Reference-Based Pricing Model is Disrupting Healthcare Models: Who Benefits?

Healthcare cost containment has changed forever with reference-based pricing (RBP) – although it has come with a lot of disruption. In addition to saving companies a lot of money, reference-based pricing impacts employee satisfaction. Self-funded healthcare refers to employers taking care of their own claims rather than paying for premiums through a carrier. Third-party administrators…

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Does Reference-Based Pricing in Healthcare Sacrifice Quality for Price?

Most network agreements establish discounts and billed charges in an arbitrary manner. There is not much relationship between them and the actual cost of the procedure, and they can vary widely by location, provider, and many other factors. Reference-Based Pricing (RBP) In order to control rapidly rising healthcare costs, self-insured companies use reference-based pricing (RBP).…

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Referenced Based Pricing: A Solution for Employers to Cut Health Plan Costs

Reference based pricing strategy in healthcare is revolutionary. It helps both employers and employees save money by paying reduced aggregate amounts based on a percentage of what Medicare reimburses these providers. It’s truly helpful for them to bend healthcare costs downward.  Let’s Explain the Benefits of Reference Based Pricing Strategy.  With the reference based pricing…

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Top Secrets to Making Reference Based Pricing Work in the Covid-19 World

The US spends $ 3.6tn a year on health. Post Covid-19 times, this spending is breaking all previous records and people are really concerned about high out-of-pocket costs.  In times of the Covid-19 pandemic, healthcare experts anticipate healthcare costs will continue to rise. In April 2020, a health report estimated that $163.4 billion in direct…

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