Episode 11 – Ryan Day | HST

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Topics

  • Referenced Based Pricing (RBP)
  • Value based payment
  • Healthcare Claims Costs
  • Cost Savings
  • Network Discounts
  • Risk Management
  • Balanced Billing
  • Plan Document

In this episode, Michael introduces you to Ryan Day, President of HST. Join us as we look into HST’s reference-based pricing services and how a bottom-up approach  to provider reimbursement can offer employers more control over their healthcare costs than a traditional insurance network model.

Here’s a glance at what you’ll learn in this episode:

  • An introduction to Ryan Day and his unconventional path into Healthcare
  • What a Buyer’s Beware Market is and the results it has traditionally produced
  • Definition of Reference Based Pricing (RBP)
  • How RBP can eliminate the need for a network of providers
  • Who sets the provider reimbursement levels in an RBP plan and common benchmarks
  • How emergency room visits are a handled vs. pre-certified visits to a facility
  • The risk for balance billing and how HST’s Patient Advocacy Center addresses these situations
  • The average savings that an employer can achieve with an RBP strategy
  • How RBP can impact Stop Loss premiums
  • What medical inflation looks like under an RBP strategy vs. Network and Insured offerings
  • Why the plan document language is critical in an RBP plan
  • HST pricing structure
  • Who reference based pricing is a good fit for
  • Future goals and expectations for HST
  • www.hstechnology.com

About the Host, Michael Menerey

Michael Menerey is a Senior Vice President and Benefits Consultant with one of the largest Employee Benefits Brokerage & Consulting firms in the country. He is a partner in the Employee Benefits Practice and works in the Los Angeles office.

1 Comment

  1. Kirk Conole on 06/13/2017 at 8:51 PM

    Amazing insights!

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