6 Questions About Making the Switch to Reference Based Pricing
Healthcare costs continue to increase annually at a rate far above the national cost of living percentage. Health insurance is one of the largest expenses…
Resources
My Journey From BUCA to ClaimDOC
The US healthcare system provides an undeniable quality of care, technology, and providers. Yet, these providers are disconnected from the member by a maze of…
Looking Back and Going Forward
As we look back at 2020 from a business perspective, it’s almost mind-numbing to summarize the meaningful events that unfolded. Ultimately, I’m so proud that…
A New Item on Your Medical Bill: The ‘Covid’ Fee
A $52,112 Air Ambulance Ride: Coronavirus Patients Battle Surprise Bills
Nationwide Evaluation of Health Care Prices Paid by Private Health Plans
Member Education, the key to a successful RBP program
Education is the basis of a successful health benefits experience, especially when it comes to reference-based pricing (RBP). Creating a robust year-round education program that…
Renewal season is upon us
If you think you will flatten renewals this year, you should reconsider. While it is true COVID-19 held utilization down to levels unseen for almost…
Full Network Replacement
Traditional program structure for reference-based pricing has included a physician-only network coupled with a vendor capable of auditing and applying revised pricing to facility claims.