Webinar
PRESENTED BY: NIHCM
More for the Money: Insurance Design Strategies That Drive Value
Time & Location
May
27
09:00 AM - 10:30 AM ET
Online
Event Materials
Reference pricing, tiered provider networks and narrow networks—three benefit design strategies gaining favor among employers and health plans trying to slow cost growth. While these designs aim to encourage value-informed consumer choices, some perceive them as overly restrictive.
This webinar offered practical insights on how these tools can help make universal access to quality health care an affordable goal.
Speakers covered the following topics:
- the use of reference pricing to spur cost-conscious purchasing and provider competition
- research illustrating that copay differences across provider tiers led new patients to choose high performing providers
- takeaways from implementation of tiered networks in Massachusetts, including provider and consumer reactions
- the consumer response to smaller, high-value networks, with insights to inform strategy for public exchange offerings
Presenters
Designing High-Value Consumer-Centric Networks
Sanjay Saxena
The Boston Consulting Group
Insurance Tiered Networks: An Overview from BCBSMA
Dana Gelb Safran
Blue Cross Blue Shield of Massachusetts
How Do Tiered Networks Affect Patient Choices?
Anna Sinaiko
Harvard School of Public Health
Value Purchasing in Orthopedics: Price Transparency, Bundled Pricing, and Reference Pricing
James C. Robinson
University of California, Berkeley
Additional Resources
- Tiered Provider Networks as a Strategy to Improve Health Care Quality and Efficiency - Expert Voices essay by Anna D. Sinaiko, PhD
- Reference Pricing: Stimulating Cost-Conscious Purchasing and Countering Provider Market Power - Expert Voices essay by James C. Robinson, PhD
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