Resources

Here are some materials to help with your Reference-Based Pricing journey

Testimonials

Pre-Authorization Process
“There was a concern among our members when we move to a Referenced Based Pricing model that the pre-authorization requirement was going to be a long and difficult process to navigate. The reality could not have been different. The client advocate who engaged with our members was knowledgeable and quite responsive. Additionally, in many instances the process allowed our member to save out-of-pocket expense by choosing a less expensive facility to have the procedure performed.”
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Overall Disruption
"After getting tired of double-digit medical increases year after year, we moved our plan to Reference Based Pricing. Worried that the change would create a headache for our employees, our HR staff was pleasantly surprised to find that most employees did not even notice the change. With the majority of claims incurred at the physician’s office, there was absolutely no difference in how our employees accessed the plan."
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Widespread Employees
“Our employee base is located across multiple states and no single PPO network provides adequate coverage. With a Reference-Based Pricing solution, we no longer have to rely upon an unlimited network as our administrator can negotiate directly with any facility in the country. No matter where our employees are located now, we feel confident that they can access the care they need at a competitive price."
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Transparency in Pricing
“While everyone discusses the continual increase in the cost of medical insurance, no one ever talks about the actual price of the individual services we consume. PPO networks do not allow members to compare reimbursement rates of in-network providers for the same procedure. It’s no wonder costs continue to soar! Reference Based Pricing is the first strategy in healthcare in a long time that is putting the consumer back in the driver’s seat and helping to reduce costs. When people are allowed to shop for goods and services in any marketplace, that market will always become more competitive.”
Click Here
Pre-Authorization Process
“There was a concern among our members when we move to a Referenced Based Pricing model that the pre-authorization requirement was going to be a long and difficult process to navigate. The reality could not have been different. The client advocate who engaged with our members was knowledgeable and quite responsive. Additionally, in many instances the process allowed our member to save out-of-pocket expense by choosing a less expensive facility to have the procedure performed.”
Learn More
Overall Disruption
"After getting tired of double-digit medical increases year after year, we moved our plan to Reference Based Pricing. Worried that the change would create a headache for our employees, our HR staff was pleasantly surprised to find that most employees did not even notice the change. With the majority of claims incurred at the physician’s office, there was absolutely no difference in how our employees accessed the plan."
Learn More
Widespread Employees
“Our employee base is located across multiple states and no single PPO network provides adequate coverage. With a Reference-Based Pricing solution, we no longer have to rely upon an unlimited network as our administrator can negotiate directly with any facility in the country. No matter where our employees are located now, we feel confident that they can access the care they need at a competitive price."
Learn More
Transparency in Pricing
“While everyone discusses the continual increase in the cost of medical insurance, no one ever talks about the actual price of the individual services we consume. PPO networks do not allow members to compare reimbursement rates of in-network providers for the same procedure. It’s no wonder costs continue to soar! Reference Based Pricing is the first strategy in healthcare in a long time that is putting the consumer back in the driver’s seat and helping to reduce costs. When people are allowed to shop for goods and services in any marketplace, that market will always become more competitive.”
Click Here

Case Studies

A 300-employee professional services company located in the Southeast was facing a difficult decision in 2015.  Presented with another double digit increase to their medical plan, shrinking profit margins and employees that were…
My client had a unique problem that we were struggling to solve.  As a 400 employee IT firm, they had employees located in multiple states and constantly had issues finding a single health plan that provided all employees adequate…
A large private physician’s practice located in the Southeast was facing a difficult situation in 2018.  Facing another year of high claims on their medical plan, they were presented with an increase to their healthcare program…

An automobile dealership expanded operations throughout the south in the 1900’s. Like so many other businesses, the company struggled to provide good health benefits to their employees, constantly dealing with limited visibility into charges…

Buying Guide

This information is intended to help you through the vendor evaluation

                Proactive with RBP                Pre-renewal PPT

RBP Cold Call Email/Letter

About Us

RBPricing.com is dedicated to educating the marketplace about Reference-Based Pricing with the larger strategic goal of changing how healthcare is purchased over a sustainable period of time. 

Our mission

To support the expansion of a compelling strategy that supports increased transparency, lower costs and better health outcomes as well as employees becoming better healthcare consumers.

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