Chicken Little and PHCS
I was asked to write an article expressing our position on the recent news that PHCS would only be allowed alongside HST on RBP business.
Resources
Stop Paying More for Less
There is an abundance of non-fiduciary reference based pricing (RBP) vendors who charge a fixed cost per employee per month (PEPM), aka “repricers.” Repricers have…
RBP Strategic Partners, the Key to Long-Term Group Medical Success
The ClaimDOC Sales Team frequently runs across brokers and consultants who have been told very black and white versions of building out a referenced based…
Historic $1 Million Fine – What to Know
What is the best way to enforce regulations in an already heavily regulated industry like healthcare? Is it the carrot a la non-profit tax breaks…
Welcome to the Party
Transparency legislation has created a new wave of data-driven companies, resources, and information that have stakeholders in the industry drooling over access to this once-secretive,…
DPC & RBP- Because it works
For those in the benefits world, you know the acronyms. DPC – direct primary care and RBP – reference based pricing. The former is a…
Provider Relations Unicorn
Prior to joining ClaimDOC in May of 2021, I spent most of the last 25 years negotiating transactions on behalf of health systems, hospitals and…
RBP Takeovers
Reference based (RBP) pricing is making its way to the forefront of conversations between employers and their benefits consultant. Opinions vary drastically on whether or…
Looking Back and Going Forward
As I revisited my version of this article from the prior year it really struck me the consistent themes in our business: Pride in our…
ClaimDOC Credit Advocacy
Regulation helps the process, but our experience drives the solution. ClaimDOC has a unique situational awareness of and history with defending patients from…