At Highmark Health, we are focused on fundamentally transforming care delivery for our customers. As one of the largest integrated delivery and financing systems, which serves over 35 million customers a year, we are poised to drive innovation and discover new interventions that will improve the experience, access, outcomes, and affordability of health care. Effective deployment of new solutions could drive better care at lower cost.
Without support from commercial payers, it is difficult for innovations to influence the practice of medicine. VITAL provides a test bed designed to facilitate early use of interventions that have demonstrated safety and efficacy and have received regulatory approval, but are not yet covered by most commercial insurers. VITAL is designed to provide the missing link between regulatory approval of an innovative intervention and its full reimbursement.
We are seeking novel interventions that have received regulatory approval (eg. FDA) that lack sufficient scientific data to convince commercial insurers to pay for them. To support a comprehensive, rigorous and patient-centered approach to innovation, VITAL welcomes proposals submitted by Allegheny Health Network (AHN) clinicians in collaboration with external innovators such as technology vendors, clinicians from other aligned providers, partners from the not-for-profit sector, government and others.
The VITAL Mission
VITAL is designed to transform care delivery by accelerating the pace with which novel interventions and services are made available to our customers.
Participants will be afforded access to safe new interventions without undue financial burden.
Clinicians will have the opportunity to test novel interventions to gain a first-hand understanding on cost savings and the impact on quality of care.
Payers will be able to understand the full impact of new interventions on their members to inform changes to reimbursement methodologies.
Technology vendors will have the opportunity to prove the benefits of their new innovations to participants, clinicians, and payers.