Author: Doug Farquhar

The use of reference-based pricing (RBP) to pay for the health care services has been growing over the last decade. This article discusses how RBP approaches have changed and improved over time, helping plan sponsors negotiate better prices for health care services. The term reference-based pricing...

(The Pilot) - State Treasurer Dale R. Folwell announced the State Health Plan will launch a new medical reimbursement strategy for North Carolina providers that care for plan members. This effort is part of a longer term strategy to take advantage of the plan’s “largeness”...

Physicians, hospitals and medical labs are grappling with the rise in high-deductible insurance. (Bloomberg) — Doctors, hospitals and medical labs used to be concerned about patients who didn’t have insurance not paying their bills. Now they’re scrambling to get paid by the ones who do have...

(Becker's Hospital Review) - Overall health care prices in Anchorage, Alaska and San Jose, Calif., are 65 percent above the national average, according to the Health Care Cost Institute. HCCI's Healthy Market Index considered more than 1.78 billion commercial claims and compared the average price paid...

A study found insurers often pay different prices for the same procedure at the same hospital. (Vox) - We’ve known for decades now that there is widespread variation in what different hospitals charge for the same medical procedures. Study after study confirms this finding (one of...

(Modern Healthcare) California hospitals are on edge over a bill dropped late Monday that would mandate regulated rate-setting for providers. The measure would use Medicare rates as the benchmark to calculate commercial insurer payments, and would cost state hospitals $18 billion in the first year...

In 2016, Adventist Health began delivering healthcare services to Whole Foods' employees in Southern California. The partnership, in which Whole Foods bypassed insurance companies and negotiated directly for services from Roseville, Calif.-based Adventist, gave the organic supermarket chain access to a tailor-made health plan that...