Revitalizing the Centers of Excellence Concept Through Reference-Based Pricing

Date: June 4, 2021

Enabling patients to find high-quality care at a reasonable price should have been an industry-wide objective long before recent legislative mandates forced the conversation. Yet today, many self-insured employers find themselves scrambling to comply—often settling for solutions that prioritize speed and profit over service and sustainability.

At Veritas Allies, we believe there is a better way.

Through a fully integrated, in-house, service-oriented approach to reference-based pricing (RBP), self-insured entities can finally achieve what the Centers of Excellence (COE) concept was always intended to deliver: meaningful cost control, positive member experience, and long-term program viability.

Veritas Allies has built an interconnected ecosystem of cost-containment programs designed to work concurrently, not independently. This integration is essential to delivering a true COE experience—one that satisfies evolving legislative requirements while also meeting the real-world needs of patients, providers, and plan sponsors.

“There is a much more complex process and nuanced balance to maintaining a successful cost-containment program than merely implementing a reference-based pricing platform,” said David Vizzini, Founder & CEO of Veritas Allies. “Without true member and client advocacy, no RBP platform can succeed for long.”

Veritas Allies continues to invest in proprietary technology and in-house advocacy capabilities to support this model—focusing not on flashy reports or hollow data claims, but on real provider engagement and equitable solutions.

“Providers could care less about shiny new dashboards added to tired platforms,” Vizzini added. “Without a service-oriented approach and integrated advocacy practices, providers will balance bill patients and blacklist RBP vendors. Advocacy is what differentiates our model—we go the extra mile to deliver on our promises.”

To further explore how reference-based pricing can be leveraged to revitalize the COE concept, Veritas Allies hosted a live webinar on Wednesday, June 9, 2021, focused on:

·       Evaluating current and prospective cost-containment strategies

·       Understanding evolving legislative requirements

·       Achieving a true COE experience through integrated RBP

This discussion marked the beginning of an ongoing series designed to help healthcare stakeholders assess their approaches and build more sustainable, patient-centered programs.

Veritas Allies, LLC is the parent company of an integrated consortium of cost-containment organizations delivering innovative programs and technology to the healthcare industry. Through its family of companies—EquitasDX, EquitasHP, ServusCare, and MedicusSTAT—Veritas Allies provides collaborative solutions for payors and providers alike, utilizing in-house clinical, legal, and data resources to maximize both clinical and financial outcomes.