Reference Based Pricing (RBP) is when a member pays a 'fair and reasonable' price for medical services. By working off of actual cost of service or what medicare would pay, instead of a billed charge, you're instantly saving 25-35% off almost every service. Billed charges have increased year after year in the last decade and the same service can vary by as much as 40% from facility to facility.
RBP looks at the actual cost of a service and/or medicare rates to determine a fair to pay the facility. We believe that companies should be paying there medical invoices the same way they would any other invoice for there company. Transparency is a key component of RBP. Every month you will have access to every facility billed charge, what the TPA actual paid the facility, and the savings....The difference in cost will astound you.
Too good to be true....ask us for a reference today.