Reference-Based Pricing Toolkit

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12/3/2018

Article: North Carolina Faces Hospital Fight Trying New Tack to Set Health-Care Payments
This Wall Street Journal article provides some incremental detail and feedback on the State of North Carolina's decision to implement reference based pricing for its employee health plan in 2020. The State Treasurer believes that the average reimbursement rates will be around 177% of Medicare rates.

11/14/2018

Recording: Referenced Based Pricing Strategy and Market Overview
Jason Davis and Tim Callender with The Phia Group, provide a market overview and their company's approach to working with clients implementing a reference based pricing strategy.

11/9/2018

Presentation: Refererence-Based Pricing Strategy
Jason Davis and Tim Callender with The Phia Group, provide a market overview and their company's approach to working with clients implementing a reference based pricing strategy.

3/16/2018

Company Brochure: The Phia Group's Services
The Phia Group shares information of Empowering Plans to contain costs through comprehensive consulting, legal, plan design, claim negotiation & recovery services.

3/2/2018

Presentation: New Kid on the Block: A Primer of Full PPO Replacement RBP Plans
The Phia Group and Payor Compass explore the controversial and emerging world of Reference-Based Pricing as a PPO replacement strategy and delves deeply into the risk and benefits of the emerging trend.

3/2/2018

Presentation: Reference-Based Pricing in a Provider-Mindful Market
An overview of MultiPlan's Data iSight solution. A more effective reference-based pricing program, developed with input from providers, Data iSight delivers non-contracted reimbursement that is fair and transparent.

3/2/2018

Presentation: A Provider's Perspective on Reference-Based Pricing
Genesis Health System facilitates a discussion on the implications for providers, the health care delivery economy, and delivery of care that may result from the broader acceptance of RBP as a strategy.

1/26/2018

Agenda Reference Based Pricing Fly-In
During this fly-in participants will take a "roll up our sleeves" approach to understanding the concepts and implementation steps around Reference Based Pricing (RBP).

6/28/2017

Audio: A Primer on Reference Base Pricing
This discussion will be led by Jason Davis, Business and Product Development Consultant, The Phia Group and will cover the fundamentals of reference based pricing (RBP). RBP is a term used by many in our industry to describe any claim pricing methodology grounded in analysis of an objective value and paying some multiple of what value, for medical services rendered.

6/26/2017

Presentation: A Primer on Reference Based Pricing
This discussion will be lead by Jason Davis, Business and Product Development Consultant, The Phia Group and will cover the fundamentals of reference based pricing (RBP). RBP is a term used by many in our industry to describe any claim pricing methodology grounded in analysis of an objective value and paying some multiple of what value, for medical services rendered.