Podcast Show Notes

As an employer you always need to be mindful of solutions that can help you manage your spend and ability to retain your employees.  As frustration grows on the ever more costly area of healthcare, and area you should consider as a payment methodology is Reference Based Pricing (RBP).  You may not know much about it or be an expert in the area.  In our interview today, we discuss payment alternatives to a traditional carrier and how that can be accomplished through a company like Payer Compass.  Kellie Jackson, Vice President of Sales and Client Engagement for Payer Compass walks us through a myriad of topics.

In this episode we cover a variety of topics for you to consider as you contemplate RBP as a way to help contain costs and empower your plan with an alternative to a traditional carrier network.  Topics include:

• What is reference based pricing and how it can be used to create a more transparent framework for reimbursement and also align your payment standards with a model that all providers understand.
• What to look for and watch out for when considering an RBP vendor.  There are a variety of ways they make money and some quite honestly can could cost you more than a traditional carrier network depending on how the RBP vendor charges for the value they create.
• Important elements that an RBP vendor should have to support your employees and also the provider community (payment calculation, balance billing support, care management, triage support, and advocacy (patient and provider).
• The challenges with RBP vs. the challenge of maintaining the status quo.  There will be an education to your workforce and a correlation within the provider community with the payment reference point you set and the quality of your benefits you provide to your employees.

If you would like to learn more about how Payer Compass or other companies we interviewed fit into your corporate benefits program or a review of what else could help your plan improve benefits and save money please reach out to me either on LinkedIn(Michael Andrade) or connect with me on my website, https://solvinghealthcare.net/contact/