Healthcare's Final Frontier: Navigating the Wild West of RBP with Industry Renegades Omar Arif of ClaimDOC & Scott Schnaidt of HST
Ever imagine healthcare could feel like the Wild West?? Welcome to the untamed lands of Reference-Based Pricing (RBP), the sizzling frontier where a select few employers unleash radical savings while giving the traditional PPO system a stiff arm.
Unveil a world where only 3-4% of employers dare to tread, but where jaw-dropping 30-40% savings rain like gold and concierge-level service is the sheriff in town.
Curious about RBP's magic? This isn't just healthcare. It's "Health-FAIR!" Here, employers "price-match" medical costs against benchmark prices, slicing their claims in half compared to big insurers.?
Projections say employer healthcare costs will shoot up another 7-9% in 2024. Yet Medicare Part D Premiums are projected to?decrease?by 1.8%. ?All major insurers participate in both markets.? The lesson? ?Employers with private insurance are subsidizing Medicare.? But hold your horses. With RBP, brace yourself for a 0-2% trend that turns the tables on traditional care.
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Jump into this roller-coaster ride of a podcast with your guide through this maze, joined by two titans of the trade—Omar Arif of ClaimDOC & Scott Schnaidt of HST. ?They've both cracked the code, each in their unique ways, and the results? Nothing short of spellbinding.
?? What's on Tap:
And just when you think it couldn’t get any cooler—did one of these guys actually play pro baseball in a global tourney, while the other rocked the stage with NIRVANA? ???
Lock in your earbuds. Prepare for a mind-bending journey. You’re entering "The Repricers"—Healthcare’s Final Frontier! ????
Project Assistant and Business Development at Superior BioDiagnostics
1 年Has anyone here ever dealt with a company named Data iSight? They reprice out of network claims (Aetna is my insurance.). The reprice the claim to 40% LESS - and then stick the remainder on the provider to lower their fee's or for the patient to pay the balance. Absolutely criminal the way they claim to reprice a providers fee's and they try strong arm them into lowering. The patient is ultimately left with a the 40% saved for Aetna as their bill.
Driving Revenue Growth. Experience working directly with high level decision makers including CEOs, C-Suite Executives, VPs, VC/PE Investors.
1 年This is great, Scott Schnaidt ! ????
SVP of Growth @ ClaimDOC
1 年Thanks for having me on Craig Gottwals. Sorry I could only bring my B- game since you chose to record on a Sunday right before the Cowboys game. Thanks for being a good sport Scott Schnaidt. Nothing wrong with some friendly competition. Keeps us all honest!
I do the shopping for you to find the best programs for your auto, home and life insurance needs! I am licensed in CA, HI, OR, TX, TN, ID, NV, AZ and PA
1 年Well written and eye opening on the current market conditions!
Employee Benefit Sales Specialist in Small Group, Mid-Market, National Accounts — Team Leadership - Market Trends & Competitive Analysis in the insurance industry — C-Suite Engagement — Relationship & Channel Management
1 年Wow!