Topics

• Referenced Based Pricing (RBP)
• Value based payment
• Healthcare Claims Costs
• Cost Savings
• Network Discounts
• Risk Management
• Balanced Billing
• Plan Document

In this episode, Michael introduces you to Ryan Day, President of HST. Join us as we look into HST’s reference-based pricing services and how a bottom-up approach  to provider reimbursement can offer employers more control over their healthcare costs than a traditional insurance network model.

Here’s a glance at what you’ll learn in this episode:

• An introduction to Ryan Day and his unconventional path into Healthcare
• What a Buyer’s Beware Market is and the results it has traditionally produced
• Definition of Reference Based Pricing (RBP)
• How RBP can eliminate the need for a network of providers
• Who sets the provider reimbursement levels in an RBP plan and common benchmarks
• How emergency room visits are a handled vs. pre-certified visits to a facility
• The risk for balance billing and how HST’s Patient Advocacy Center addresses these situations
• The average savings that an employer can achieve with an RBP strategy
• How RBP can impact Stop Loss premiums
• What medical inflation looks like under an RBP strategy vs. Network and Insured offerings
• Why the plan document language is critical in an RBP plan
• HST pricing structure
• Who reference based pricing is a good fit for
• Future goals and expectations for HST
• www.hstechnology.com