In 2016, Montana’s state employee health plan, administered by the Health Care and Benefits Division (HCBD), implemented referenced-based pricing using Medicare’s rates for hospital inpatient, outpatient services, and physician payments. This new analysis of HCBD data shows the shift to reimbursing hospitals using a multiple of Medicare rates generated an estimated $47.8 million in inpatient and outpatient savings from state fiscal year 2017 to 2019. To learn more, read the full report and NASHP’s blog, New Independent Analysis Finds Montana Has Saved Millions by Moving Hospital Rate Negotiations to Reference-Based Pricing.
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