Business Breakfast Series: Hospital Pricing - Establishing A Fair Market Price

April 03, 2018
7:30 AM - 9:00 AM
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5371 E. Lowry Blvd. - Mile High Conference Room
Denver, CO 80230
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Hospital Pricing:  Establishing a Fair Market Price

Despite the fact that US health care is largely employer funded, employers (as purchasers) currently have no way to establish a “fair market price” for most of health care.  Pricing is simultaneously opaque and wildly variant.  Consequently, employers cannot buy health care with the same due diligence that they apply to other goods and services.  Attendees will learn:

  • How commercial (e.g. employer) payments to Colorado hospitals for in-patient and out-patient services compare with Medicare.
  • Why Medicare can serve as an empirically based benchmark for negotiating fair market prices.
  • How total costs and unit prices vary (widely) regionally across the state.
  • Other beneficial uses of the data from the Colorado All Payer Claims Database (CO APCD). 

Robert J. Smith, Executive Director, CBGH

Bob has worked at the Colorado Business Group on Health since 2010 piloting promoting value-based purchasing and benefit designs in Colorado.  Previously he spent 38 years as a healthcare executive focused on strategic planning, business development, and performance-based contracting.  He has facilitated various joint ventures, partnerships, and collaborative initiatives between providers and purchasers, working within the community hospital, university medical center, and managed care settings.  Bob holds an MBA from Loyola University of Chicago.  He has co-authored two books on healthcare contracting strategies, published numerous healthcare articles, and taught as a faculty member of the American College of Healthcare Executives for 15 years.  Since 2007 he has served as a member of the St. Vrain Valley School District Board of Education and is the Board President.

 

Ana English, CIVHC President & CEO

Holds MBA degrees in Economics and Political Science and has nearly 30 years of healthcare experience.  Ms. English’s healthcare career started with insurers Lincoln National and Foundation Health Systems (FHS) with senior leadership positions in the areas of Analysis and Planning, Administration, and Operations.  During the majority of the 2000’s, she was President and COO for Electronic Network Systems (ENS), an electronic health care services organization till ENS’ acquisition by Optum where she held SVP positions in EDI Solutions and Business Development. Most recently, she was with the American Medical Association (AMA) and was also one of the founders of the industry association Cooperative Exchange and served as their board’s President and Vice President

Sponsor

Location

5371 E. Lowry Blvd. Denver, 80230 Mile High Conference Room
Parking Information: Parking available in visitors, 2nd floor of parking garage and street parking available

Imporant Info

Business Breakfast Meetings are generally held on Tuesdays at different locations. There is no cost to attend the sessions and you do not have to be a member of FEI; however, you must register to reserve a space.

If you have questions about the FEI Business Breakfast Series contact Craig Meis at 303-888-2549 or meiscom27@gmail.com

If you want to be added to the FEI Business Breakfast Series invite distribution list, send a request to info@feicolorado.org

Tickets

$0.00 Member Ticket

$0.00 Guest Ticket