Reference-Based Pricing – Coming to a Health Plan Near You?

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I think you are going to hear more about reference-based pricing. Some history: What stops a provider from charging whatever they want for care? Let’s say a doctor charges $200 to remove a splinter. If the patient were paying, she/he might try to negotiate the charge or get care elsewhere. But they are most often not. The… [Read More]

Strap In for Questions: EOB Can Be More a Complication than an Explanation of Benefits

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Let’s put aside all of the ACA talk for a moment and focus on another challenge facing employee benefits: the complexities in interpreting an Explanation of Benefits (EOB). After all, with so many people anticipated to be covered, it’s crucial to understand the statement that explains how the insurance plan processes the charges. One of… [Read More]