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Webinar Reference-Based Pricing: A Maine Employer Case Study

As rising healthcare prices pose an increasingly high financial burden on businesses and their employees, and a new bevy of lawsuits establish fiduciary risks for plans that fail to pay fair and reasonable prices,  employers have begun to turn to reference-based pricing (RBP) as a mechanism to both substantially reduce costs and ensure they are meeting their fiduciary duty. Reference-based pricing leverages a transparent, fair payment methodology – often a multiple of Medicare’s price – to eliminate the opaque game of ‘discount off chargemaster’ and generate savings of up to 30% off total medical spend.

 

While RBP has been gaining traction across the country, the strategy requires some serious consideration from HR and finance teams. Employers must have a TPA that allows them to do RBP; they must have mechanisms to effectively communicate how the program works to employees; and they must be aware of the potential for some members to receive balance bills from providers who are unwilling to accept payment.


In this webinar we will provide an overview of how Imagine360’s RBP program works and detail key considerations when evaluating the strategy. We will also hear from Danielle Moody, President of Moody’s Collision Centers, about her experience leveraging RBP over the last several years. Danielle will share details on the rollout of the program, savings achieved, and how Moody’s has managed any member disruption that has occurred.