PopHealth Week: Ghost Rates, Anchor Events and the Real Cost of Care with David Muhlestein, PhD, JD, founder & CEO. Simple Healthcare

Why hasn't a decade of value-based care bent the cost curve? On this episode host Fred Goldstein talks with David Muhlestein, PhD, JD, founder and CEO of Simple Healthcare, about the variable health reform has largely left alone: price. Drawing on years of ACO research and on federal price transparency data, Muhlestein explains how the same provider can be paid very different amounts for the same billing code depending on the insurer, why episode-level analysis beats claim-level repricing, and how self-insured employers can act on the gap through steerage, reference-based pricing, direct contracting and centers of excellence. He also unpacks "...