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Houston Hospital Transparency - Price, Quality & Employer Cost Mark-Up
From 9:00 a.m. to 11:00 a.m. CST attendees will learn the results of the most recent RAND Hospital Price Transparency Study which in aggregate show employers in Texas pay 250% of Medicare pricing; the results of the National Academy for State Health Policy’s Hospital Cost Tool for Houston hospitals (hospitals will not be identified) that suggests employers are paying much more than is needed to support the sustainability of high-quality healthcare in the Houston market; the link between hospital pricing, quality and outcomes; and the implications of CMS’ new Hospital Price Transparency Regulation.

Mar 3, 2021 09:00 AM in Central Time (US and Canada)

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Speakers

Chris Whaley
Policy Researcher, Professor, Pardee RAND Graduate School, RAND Corporation
Christopher Whaley is a policy researcher at the RAND Corporation and professor at the Pardee RAND Graduate School. His research focuses on using large-scale medical claims data to examine how information and financial incentives influence patient's choice of providers, how providers respond to changes in consumer incentives, and how employers and insurers can design insurance benefits to promote value. His research has been published in a variety of clinical, health policy, and economics journals. He is the lead author of a JAMA paper that examines the effects of online price transparency information. This paper was a finalist for the 2015 National Institute for Health Care Management Foundation Annual Health Care Research Award. He also received the 2015 AHRQ Research Conference Director's Award for a paper published in JAMA Internal Medicine that examines the effect of reference pricing on consumer choice of providers for cancer screening services.
Marilyn Bartlett
Senior Policy Fellow, National Academy for State Health Policy
Marilyn earned a bachelor’s degree in education from the University of Nevada, and then completed the Accounting/Finance program at Montana State University - Billings. She then became a CPA, followed by CMA, CGMA, and CFM designations. Marilyn turned immediately to the business world, holding financial management positions in various industries. Her focus narrowed to health care financial management, serving as Controller for a national health insurance carrier, CFP for a regional TPA, and Special Projects Coordinator for the Montana Commissioner of Securities and Insurance. Marilyn took the helm of the State of Montana Employee Benefit Plan in late 2014, moving the Plan from projected reserves of -$9 million to $112 million in less than three years. She disrupted the status quo by implementing reference-based contracting with all Montana hospitals; transparent, pass through pharmacy benefit; enhanced primary care on-site health clinics; vendor management systems; cloud-based enroll..
Shane Wolverton
Sr. Vice President, Quantros Health
Shane is responsible for establishing business partnerships and distribution channels for the company. With almost 30 years of deep domain expertise in medical analytics he works employers, brokers, benefits consultants, vendors and providers in achieving their strategic objectives. Prior to joining Quantros, Shane served as Senior Vice President of Corporate Development at Comparion Medical Analytics. He also served as a management consultant with Health Care Investment Analysts (now Truven Health Analytics) and the McGraw-Hill Healthcare Management Group. Shane received his undergraduate degree from Auburn University