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Contenido proporcionado por Mike Martens. Todo el contenido del podcast, incluidos episodios, gráficos y descripciones de podcast, lo carga y proporciona directamente Mike Martens o su socio de plataforma de podcast. Si cree que alguien está utilizando su trabajo protegido por derechos de autor sin su permiso, puede seguir el proceso descrito aquí https://es.player.fm/legal.
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Todd Archer: Understanding Reference Based Pricing (RBP)

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Manage episode 361225463 series 3370852
Contenido proporcionado por Mike Martens. Todo el contenido del podcast, incluidos episodios, gráficos y descripciones de podcast, lo carga y proporciona directamente Mike Martens o su socio de plataforma de podcast. Si cree que alguien está utilizando su trabajo protegido por derechos de autor sin su permiso, puede seguir el proceso descrito aquí https://es.player.fm/legal.

Todd Archer is the President of Concierge Third Party Administrator, a company recognized as one of the nation’s premier industry leaders in third-party administration of self-funded health benefit plans for employer groups of all sizes. With over 35 years of experience, Todd has a proven track record in the field of health benefits third-party administration. He joins Mike today to delve into the topic of reference-based pricing, a reimbursement approach that relies on Medicare allowable rates. They discuss the origins and evolution of this concept.

Reference-based pricing (RBP) is gaining traction as an effective method for employers to reduce their healthcare expenses. This pricing model emerged as a solution to the flawed US healthcare system, where consumers often remain uninformed about the cost of treatments until after receiving them.

RBP operates by establishing treatment prices based on Medicare allowables. This enables employers to pay a fixed amount for treatments instead of depending on the carrier's explanation of benefits. As a result, employers have a clear understanding of treatment costs upfront, allowing them to plan accordingly. Moreover, it empowers employers to negotiate better discounts with healthcare providers, as they are aware of the maximum payable amount.

In summary, reference-based pricing offers employers a viable way to cut healthcare costs while maintaining quality care for their employees. This approach gives employers greater control over expenses, facilitates better discounts with providers, and ensures upfront knowledge of treatment costs, aiding in effective planning. Due to these advantages, reference-based pricing is becoming an increasingly sought-after option for employers looking to save on healthcare costs.

Three Takeaways

  1. Reference-based pricing saves money.
  2. Implement RBP with care.
  3. Communicate effectively for success.

Resources

Email Todd Archer: todd@cbscas.com

LinkedIn: www.linkedin.com/in/todd-e-archer-a311588

Website: www.cbscas.com

Email Mike Martens: mikem@firststaffbenefits.com

LinkedIn: linkedin.com/in/firststaffbenefits

Quote

“Reference-based pricing tends to have a larger pricing impact on urban areas than rural areas.”

  continue reading

24 episodios

Artwork
iconCompartir
 
Manage episode 361225463 series 3370852
Contenido proporcionado por Mike Martens. Todo el contenido del podcast, incluidos episodios, gráficos y descripciones de podcast, lo carga y proporciona directamente Mike Martens o su socio de plataforma de podcast. Si cree que alguien está utilizando su trabajo protegido por derechos de autor sin su permiso, puede seguir el proceso descrito aquí https://es.player.fm/legal.

Todd Archer is the President of Concierge Third Party Administrator, a company recognized as one of the nation’s premier industry leaders in third-party administration of self-funded health benefit plans for employer groups of all sizes. With over 35 years of experience, Todd has a proven track record in the field of health benefits third-party administration. He joins Mike today to delve into the topic of reference-based pricing, a reimbursement approach that relies on Medicare allowable rates. They discuss the origins and evolution of this concept.

Reference-based pricing (RBP) is gaining traction as an effective method for employers to reduce their healthcare expenses. This pricing model emerged as a solution to the flawed US healthcare system, where consumers often remain uninformed about the cost of treatments until after receiving them.

RBP operates by establishing treatment prices based on Medicare allowables. This enables employers to pay a fixed amount for treatments instead of depending on the carrier's explanation of benefits. As a result, employers have a clear understanding of treatment costs upfront, allowing them to plan accordingly. Moreover, it empowers employers to negotiate better discounts with healthcare providers, as they are aware of the maximum payable amount.

In summary, reference-based pricing offers employers a viable way to cut healthcare costs while maintaining quality care for their employees. This approach gives employers greater control over expenses, facilitates better discounts with providers, and ensures upfront knowledge of treatment costs, aiding in effective planning. Due to these advantages, reference-based pricing is becoming an increasingly sought-after option for employers looking to save on healthcare costs.

Three Takeaways

  1. Reference-based pricing saves money.
  2. Implement RBP with care.
  3. Communicate effectively for success.

Resources

Email Todd Archer: todd@cbscas.com

LinkedIn: www.linkedin.com/in/todd-e-archer-a311588

Website: www.cbscas.com

Email Mike Martens: mikem@firststaffbenefits.com

LinkedIn: linkedin.com/in/firststaffbenefits

Quote

“Reference-based pricing tends to have a larger pricing impact on urban areas than rural areas.”

  continue reading

24 episodios

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