RBP, Transparency & Real Savings: Heath Potter (Six Degrees Health) — Recap with Lester J. Morales | Dysrupt Healthcare

In this quick recap of the Dysrupt Healthcare Podcast, host Lester J. Morales distills key takeaways from his interview with Heath Potter, Chief Growth Officer at Six Degrees Health—a leader in reference-based pricing (RBP) and transparent reimbursement.

Lester challenges the industry’s fear of RBP, calls out incentive conflicts that keep employers in the dark, and explains (in plain English) how bottom-up “Medicare-plus” pricing gets to a fair price—without the games behind “big network discounts.” He also shares real-world wins, access myths vs. facts, and why collaboration (not litigation) is the sustainable path.

You’ll learn:

• Why many advisors still resist RBP—and how to sanity-check that bias

• Top-down (billed charges minus “discount”) vs. bottom-up (Medicare-plus) pricing

• How modern RBP uses data + negotiation to reach fair provider payments

• Access & member experience: what’s changed from RBP 1.0 to today

• Case stories: open access, community contracts, and keeping dollars local

• How to request a no-obligation impact/savings analysis to compare models

If you’re a self-funded employer, HR/benefits leader, or advisor, this recap gives you the essentials in minutes—so you can decide whether to dive into the full episode.

00:00 – “This podcast has been disrupted.”
00:07 – What these recap episodes are (and why)
00:40 – Guest context: Heath Potter, Six Degrees Health (RBP leader)
01:03 – Love it? Hate it? Why advisors feel strongly about RBP
02:24 – Gut-check your bias: incentives, overrides, and “follow the money”
03:27 – Hundreds of RBP implementations: wins vs. rare rough patches
05:23 – The core value of RBP: transparency and bottom-up pricing
06:38 – “Discount off what?” Charge master, billed charges, and the game
06:55 – RBP in one line: get to the price (Medicare-plus)
07:05 – Why Six Degrees’ data-driven, collaborative model works
09:17 – Many hospitals already use RBP-ish logic internally
10:10 – Imagine a fair-price roundtable… and the reality today
10:39 – Six Degrees’ posture: start fair, show data, negotiate
10:51 – Real examples: open access, family stories, local community wins
11:37 – When carriers and hospitals fight… the member/employer loses
11:58 – Strategy: collaborate with good actors; limit exposure to bad ones
12:21 – Employers: if your advisor won’t teach RBP, reconsider
12:45 – If we don’t solve it, government will—lead the change
13:09 – CTA: request an impact analysis to compare savings
13:46 – Listen to the full episode with Heath Potter; share/like/feedback
14:00 – Thanks for listening to the Dysrupt recap

Guest: Heath Potter, Chief Growth Officer — Six Degrees Health
Host: Lester J. Morales — Dysrupt Healthcare Podcast

reference based pricing, RBP, Medicare plus pricing, Six Degrees Health, Heath Potter, Lester J Morales, self funded employers, healthcare transparency, cost containment, medical claims, employer health plans, open access, negotiation not litigation, benefits advisors, Dysrupt Healthcare Podcast

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