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Just 16 months after its launch, FAIR Health, Inc. is releasing new medical and dental benchmarks that will help health insurers and employers determine usual, customary and reasonable (UCR) rates for out-of-network providers. The company has maintained that its processes will bring needed transparency and integrity to the databases — but questions remain about what will be different. Some health insurers, as well as self-insured employers, have already moved on and come up with alternatives for determining rates for out-of-network providers. But these alternatives come with their own set of risks as well.

Get answers directly from FAIR Health to such questions and find out what option will work best for your organization as the revolution in UCR rate-setting unfolds.

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• How can insurers strike the proper balance between premium rates and appropriate reimbursements for out-of-network providers?
  
• What are the pros and cons of basing provider rates on a multiple of Medicare fees? What are the financial and legal implications for these and other options?
  
• How will detailed consumer pricing information about out-of-network costs encourage members to stay in network?
  
• What will FAIR Health do to differentiate among provider specialties, or between a doctor and a nurse, which were criticisms of Ingenix data?
  
• How will FAIR Health's new database differ from Ingenix's databases? What's new? What will remain the same?
  
• What are the chances that FAIR Health will become the industry standard? What must take place for this to happen?