Webinar: A Look at Montana’s State Employee Health Plan Savings from Reference-Based Pricing
Facing rising health care costs and dwindling reserves, Montana’s state employee health plan (SEHP) renegotiated its contracts with the state’s 11 acute care hospitals using Medicare referenced-based pricing in July 2016. This webinar explores the findings of a new independent analysis of the Montana SEHP’s transition to reference-based pricing, which found the state had saved $47.8 million in the two years after its implementation.
Purchasers of health services, including state coverage programs and commercial health plans, may be interested in learning more about these savings from the actuarial experts who conducted the analysis using Montana’s publicly available information.
Moderator: Trish Riley, Executive Director, National Academy for State Health Policy
Speakers:
- Steve Schramm, MScHEPM, Founder and Managing Director, Optumas
- Zach Aters, ASA, MAAA, Senior Actuary, Optumas
- Daniel Villa, Executive Director, Montana Board of Investments



For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































