Healthcare Inflation: A Reference-Based Pricing Solution

Corporate Synergies

The runaway costs of facility-based healthcare has contributed to overly inflated medical trends, affecting employer’s health plans for decades. Employee benefits expert Christian Yantorno educates Human Resources and Finance professionals on reference-based pricing, as a solution. Participants will learn:

• Why moving to a model without PPO discounts could lower costs.
• How changing the payment metrics to Medicare Plus reimbursement, or the actual cost for the service + modest profit margin, impacts spend.
• The traits to look for in an RBP partner and providing a co-fiduciary arrangement and legal protections/advocacy for plan participants.
• The importance of communications throughout the plan year to help employees understand their plan and help to lower claims.
• Why establishing a plan and employee education around accessing professional services (care at the doctor’s office) is crucial to the success of the program.

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