The Hidden Reason Most Reference-Based Pricing Plans Fail
You’ve heard the promise of reference-based pricing. Pay a fair multiplier of Medicare rates instead of whatever inflated charge a hospital throws at you....

HR & Benefits Leaders
1,626 posts
You’ve heard the promise of reference-based pricing. Pay a fair multiplier of Medicare rates instead of whatever inflated charge a hospital throws at you....
Every time an employee fills a prescription or visits a doctor, it creates a tiny data point. For companies that self-insure, those points stack up...
The cost of offering health insurance to part-time employees varies widely based on your organization’s size, industry, and plan design, but it can range...
The employer mandate penalty, often referred to as the "pay or play" penalty under the Affordable Care Act (ACA), is a financial consequence imposed on...
For years, the conversation around Accountable Care Organizations (ACOs) has been stuck in a loop: doctors, hospitals, regulators, and insurers. Employers?...
Every benefits leader I meet tells me the same thing: “Our wellness program is fully compliant. HIPAA covers the data, and we only see aggregated reports....
The short answer is yes, on-site clinics can significantly reduce employer healthcare costs , but the extent of savings depends on the program's design,...
Employer healthcare costs have become a critical factor in shaping hiring strategies, often acting as both a constraint and a driver of workforce planning....
Employer healthcare costs vary significantly by state, driven by a complex mix of local market dynamics, state regulations, demographics, and provider...
You’ve poured money into a top-notch diabetes coaching platform. Your hypertension program has glowing clinical reviews. Yet your HbA1c numbers aren’t...
30-minute call • Personalized Pension & Store projections
• No disruption to your current plan