Committed to making East Tennessee a role model for the healthcare industry, HC21 helps members and their covered population make informed health decisions.

eValue 8

eValue8 is an extensive RFI administered by the National Alliance of Healthcare Purchaser Coalitions, and used by a number of coalitions nationally. HC21 participates regionally, along with our sister coalition, Memphis Business Group on Health. Together, we encourage Tennessee health plans to complete the process and participate in discussions with employers in our communities. 


eValue8 measures performance in hundreds of areas under the following domains:

  • Plan profile

  • Consumer engagement and support

  • Provider measurement

  • Chronic disease management

  • Prevention and health promotion

  • Pharmaceutical management

  • Behavioral health


What can employers do?

  • Participate

  • Use the eValue8 RFI

  • Use eValue8 findings 


HC21, in partnership with our regional employers, annually encourages hospitals to participate in the Leapfrog survey, and work to meet Leapfrog standards.


The Leapfrog Group is a national nonprofit organization driving a movement for giant leaps forward in the quality and safety of American health care. The flagship Leapfrog Hospital Survey collects and transparently reports hospital performance, empowering purchasers to find the highest-value care and giving consumers the lifesaving information they need to make informed decisions. Once surveys are completed and calculated, we publish the results in our annual Consumer Guide on Health

The Leapfrog Hospital Safety Grade, Leapfrog’s other main initiative, assigns letter grades to hospitals based on their record of patient safety, helping consumers protect themselves and their families from errors, injuries, accidents, and infections.


HC21 includes the Spring letter grades, and releases an infographic with our regional grades in the Spring and Fall. 


Held annually on the 1st Tuesday of May, the HC21 Forum is the largest health benefits conference in the area with human resource managers, benefit managers, health plan representatives and health care professionals attending from the region’s leading businesses. 

Pharma U is designed to inform about current topics that impact pharmacy spend and to prepare organizations to better manage pharmacy benefits through vendor management, contracting, and benefit design.


Four learning sessions held annually that provide an in-depth showcase of the HC21 four lever approach to value-based benefit design. These sessions provide benefit staff with the tools to implement strategies to put the lever approach into action.



A lunch series exclusively for HC21 members that provides education and fosters employer collaboration on topics related to the HC21 four lever approach to value-based change. Employers will learn ways to individually pull the levers in favor of their organizations and have opportunities to work on regional projects to create change in the greater marketplace.  

The College was created to help employee benefit managers meet the growing challenges of providing high quality health benefits and managing rising benefit costs. The College offers a practical, intensive program that focuses on benefits purchasing techniques and skills that emphasize improving the value, quality-cost ratio, and effectiveness of health care services purchased on behalf of employees.

HC21 is a leader in educating employers, and convening meaningful regional initiatives that drive for novel and sustainable payment and delivery models; models that lower cost while increase quality.  


HC21 Health Risk Coaches motivate individuals to make better choices. With the goal of reducing costs associated with risk factors, our coaching program assists employers in identifying at-risk populations. We then work with employers to design a customized program that fits your needs and budget.


Services include Certified Chronic Care Professionals trained in Motivational Interviewing, an evidence-based approach to discovering triggers that make behavior change sustainable, quarterly reports that track key indicators such as "readiness to change", and evaluations that comprehensively gauge program effectiveness.


HealthCare 21 brought together various stakeholders to form the HC21 Narcotics Task Force. A top objective of this task force is to provide employers, providers, and the community with a tool kit to assist them in addressing the issue of narcotics abuse. The sections of this tool kit are largely comprised of sample policies, agreements, plan designs, and other items that can serve to inform and as a template.

The taskforce also conducted a survey of HC21 members on implementation of recommendations on the benefit checklist before and after an educational program on appropriate pain management and ADOs. To see an infographic of key findings, click here.

In 2018, HC21 created an opioid guide of Best Practices for employers to help them determine what their organization can do to change benefit design, PBM contracts, and employee education around opioids. Click here for a PDF.


HC21 offers endorsement to Brokers, Health Plans, and Dental Plans.


Endorsed BROKERS have been recognized as aligned with the mission of HC21. Most are graduates of the College for Value Based Purchasing of Health Benefits.



Endorsed HEALTH PLANS and DENTAL PLANS are deemed to have the best value for our community; a combination of quality and cost. Health plans and Dental plans are selected for endorsement by HC21 and voted on by HC21 purchaser members after a thorough review of RFI responses, eValue8 scores (health plan only) and discussions. 



There is power in numbers.

Be a part of ONE VOICE to build a value-based healthcare market.