Restoring Competition to the Self-funded Market

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Monday, August 23, 2010 10:56:00 AM Categories: Prior Presentations

Nationwide, the self-funded, group health market has become dominated by high cost administrators who justify their high costs with assertions of larger “provider discounts.” Competition in this market relies on meaningless and misleading criteria. Provider discounts are meaningless. Administrative fees are misleading.

This webinar presents a way to re-focus competitive comparisons and give self-funded plans an alternative to the status quo. After a quick review of what is wrong with the status quo, Health Decisions presents its recommended “one-two punch” to re-orient competition in the self-funded market:

  1. Benchmark Payments to Medicare using the Provider Payment Index (PPI)
  2. Establish an Administrative Performance Contract (APC.

To download the slides from the presentation, click here.

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