Webinar Recording: Reference-Based Pricing – Leveraging State Purchasing Power to Lower Health Care Spending
Recorded March 7, 2019
State spending on health care for employees, retirees and health plans for teachers, university and municipal employees continues to challenge state budgets and raises questions about how best to allocate resources. It is also known that prices in the United States exceed those in other developed nations and that there is significant variation in prices paid by payers. In this webinar, we will hear from state health policy officials who are working to standardize prices paid to hospitals to maintain access and keep spending in check. This webinar will provide descriptions of two state models, and provide an opportunity to discuss the challenges these initiatives face and how they may be overcome. Panelists will answer your questions during this lively and substantive exchange.
Facilitated by Trish Riley, NASHP Executive Director
Marilyn Bartlett, Special Projects Coordinator, Office of the Montana State Auditor, will provide an overview of Montana’s success in implementing reference-based pricing, the savings it has achieved, and discuss whether other purchasers might join the effort.
Dee Jones, Executive Director, State Health Plan, State of North Carolina, will describe developing plans in North Carolina to implement reference-based pricing and the move to direct contracting.
Supported by Kaiser Permanente


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. 























































































































































