Data-Driven and Human-Focused, Latest RBP Plans Learn From Earlier Mistakes

VBP plans have learned from the mistakes of the first generations of RBP plans. A focus on high levels of service from a care team, plus the power of real-time data to better inform decision-making, helps deliver on the promise of RBP.

Mar 19, 2020

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4 min read

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What are some lessons learned now that reference-based pricing has become so popular with health plans?

I think it’s safe to say that reference-based pricing (RBP) – also known as value-based pricing or payment (VBP) – isn’t in the “fad” stage anymore. This strategy has graduated to here-to-stay status as it’s being implemented all across the country with large numbers of employers integrating it into...

Jan 11, 2019

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2 min read

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I’ve been hearing more about this concept of reference-based pricing. How does it work?

Before getting into the details of how it works, let me explain one of the fundamental reasons why reference-based pricing (RBP) was introduced in the first place. It was once quite common for benefit administrators to work with PPOs in negotiating discounted rates on behalf of employers and their health plans....

Aug 17, 2016

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2 min read

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Shopping Around for the Best Care - Variation in Health Care Costs

Most health-related tests and procedures aren’t exactly what you’d consider to be small, everyday expenses, are they? No matter your health coverage, these are typically things we need to plan for in advance and factor into our budgets. So, if it’s common practice to shop around for other big purchases...

Oct 26, 2015

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2 min read

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Self-funding opens the door to flexibility

From what I’ve been seeing in the industry all across the U.S., there has never been a greater interest in self-funding. TPAs are hearing from employers who have looked into the concept before and are ready to get serious about it … we’re also fielding inquiries from employers who are...

Feb 18, 2015

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1 min read

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