Differing Interests of Health Care Stakeholders

[SPEAKER]

The kinds of results that may be of interest to stakeholders include:

• Cost control and reduction
• Reducing hospital admissions and ER visits
• Increasing primary care visits and revenue
• Increasing compliance, including keeping appointments
• Reducing disparities

Again, the overarching goal of total cost control or reduction in costs is generally a concern at higher levels of state government or at the top administrative levels of provider organizations. Minnesota officials cited disparities, particularly among immigrant populations, as a key motivator. In both Minnesota and Massachusetts, the selective use of evidence helped persuade stakeholders to participate in policy change initiatives and decision makers to support the initiatives.