Reference-Based Pricing: How to Drive Employer Healthcare Costs Down
ON DEMAND
This webcast is now available on demand.To view the webcast, register here.
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With healthcare costs expected to increase 7 to 8% in 2026, employers are demanding more transparency and effective alternatives to traditional health plans. Reference-based pricing (RBP) has emerged as a powerful cost containment strategy, but its growing popularity brings complexity. How can brokers confidently guide clients through this model, ensuring member satisfaction, network access, and financial clarity?
Join us for a timely conversation to discover how to navigate a successful RBP implementation with a focus on member experience, provider negotiations, and data transparency. We'll shed light on the real-world obstacles brokers face, from surprise balance billing to provider pushback, and share how leading organizations are overcoming them.
You will learn how to:
- Evaluate and select the right RBP partner by identifying the most critical capabilities for success
- Overcome common challenges like balance billing, member education gaps, and provider resistance
- Position RBP as a strategic lever for significant cost savings and improved client satisfaction
Whether you're new to RBP or looking to refine your expertise, this is your opportunity to bring your questions, insights, and curiosity to an honest dialogue about the future of smarter health plan design.
Speakers:
Holly oversees the national client services team and develops strategic initiatives for current and prospective clients across the country. While overseeing the implementation of new business in the national market, Holly develops and strengthens relationships with existing clients and brokers to ensure a seamless, satisfying consumer experience.
At Claritev, Jeff Caldwell currently oversees sales for the broker, consultant, employer, PEO, union, and supplemental health markets. He is responsible for market leadership, driving revenue growth and segment expansion. He also ensures strategies are aligned with customer needs and market trends along with building customer relationships and exploring new business opportunities.
His experience in sales and marketing with a strong background in leadership has led to roles across various organizations including General Motors and Transamerica over the past 25 years.
Michael Share is the Regional Vice President for Claritev's Central Region. He has more than 30 years' experience in the employee benefits industry. Prior to joining Claritev, Mike was a trusted employee benefits advisor for 17-years specializing in innovative solutions for self-funded health plans. Prior to that he was the sales leader for United Healthcare (Indiana), Aetna (Central Florida) and Humana (Southwest Ohio). Mike earned his MBA in finance from Duke University, and is a Registered Health Underwriter, Certified Wellness Specialist, and a Freedom from Smoking Certified Facilitator. Mike has been a featured speaker throughout his career on healthcare consumerism, employee engagement and financial wellness. He has served on multiple boards including the Leukemia & Lymphoma Society (Indiana) and the March of Dimes (Central Florida).
Questions? Please email: [email protected]