It’s no secret that employers, brokers, consultants, TPA’s and health plans are all considering various reference-based or Medicare-based pricing strategies in their plan designs. Whether considering a total PPO replacement, a narrow network strategy complemented with Medicare pricing wrapped around it, replacing your traditional out-of-network strategy (supplemental PPO aggregators and fee negotiation firms) with a Medicare pricing approach, or eliminating certain high cost providers from the network, all of these strategies require you to answer this simple question – “What am I paying as compared to a factor of Medicare reimbursement?”. blog.deerwalk.com/finally…..-medicare-reference-pricing-embedded-in-my-population-health-analytics-application


It’s no secret that employers, brokers, consultants, TPA’s and health plans are all considering various reference-based or Medicare-based pricing strategies in their plan designs. Whether considering a total PPO replacement, a narrow network strategy complemented with Medicare pricing wrapped around it, replacing your traditional out-of-network strategy (supplemental PPO aggregators and fee negotiation firms) with a Medicare pricing approach, or eliminating certain high cost providers from the network, all of these strategies require you to answer this simple question – “What am I paying as compared to a factor of Medicare reimbursement?”. blog.deerwalk.com/finally…..-medicare-reference-pricing-embedded-in-my-population-health-analytics-application

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