Reference Based Pricing

Not all RBP is the Same

We began working with a financial services firm in Q4 of 2019. The company had fired their PPO the year prior and transitioned to a Reference-Based Pricing (RBP) approach paying providers a percentage above Medicare allowable rates. Using RBP leverages transparency, defensibility in pricing medical services, and cuts out a lot of the waste inherent in opaque PPO pricing.

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