This is the second segment in a three-part series about reference-based pricing. The second segment explores a North Carolina case study involving a reference-based pricing model. It also addresses issues that arise from implementing such model, including providers balance-billing patients for services that are not paid for by their health plan.

Triage: Rapid Legal Lessons for Busy Health Care Professionals has been developed to convey information about developments in health law through short, three to five minute webinars.

If you work in the health care industry, you have grown accustomed to frequent changes in laws and regulations. On some days, it may seem like an insurmountable task to keep up with every change, especially as a new presidential administration and new policies take shape.

Part 1- Reference-Based Pricing in Health Insurance: Terminology & Theory [VIDEO]