Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Why aren't more employers implementing reference-based pricing benefit design?

Anna D Sinaiko1, Shehnaz Alidina, Ateev Mehrotra

  • 1Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Room 409, Boston, MA 02115.

The American Journal of Managed Care
|February 15, 2019
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Comparison of buprenorphine treatment by virtual-only vs. traditional clinicians.

Journal of substance use and addiction treatment·2026
Same author

AI Chatbot Use and Disclosure for Mental Health Among US Adolescents and Young Adults.

JAMA pediatrics·2026
Same author

Primary Care Access and the Role of Telemedicine for Traditional Medicare Beneficiaries.

JAMA health forum·2026
Same author

Playing Favorites - State Protection of Academic Medical Centers from Antitrust Oversight.

The New England journal of medicine·2026
Same author

Mental Health Specialist Telemedicine Uptake and Patient Location.

JAMA network open·2026
Same author

Test Ordering and Completion During Virtual vs In-Person Annual Visits.

JAMA network open·2026
Same journal

Prescription drug prior authorization: costs to pharmacies and physicians.

The American journal of managed care·2026
Same journal

Combined pharmacotherapy and psychotherapy impact on opioid use disorder treatment.

The American journal of managed care·2026
Same journal

The societal costs of food insecurity: implications for managed care strategies.

The American journal of managed care·2026
Same journal

Availability of hospital financial assistance documents in non-English languages.

The American journal of managed care·2026
Same journal

Real-world weight loss with injectable semaglutide vs dulaglutide for diabetes.

The American journal of managed care·2026
Same journal

Social needs screening and supplemental benefits in Medicare Advantage.

The American journal of managed care·2026
See all related articles

Reference-based pricing (RBP) can lower healthcare spending, but employer adoption is limited. Key barriers include complexity and cost concerns, requiring simplified designs and better employee support for wider uptake.

Area of Science:

  • Healthcare Economics
  • Health Services Research

Background:

  • Reference-based pricing (RBP) is known to reduce healthcare spending.
  • Employers are exploring RBP to enhance the value of healthcare choices for patients.

Purpose of the Study:

  • Investigate employer adoption of RBP.
  • Identify facilitators and barriers to RBP implementation by employers.

Main Methods:

  • Qualitative study utilizing 12 in-depth interviews with HR executives.
  • Thematic analysis applied to interview transcripts from March-May 2017.

Main Results:

  • Despite awareness of cost savings, few employers adopt RBP.
  • Major barriers include design complexity, employee out-of-pocket cost concerns, weak business cases, and labor market competitiveness fears.

Related Experiment Videos

  • Employers using RBP implement extensive education and decision support.

    • Conclusions:

    • Low RBP uptake is likely unless fundamental barriers are addressed.
    • Simplifying benefit design, protecting employees from high costs, effective decision support, and a stronger business case are crucial for wider adoption.