Reference Pricing, CALPERS, and Reduced Health Care Costs

The video discusses the California Public Employees Retirement System (CalPERS) initiative to reduce healthcare costs through reference pricing. By setting a maximum contribution for certain procedures, CalPERS encouraged patients to choose lower-cost hospitals, leading to significant savings. However, the approach has limitations, such as requiring patient access to price information and sufficient hospital competition. Despite these challenges, reference pricing has shown improved value without compromising quality.

How did CalPERS' approach impact patient cost sharing for outpatient surgical centers?

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What challenges does reference pricing face in being implemented broadly?

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What concerns are associated with reference pricing in terms of healthcare quality?

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