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Glad You Have "Most Favored Nation" Pricing? You Should Read This

Most favored nation pricing means that you (or your health plan) have the best pricing a hospital or physician practice gives any plan.On the surface, this looks good; after all, all other payors will pay more than you. However, all may not be good at all. If the price you have as the floor is a high price, then you and everyone else pays more than you really should be paying, leading to higher overall health care costs in your market.

This is just one of the issues being litigated in the Federal suit against the BlueCross BlueShield of MIchigan plan.

This article is a must read for all employers as even with "most favored nation" pricing, you should know whether that is a good deal or not a good deal! Just having the best pricing in a market is not enough.

Read the article for more information.

Posted by Cristie Travis at 8:39 PM

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