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Council hears Claimdoc pitch on reference-based pricing; asks staff to pursue RFP
Summary
City council heard a presentation from Brown & Brown and Claimdoc on a reference-based pricing plan for the municipal employee health plan that vendors said could save roughly $2.1 million in year one; after questions about provider access and member supports the council asked staff to develop an RFP to evaluate the option.
Danielle Boyle, senior vice president at Brown & Brown Insurance Services, introduced Claimdoc’s proposal to the St. Cloud City Council on Thursday, saying the approach could lower the city’s medical-claims spending without reducing employee benefits.
Omar Arif, senior vice president of growth for Claimdoc, described the company’s reference-based pricing model as an alternative to traditional managed-care networks. “The only way we can audit and reprice hospital claims is if you remove the managed care network that you use today,” Arif said, explaining Claimdoc’s method of setting allowed…
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