and potentially improve our leading methodologies for grouping episodes of care.

It’s a critical step. Care purchasers—governments, health plans, and patients—demand increased transparency into the cost, quality, and service delivered by physicians and hospitals. Meanwhile, physicians and hospitals need and deserve insight into the means by which they are measured.

We believe that meaningful engagement from multiple constituents is essential to the development of an industrywide measurement system that is standard and trusted. We invite you to participate in this discussion.