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Provider Reference Pricing: Components, Examples and Implications 
 
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Overview
Healthcare pricing often varies widely, even for identical services within a limited geographic area, with no correlation to quality. Seemingly illogical pricing inconsistencies, together with the opacity of pricing and quality data - where reliable data exist at all, have historically been a barrier to price competition in the provider sector.

Reference pricing, long used in Europe to manage prescription drug costs, may offer a way to standardize costs and empower consumers to make more-informed healthcare choices. Under reference pricing, a payer caps the amount it will pay for a given procedure. Patients who choose a provider that stays within that cap are responsible only for their customer cost-sharing requirements set forth by their plan. Those who go with a more expensive provider will also owe the difference between the reference price as determined by the payer and the amount charged. That difference is not counted toward their annual out-of-pocket maximums.

Reference pricing models lend themselves most readily to commodity health care services, which account for one-third of total health care spending. These are routine non-urgent procedures where quality is more likely to be uniform, and the risk of complications negligible. While elements of reference pricing currently exist in the United States, significant potential remains for more robust deployment of the model.

Please join us in this special HealthcareWebSummit 30-minute edition with Kurt Salmon's Leslie Marshburn, on Thursday, September 24th, 2015 at 1PM Eastern, as she discusses components and implications of reference pricing, current use of reference pricing in the U.S., and how reference pricing can be structured on a more widespread basis.
 
Learning Objectives
In this special 30-minute edition, participants will be able to:
  1. Overview the components and structures of reference pricing models.
  2. Identify the five criteria for commodity, "shoppable" healthcare services best suited for reference pricing.
  3. Examine case examples of reference pricing models deployed in the marketplace, and studies related to reference pricing.
  4. Consider the implications of reference pricing for stakeholders, and on price competition in the marketplace.
  5. Engage in interactive learning through online question submission, attendee feedback and opportunity for follow-up questions, and networking with attendees, faculty and other professionals through a dedicated LinkedIn group.
Who Should Attend

Interested attendees would include:

  • C-Suite Executives
  • Strategy and Planning Executives and Staff
  • Actuarial Executives and Staff
  • Health Reform and Transformation Executives and Staff
  • Business Intelligence and Research Analysts
  • Managed Care and Revenue Cycle Executives and Staff
  • Provider Contracting Executives and Staff
  • Finance Executives and Staff
  • Legal, Regulatory and Policy Executives and Staff

Attendees would represent organizations including:

  • Health Plans 
  • Hospitals and Health Systems
  • Medical Groups
  • Other Providers
  • Provider Networks
  • Accountable Care Organizations
  • Third Party Administrators
  • Benefit Consultants
  • Health Insurance Exchanges
  • Government Agencies
  • Employers
  • Business Process Organizations 
  • Solutions Providers 
  • Associations, Institutes and Research Organizations 
  • Media
  • Other Interested Parties


Registration
Provider Reference Pricing: Components, Examples and Implications 
 
  Individual Registration Fee - Special 30 Minute Edition Pricing: $95. Post-event materials with video syncing slides and recorded audio, plus presentation pdf file: $45 for attendees; $160 for non-attendees after the event. Register online or download the event brochure.
 
 
 
Register Now   Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!
 
 
Faculty
Leslie Marshburn

Leslie Marshburn
Senior Manager, Health Care Group
Kurt Salmon
 

Leslie Marshburn is a senior manager in Kurt Salmonís Health Care Group and has almost 10 years of consulting experience with health care organizations. She joined Kurt Salmon upon graduating from Emory University with an MBA focused in healthcare strategy and finance and a masterís in public health (MPH) in health policy and management.

In her time at Kurt Salmon, Leslie has specialized in creating solutions for academic and community clients in the ambulatory arena, organizational structure and alignment, and service line planning with a specific expertise in behavioral health services.

Most recently she has led engagements with UCSF Health, Barnabas Health and several entities within the University of Maryland Medical System.

 
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