Category: Reference Based Pricing
Webinar Replay: Surpassing Mere Compliance – Including Reference Based Pricing
Watch a replay of the first webinar in Humaculture, Inc.’s Hidden Opportunities, Strategic Compliance Series, which focuses on Surpassing Mere Compliance and includes an example of using Reference Based Pricing.
Presenters
- Steve Cyboran, ASA, MAAA, FCA, CEBS, actuary and strategy consultant
- Wes Rogers, Humaculturist® and strategy consultant
- Jack Towarnicky, LLM, JD, MBA, CEBS, strategy and compliance consultant
Objectives
Beyond basic compliance, this series addresses how to strategically leverage the No Surprises Act to create a competitive financial advantage for both the plan sponsor and plan participants. This session focuses on Surpassing Mere Compliance and includes Reference Based Pricing as an example of a strategic response to avoid compliance with many aspects of the No Surprises Act.
Surpassing Mere Compliance Takeaways
During this session, participants will learn:
- The No Surprises Act doesn’t eliminate all “surprises”
- The No Surprises Act is likely to be inflationary
- Mere compliance won’t reign in costs, will increase administration, and may increase litigation risk
- Using Reference Based Pricing as one example of strategic actions you can take to:
- Avoid what can be avoided
- Use tax preferences to finance what can’t/shouldn’t be avoided
- Communicate all negatives as the result of compliance
- Inform/educate consumers (before they become patients)
Available Support
We are available to support you in your strategy, design, compliance, financial, and monitoring needs. To that end, our team of consultants, including actuaries, clinicians, behavioral health, pharmacy, and legal resources are available to guide you through the compliance process. Please contact us.
Watch
Watch the Hidden Opportunities: Surpassing Mere Compliance – Including Reference Based Pricing Webinar Replay below, or via Rumble.
Hidden Opportunities, A Strategic Compliance Series: Surpassing Mere Compliance – Including Reference Based Pricing
This webinar can now be accessed from Here.
Join us on Thursday, January 20 from 12:00 to 12:30 CST for the first webinar in Humaculture, Inc.’s Hidden Opportunities, Strategic Compliance Series, which will focus on Surpassing Mere Compliance and include an example of using Reference Based Pricing.
Presenters
- Steve Cyboran, ASA, MAAA, FCA, CEBS, actuary and strategy consultant
- Wes Rogers, Humaculturist® and strategy consultant
- Jack Towarnicky, LLM, JD, MBA, CEBS, strategy and compliance consultant
Objective
Beyond basic compliance, this series will address how to strategically leverage the No Surprises Act to create a competitive financial advantage for both the plan sponsor and plan participants. In this session we will include a focus on Surpassing Mere Compliance and include Reference Based Pricing as an example of a strategic response to avoid compliance with many aspects of the No Surprises Act.
Surpassing Mere Compliance Takeaways
During this session, participants will learn:
- The No Surprises Act doesn’t eliminate all “surprises”
- The No Surprises Act is likely to be inflationary
- Mere compliance won’t reign in costs, will increase administration, and may increase litigation risk
- Using Reference Based Pricing as one example of strategic actions you can take to:
- Avoid what can be avoided
- Use tax preferences to finance what can’t/shouldn’t be avoided
- Communicate all negatives as the result of compliance
- Inform/educate consumers (before they become patients)
Hidden Opportunities, A Strategic Compliance Series
Please join us on the third Thursday of the month over the next five months for our upcoming strategic compliance series. This series will focus on harnessing Hidden Opportunities in the No Surprises Act and Transparency in Coverage regulations.
In this webinar series we explore ways organizations can go beyond basic compliance and improve their “organizational soil” through a strategic response to the No Surprises Act and the Transparency in Coverage regulations. Our goal is to help organizations create a competitive advantage. Does it make sense to expend limited resources to merely comply with the law and regulations, or is there a way to strategically “design the compliance away” while strategically differentiating the employee value proposition?
For example, a knowledgeable horticulturist may use the high temperatures of the summer season, which are a normal part of the environment just as law and regulation are a normal part of the business environment, to solarize the soil. This is a low cost and simple process of spreading a plastic sheet over an area of soil to trap and intensify the sun’s energy. It is a process that works well to destroy weed seeds and pathogens. Similarly, a knowledgeable Humaculturist® can employ techniques to leverage laws and regulations to strategically improve the organization. This webinar series seeks to identify some of these techniques.
The topics for the upcoming series will include:
| Hidden Opportunities: No Surprises Act | |
| January 20, 2022 12:00-12:30 CST | Surpassing Mere Compliance – Including Reference Based Pricing |
| February 17, 2022 12:00-12:30 CST | Preserving the Harvest…Leveraging HSAs |
| Hidden Opportunities: Transparency | |
| March 17, 2022 12:00-12:30 CST | A “Dope” Response to Pharmacy Transparency |
| April 21, 2022 12:00-12:30 CST | Mental Health Parity…A Lucid Approach |
| May 19, 2022 12:00-12:30 CST | Pest Management, Minimizing Plan Losses through Fee Disclosure |
To view a video on the Humaculture, Inc. Compliance Toolkit that can help support your basic compliance efforts, click here.
Available Support
We are available to support you in your strategy, design, compliance, financial, and monitoring needs. To that end, our team of consultants, including actuaries, clinicians, behavioral health, pharmacy, and legal resources are available to guide you through the compliance process. Please contact us.
