Vice President of Account Management

Reference-based Pricing: Is It the Right Move? 4 Considerations

By Robert Townsend | Vice President of Account Management | 4.24.2018

Reference-based Pricing is a Tempting Cost-control Solution, but Do Your Homework Before You Switch

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Did you know there is an alternative to paying State Unemployment Taxes that saves non-profits thousands? Think of it as a $50,000 donor walking through your door! Hear from 3 unemployment insurance experts.

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Town Hall with Dan Kuperstein: Re-wiring the ACA

The last few months have provided a whirlwind of activity around the ACA. Even though the ACA replacement bill failed to go to vote in the House, discussions & debates continue. For now, the ACA remains law, yet it is evolving. Some parts of the ACA will likely be transformed while other parts will likely die.

What will it mean for you? ERISA attorney and Healthcare Reform expert Dan Kuperstein will provide the legal interpretation and street-level guidance you need, including:

What went wrong with the repeal and replace initiative
The leading replacement plan – the AHCA
Compliance with the surviving ACA in 2017, its evolution and challenges
Understanding other recent healthcare-related compliance developments

Workshop: Dollars & Sense of Wellness Programs

Health & wellness expert Gary Cassidy presents a metrics-based wellness workshop demonstrating the tools and strategies that help drive measurable results.

See how wellness can impact your employees’ health and organization’s profitability, despite your funding arrangement.
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Learn why transitioning from participation-based wellness to outcome-based wellness increases measurable returns.
Identify a truly EPIC opportunity to increase employee wellness engagement and participation.

Top 3 Hot Risks of 2017: Workers' Comp, Marijuana & Cyber

Controlling Workers’ Compensation costs, protecting your organization from social engineering and cyber risk, and understanding emerging issues created by the legalization of medical marijuana is challenging for HR & Finance professionals today. Property & Casualty insurance expert James Gow examines:

Untamed Workers’ Compensation
Budding Marijuana Issues
Invasive Cyber Scams

Telemedicine’s Influence on Health & Wellness Benefits

Learn how this fastest-growing provider resource reduces costs and improves participants’ access to healthcare. Session highlights:

Why medical carriers are adding telemedicine to most fully-insured contracts
How telemedicine impacts claims for self-funded plans and how employees can benefit too
How education drives employee participation and understanding of what telemedicine can and cannot do

FMLA Law, Paid Leave & Upcoming Changes
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Unum will present and discuss:

Family and Medical Leave Act (FMLA), including legal considerations for employers & risk of non-compliance
Administrative options & employer challenges with FMLA programs, as well as the link between FMLA and Short-term Disability programs
Potential ROI for administering & managing FMLA with Short-term Disability in a single administrative platform
The value of developing a more structured FMLA administration program
Upcoming 2018 New York Paid Family Leave Law

Lower Healthcare Costs up to 30% with Reference-based Pricing

Historically we’ve asked providers how much they need to perform a service, procedure or treat a medical condition, then we would negotiate a lower rate by promising more patients. But has that approach promoted less personalized service and a need for physicians to increase service volume? Did we trade quality for quantity? In this session, you will:

Understand the current billing system, negotiated discounts and allowed charges
Learn reference (or “metric-based”) pricing by calculating costs from a measurable price, rather than starting with a fictitious cost of service pricing system
Appreciate pitfalls and challenges in referenced-based pricing
Hear how conversations about fair pay to providers is taking place at every level, from government to individual providers

Pharmacy Trends and Strategies to Preserve Affordability

Healthcare cost management expert Cory Easton of HORIZON Health Ventures will guide you in understanding unsustainable pharmacy trends & their key drivers. He will provide alternative market strategies to manage costs and mitigate trends and offer advanced strategies in managing pharmacy benefits today and in the future.

FMLA and ADA: Reducing Absences and Administrative Burden

FMLA continues to be a top concern for HR, while the ADA has been called an “inadvertent leave act.” In this session, leave management expert Mike Garfield walks through complexities of both FMLA and ADA, trends in absences, and solutions for employers wishing to reduce impact to their organization. Attendees will learn:

Top trends in absences related to FMLA and ADA
Key questions to ask when considering outsourcing leave management
How to integrate other support programs to speed employee return to work

SUI Tax Relief for Nonprofits

ALERT: There is an alternative to paying State Unemployment Taxes that saves nonprofits thousands! Think of it as a $50,000 donor walking through your door. Unemployment insurance expert Ron Lucki from UC Assure explains.

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Rx Trend: Leveraging Your PBM to Control Prescription Drug Costs

Healthcare costs continue to push upward. This trend poses a significant financial challenge for employers in 2017 and in the years to come. Bill Resnick, Chairman and CEO, and Kristin Begley, Chief Revenue Officer of Pharmacy Benefits Manager EmpiRx Health, walk employers through the role of the PBM in the design of drug plans that manage spending while providing clinical care commensurate with patient need.

They discuss:

Inflationary factors impacting drug programs
The role of rebates, tradition pricing and pass-through pricing
New drugs entering the market place
Specialty drugs’ impact on escalating cost…and how to manage the trend

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ACA(now) News Alert

Corporate Synergies has seen unsourced news reports that the IRS will impose Employer Mandate penalties within weeks. We will research and validate these reports and provide updates as available.

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