Your Logo Here Price Transparency Your Logo Here

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Your Logo Here Price Transparency Your Logo Here Source: National Association of Health Underwriters

Your Logo Here Price Transparency Your Logo Here Source: National Association of Health Underwriters Education Foundation 1

Price and Quality Transparency ‣ Transparency is important to: ‣ Create educated healthcare consumers

Price and Quality Transparency ‣ Transparency is important to: ‣ Create educated healthcare consumers ‣ Create accountability for price and quality variation among providers ‣ Enable purchasers to judge value Your Logo Here Source: National Association of Health Underwriters Education Foundation 2

Defining Price Transparency The National Association of Health Underwriters defines price transparency as “empowering

Defining Price Transparency The National Association of Health Underwriters defines price transparency as “empowering the healthcare consumer with the cost and quality information necessary to make an educated and informed choice on a particular service, treatment, procedure or appliance before they make a buying decision. ” Your Logo Here Source: National Association of Health Underwriters Education Foundation 3

Employers’ Need for Price Transparency ‣ Employers are asking employees to get engaged, educated

Employers’ Need for Price Transparency ‣ Employers are asking employees to get engaged, educated and empowered ‣ Empowered employees can help drive better quality and efficiency ‣ Unwarranted price variation needs to be exposed to help identify high-value providers. Your Logo Here Source: National Association of Health Underwriters Education Foundation 4

States Are Not Filling the Void… 2015 Report Card on State Price Transparency Laws

States Are Not Filling the Void… 2015 Report Card on State Price Transparency Laws 1 -A 2 -Bs 2 -Cs 45 -Fs Your Logo Here Source: National Association of Health Underwriters Education Foundation 5

Private Price Tools on the Rise ‣ The private sector is stepping up with

Private Price Tools on the Rise ‣ The private sector is stepping up with information about price and in some cases quality. ‣ Health plans ‣ Independe nt Your Logo Here vendors: Castlight Health, Change Healthcar e, Fair Health, gooru, Healthcar e Bluebook, Zest Health Source: National Association of Health Underwriters Education Foundation 6

The Data Sharing “Spat” Many health plans restrict data use by self-funded purchasers ‣

The Data Sharing “Spat” Many health plans restrict data use by self-funded purchasers ‣ Some plans do not allow purchasers to give price data to other third party vendors ‣ ‣ in more sophisticated and proprietary transparency tools worry that providing data to other vendors supports competing products They argue that price information is proprietary and confidential Plans making significant investments Your Logo Here Source: National Association of Health Underwriters Education Foundation 7

Employers Using Price, Quality Information for Reference Pricing Consumers seeking care from providers above

Employers Using Price, Quality Information for Reference Pricing Consumers seeking care from providers above the reference price may be subject to additional out-of-pocket financial liability Price Variation Identical Service $20 K $15 K $10 K $5 K REFERENCE PRICE Consumers seeking care from providers at or below the reference price are typically responsible for normal or no cost-sharing $0 Frequency and Cost of Services Performed Catalyst for Payment Reform Your Logo Here Source: National Association of Health Underwriters Education Foundation 8

What Employers Can Do About It Tips to Encourage Employee Use of Plan Cost

What Employers Can Do About It Tips to Encourage Employee Use of Plan Cost Tools ‣ Incentivize employees ‣ Engage influencers and stakeholders ‣ Email campaign ‣ Use testimonials ‣ Follow up promotion strategy ‣ ‣ Engage spouses and dependents Highlight health plan tools in existing benefits communications ‣ Incorporate tools in new hire onboarding Your Logo Here Source: National Association of Health Underwriters Education Foundation 9