Medicare Reference Pricing: Using Public Payers to Understand Private Cost Growth

Prices – and payments – for healthcare services can vary widely across commercial insurance plans and individual providers, with rates typically determined by private contracts and proprietary processes.

 

Medicare, however, uses publicly available fee schedules and transparent payment mechanisms to determine reimbursement rates, which can serve as a useful benchmark for those looking to curb cost growth.

 

Please join us June 25 for an overview of Medicare reference pricing, including how it's calculated, its limitations and challenges, and the opportunities it may offer to improve outcomes and reduce costs.