When: Tuesday, October 1, from 1-3 p.m. ET
Where: Virtual Zoom Meeting – Access to the live training will be provided a few days prior to the event.
The cost of the Live Virtual Reference-Based Pricing Course is $154 for NABIP members and $200 for non-members.
Description: Reference-based pricing (RBP) is a cost-containment strategy used in healthcare and insurance to determine reimbursement rates for medical services and procedures. Instead of using traditional fee schedules or negotiated rates with healthcare providers, RBP sets reimbursement rates based on a reference point, often a benchmark or a percentile of what providers charge for a particular service. The RBP approach is typically employed when there is limited or no existing agreement between the payer (e.g., an insurance company) and healthcare providers. Based on the measurable plan savings generated by RBP, the marketplace has seen a dramatic rise in popularity, with RBP now being considered by 20% of self-funded employers, up from 6% in 2016. Tom Wittick and Woody Waters will walk you through the basics of the RBP mechanism and the details accompanying this platform as more plan sponsors see it as their fiduciary obligation to explore this model.
Learning Objectives:
- Define RBP
- Fundamental Tenants of RBP
- Varying Degrees of RBP
- Pre-sale: Understanding Buyer/Broker
- Disputes that may Arise
- RBP Service Platform Essentials
- Calculating Total Cost to the Plan
- Prospect Profile and Client Case Studies
Continuing Education Credits: The Live Virtual Reference-Based Pricing course has been filed for continuing education credits in all 50 states. Please check your state’s CE approval status and rules prior to purchasing the course.
Presenters: Tom Wittick, senior vice president of growth at Imagine360, and Woody Waters, co-founder of Imagine360