Ep 17 - A Reference-Based Pricing Model Delivers Benefits Now and into the Future

Previously, on the Future Healthcare Today Podcast, we heard from Mary Piecuch, Senior Vice President of Product Strategy, and Erick Russell, Director of Network Operations, both at Zelis, about the basics of a reference-based pricing model and what payers, providers, and members need to know to make the most of the solutions and how it can to beneift the patient experience.

However, when the conversation turned to the benefits that come from embracing RBP, the conversation lasted far longer than we expected. As such, we decided to reconvene later with our subject-matter experts to dive deeper into the myriad benefits that come from properly using a reference-based pricing model.

Ranging from cost-conscious decision-making ability to the freedom to treat patients without fear of a long or arduous payment process, there are many ways that payers, providers, and members all benefit under an RBP model. Benefits can be realized as soon as the model is embraced, but both Mary and Erick expressed that there was something else that was more exciting to them.

Beyond just the benefits in the immediate term, Mary and Erick shared some of their thoughts on the future of RBP models, and how Zelis’ recent acquisition of Payer Compass will impact the future of reference-based pricing.

There is good reason to expect continued investment and innovation around the model, but what does that mean for those interested?