Transforming Health Care Through Evidence and Collaboration
Transforming Health Care Through Evidence and Collaboration

More for the Money: Insurance Design Strategies That Drive Value

May 27, 2014 | 09:00 AM
10:30 AM ET

Reference pricing, tiered provider networks and narrow networks—three benefit design strategies gaining favor among employers and health plans trying to slow cost growth. While these designs aim to encourage value-informed consumer choices, some perceive them as overly restrictive.

This webinar offered practical insights on how these tools can help make universal access to quality health care an affordable goal.

Speakers covered the following topics:

  • the use of reference pricing to spur cost-conscious purchasing and provider competition
  • research illustrating that copay differences across provider tiers led new patients to choose high performing providers
  • takeaways from implementation of tiered networks in Massachusetts, including provider and consumer reactions
  • the consumer response to smaller, high-value networks, with insights to inform strategy for public exchange offerings


Sanjay Saxena
The Boston Consulting Group
Dana Gelb Safran
Blue Cross Blue Shield of Massachusetts
Anna Sinaiko
Harvard School of Public Health
James C. Robinson
University of California, Berkeley

Presentation Slides

Designing High-Value Consumer-Centric Networks
Insurance Tiered Networks: An Overview from BCBSMA
Do Tiered Network Affect Patient Choice of Physician?
Value Purchasing in Orthopedics: Price Transparency, Bundled Pricing, and Reference Pricing

Additional Resources