Webinar: Provider Reference Pricing

Transcription

1 Webinar: Provider Reference Pricing a HealthcareWebSummit Event, 1PM Eastern, Thursday, September 24th, 2015 Individual Registration Fee: $95. Post-Event Materials: $45 for attendees; $160 for non-attendees after the event. Corporate Site licensing also available (see inside for details) Use the form on the back page to fax or mail your registration or call Online: To register or get detailed information on the web, go to:

2 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-ofpocket 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. 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.

3 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

4 Leslie Marshburn is a senior manager in Kurt Salmon s 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 master s in public health (MPH) in health policy and management. Leslie Marshburn Senior Manager, Health Care Group Kurt Salmon 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.

5 Corporate Pricing, Terms and Conditions Individual vs. Corporate Site License Pricing Individual registrations cover a single phone line. Multiple persons may listen via speaker phone for the individual registration fee. Each individual receives a unique dial-in ID that is not re-useable. Corporate pricing is available when registrations are desired for more than one phone line. Corporate Site License Attendee Registrations Organizations individually register all participants for web access and delivery unless arranged otherwise with MCOL, but corporate pricing will apply based on the number of employees registered Eligibility Corporate pricing is only available to single organizations, or parent organizations and their affiliates. Professional Associations or other groups of separate organizations may not combine for corporate pricing. Pricing Schedule Events priced at $95 individually: Site License pricing for one of any $95 individual events is based upon the number of covered connections, according to the following table Price Schedule Equivalent Price per employee and total savings compared to individual $95.00 price*: CoveredConnections Total Price Under 10 $ $ $1, $3, $4, Call for quote CoveredConnections Price perconnection Total Savings Under 10 $58.00 $ $35.00 $1, $27.64 $3, $24.40 $8, $19.44 $16, * based upon the midpoint of employees in each range