A transparent cost network (TCN)
makes cost information available to members by provider and
procedure along with the members’ resulting cost sharing. Members
are able to compare providers directly to see what they will pay in
advance of the service being performed. In no other area of our economy do consumers receive services where they do not know the cost in advance and are not able to make comparisons to alternative suppliers. As a result, healthcare provider costs have remained immune from the economic forces that could control them. This immunity has contributed to greatly increasing provider costs, a major component in today’s rising healthcare costs. The lack of price information stems from the confidential nature of negotiations between providers and payors. Providers compete with each other trying to get the highest payment from payors, and payors compete with each other trying to set the lowest payments to providers. In hopes of getting the best deal, both providers and payors want their negotiated rates to be kept confidential. Information is kept from the consumer that is necessary to make the best choices and drive an improved market. A transparent cost network is designed to break down this limitation, giving consumers the price information they need to make informed decisions. Payors that can deliver this valuable product offering to consumers will likely gain market share for this lower-cost product. Join Milliman's Will Fox as he discusses the issues, implications and components of a transparent cost network, and the specific approach and steps involved in implementing the network. |
|||
Participants will be able to:
|
|||
Interested attendees would
include:
Attendees would represent organizations including:
|
|||
|
|||
Return to HealthExecWire Archive Menu
|