Archive for March 14th, 2014

HCAA Executive Forum 2014 Addresses Cost Plus – Reference Based Pricing

Friday, March 14th, 2014

hcaaThe annual Health Care Administrators Association annual Executive Forum held in Las Vegas in February 2014,  addressed one of the hottest topics in today’s challenging health care delivery system – Reference Based Pricing, also known as Cost Plus Insurance.

Reference Based Pricing provides an alternative to today’s ever-rising cost of health care. Using multiple data points, including Medicare rates, cost-to-charge ratios, and historical data as its baseline, Reference Based pricing ensures transparency and fair reimbursement for members, plans, and providers.  During this session, the panelists will outline what works, what hasn’t, and what the future may look like.”

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Carriers Gaming The System

Friday, March 14th, 2014

Insurance carriers aren’t stupid. They run a business and their model is to make money. At the very least they work the business model to avoid losses when possible.

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When It Comes To Price Or Broad Choice Of Providers, Price Wins Everytime

Friday, March 14th, 2014
priceisright “Looking for SB’s in the audience!”
 What are narrow networks? It’s real simple: narrow networks are made up of docs and hospitals that charge less for the same services than other docs and hospitals…..This proves that not all docs and hospitals within a broad PPO network  have identical  managed care contracts. It’s the SB’s that make up a SBPPO………..(type in “SBPPO” in the search box on this blog to learn what an SBPPO really is).
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