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April 29 Eastern

Anchoring to Medicare: Can Reference Pricing Turn the Rising Tide of Health Care Costs?

Thursday, April 29 from 2pm-3:30pm EDT/ 11am-12:30pm PDT

According to the Health Care Cost Institute, approximately 75% of the increase in per-person spending in the U.S. is explained by growth in prices for health care services, as opposed to increased utilization. Reference-based pricing presents a new opportunity for purchasers to attack health care cost inflation at its root.

Under a reference-based pricing (RBP) model, a vendor sets a maximum price it will pay to providers for individual health care services, which is usually expressed as a percentage of Medicare rates.  If a provider refuses to accept this price and/or bills the patient, the RBP vendor will negotiate payment on the patient’s behalf.  Purchasers have historically been skeptical of RBP – why would providers accept lower rates from vendors than from health plans?  Is this just an invitation for a deluge of balance billing?  CPR dug deep into these issues to understand the risks, rewards and feasibility of RBP models. We’re excited to share our findings with you!

During this Virtual Summit, CPR will provide an overview of reference-pricing: how/why it works, how the model evolved, and where it’s going next. You’ll hear experts discuss the risks, rewards, and regulatory implications of RBP. We will also host a panel of real-world purchasers who have implemented an RBP strategy, who will talk about why they chose reference-based pricing, how it’s impacted their health spending, and lessons learned along the way.

 

Reference Based Pricing Virtual Summit Agenda

RBP Purchaser Panel

Sponsors

Thank you to our current sponsors:

Payer Compass HST

SHRM

CPR is recognized by SHRM to offer Professional Development Credits (PDCs) for the SHRM-CP® or SHRM-SCP®. The live event qualifies for 1.5 PDCs.

Tickets

Please purchase a ticket according to the appropriate tier below. CPR will be monitoring both the ticket sales and Webex registrations to validate that tickets have been purchased at the appropriate tier based on your role and organization.

Please contact us for a bulk discount on orders of 5 or more tickets.

This Virtual Summit will be recorded and distributed to all ticket holders, regardless of whether you attend. After the event, the recording will be available for purchase.

 


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Tickets

The numbers below include tickets for this event already in your cart. Clicking "Get Tickets" will allow you to edit any existing attendee information as well as change ticket quantities.
Commercial
This full price ticket is for companies not listed below such as health plans, TPAs, providers, consultants, brokers, vendors, and Rx organizations.
$ 150.00
Unlimited
Research and Government
This ticket is for researchers, policymakers, and public employees.
$ 75.00
Unlimited
CPR Members, HR/Benefits Staff, Students, and Media
This ticket is for CPR Member organizations, HR/Benefits staff who purchase health care on behalf of their population, staff at health care purchaser coalitions, students with a valid .edu address, and accredited media. Subject to verification.
$ 0.00
Unlimited

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