{
  "author": {
    "name": "Craig Gottwals",
    "webUrl": "/author/profile/craig-gottwals/",
    "description": "",
    "imageLarge": "https://secure.gravatar.com/avatar/f16d6fc2845f417ea0e93a3f2b6cd37d?s=136&d=mm&r=g",
    "estimate": 8,
    "social": [],
    "articles": [
      {
        "uri": "/2024/04/12/health-care-pricing-on-trial-the-case-for-reference-based-pricing/",
        "title": "Health care pricing on trial: The case for reference-based pricing",
        "byline": "Craig Gottwals",
        "kicker": "",
        "prettyDate": "April 12, 2024",
        "timeToRead": "1 minute",
        "image": {
          "uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2024/04/AdobeStock_454190209.jpg",
          "width": "620",
          "height": "372"
        },
        "authors": [
          {
            "webUrl": "/author/profile/craig-gottwals/",
            "name": "Craig Gottwals"
          }
        ],
        "kickerNode": [],
        "summary": "In this episode, we explore the reference-based pricing legal landscape with attorney Amy Pellegrin.",
        "body": null
      },
      {
        "uri": "/2023/09/21/navigating-the-wild-west-of-rbp/",
        "title": "Navigating the Wild West of RBP",
        "byline": "Craig Gottwals",
        "kicker": "",
        "prettyDate": "September 21, 2023",
        "timeToRead": "2 minute",
        "image": {
          "uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2023/09/AdobeStock_6441954.jpg",
          "width": "474",
          "height": "372"
        },
        "authors": [
          {
            "webUrl": "/author/profile/craig-gottwals/",
            "name": "Craig Gottwals"
          }
        ],
        "kickerNode": [],
        "summary": "Ever imagine healthcare could feel like the Wild West?  Welcome to the untamed lands of reference-based pricing (RBP), the sizzling frontier where a…",
        "body": null
      },
      {
        "uri": "/2023/07/25/reference-based-pricing10-keys-for-successful-implementation/",
        "title": "Reference-based pricing: 10 keys for successful implementation",
        "byline": "Craig Gottwals",
        "kicker": "",
        "prettyDate": "July 25, 2023",
        "timeToRead": "12 minute",
        "image": {
          "uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2023/07/AdobeStock_280708911.jpg",
          "width": "620",
          "height": "372"
        },
        "authors": [
          {
            "webUrl": "/author/profile/craig-gottwals/",
            "name": "Craig Gottwals"
          }
        ],
        "kickerNode": [],
        "summary": "Here is what I'm calling my 10 commandments of any reference-based pricing plan. Every one of these is important, however, they are ranked from 10 to one, with one being the most important element.",
        "body": null
      },
      {
        "uri": "/2023/06/15/unmasking-the-health-care-fraud-epidemic-3-steps-to-a-revolution/",
        "title": "Unmasking the health care fraud epidemic: 3 steps to a revolution",
        "byline": "Craig Gottwals",
        "kicker": "",
        "prettyDate": "June 15, 2023",
        "timeToRead": "7 minute",
        "image": {
          "uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2023/06/AdobeStock_72753564.jpg",
          "width": "620",
          "height": "372"
        },
        "authors": [
          {
            "webUrl": "/author/profile/craig-gottwals/",
            "name": "Craig Gottwals"
          }
        ],
        "kickerNode": [],
        "summary": "Expert estimates suggest that up to a tenth of all health care spending might be swallowed by fraudulent operations. The insurance industry insists it's vigilantly safeguarding these funds, but the unnerving reality reveals a different story.",
        "body": null
      },
      {
        "uri": "/2023/04/19/weaponizing-hipaa-privacy/",
        "title": "Weaponizing HIPAA privacy",
        "byline": "Craig Gottwals",
        "kicker": "Commentary",
        "prettyDate": "April 19, 2023",
        "timeToRead": "12 minute",
        "image": {
          "uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2023/04/HIPPA-Regulation-Article-202304191601.jpg",
          "width": "620",
          "height": "372"
        },
        "authors": [
          {
            "webUrl": "/author/profile/craig-gottwals/",
            "name": "Craig Gottwals"
          }
        ],
        "kickerNode": [
          {
            "uri": "/commentary/",
            "sectionName": "Commentary"
          }
        ],
        "summary": "How health insurers hide behind HIPAA in sharing any meaningful claims data with you about your employees while farming every imaginable fact about all plan members.",
        "body": null
      },
      {
        "uri": "/2023/04/11/the-fiduciary-imperative-of-reference-based-pricing-a-legal-and-financial-analysis/",
        "title": "The fiduciary imperative of reference-based pricing: A legal and financial analysis",
        "byline": "Craig Gottwals",
        "kicker": "",
        "prettyDate": "April 11, 2023",
        "timeToRead": "10 minute",
        "image": {
          "uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2023/04/AdobeStock_468062646.jpg",
          "width": "750",
          "height": "500"
        },
        "authors": [
          {
            "webUrl": "/author/profile/craig-gottwals/",
            "name": "Craig Gottwals"
          }
        ],
        "kickerNode": [],
        "summary": "The article argues that, given the federal government's endorsement of RBP and its proven efficacy in reducing employer costs and expanding participant options, it is now virtually impossible for a plan fiduciary to lawfully discharge their duties in accordance with ERISA without at least considering the implementation of RBP.",
        "body": null
      },
      {
        "uri": "/2020/04/06/america-will-dramatically-change-the-way-it-provides-health-care-by-2030-412-96023/",
        "title": "America will dramatically change the way it provides health care by 2030",
        "byline": "Craig Gottwals",
        "kicker": "Expert Opinion",
        "prettyDate": "April 06, 2020",
        "timeToRead": "14 minute",
        "image": {
          "uri": "https://images.benefitspro.com/contrib/content/uploads/sites/412/2019/01/HCReforM.jpg",
          "width": "600",
          "height": "400"
        },
        "authors": [
          {
            "webUrl": "/author/profile/craig-gottwals/",
            "name": "Craig Gottwals"
          }
        ],
        "kickerNode": [
          {
            "uri": "/expert-opinion/",
            "sectionName": "Expert Opinion"
          }
        ],
        "summary": "A benefits specialist looks ahead and sees... something for all. Not Medicare.",
        "body": null
      },
      {
        "uri": "/2014/08/07/fools-gold-and-covered-california/",
        "title": "Fool's gold and Covered California",
        "byline": "Craig Gottwals",
        "kicker": "",
        "prettyDate": "August 07, 2014",
        "timeToRead": "6 minute",
        "image": {
          "uri": "",
          "width": "",
          "height": ""
        },
        "authors": [
          {
            "webUrl": "/author/profile/craig-gottwals/",
            "name": "Craig Gottwals"
          }
        ],
        "kickerNode": [],
        "summary": "Is that good rate news for real? The author says it's not what it seems.",
        "body": null
      }
    ]
  }
}