Reference-based pricing also debunks several widely held assumptions about the cost of care. "A lot of times, you hear that higher-cost hospitals are related to quality," Hayes said.

Through reference-based pricing, one tool in the cost containment kit employers should consider, h ealth care consumers learn at least a ballpark of their expected costs upfront in addition to ...

Reference-based pricing is a health care cost containment model that limits what a payor will pay a provider for health care goods and services. Most insurers these days use RBP for certain out-of ...

Reference-based pricing (RBP) arrangements take the insurance carrier out of the equation. Kameleon007. By Mary Campbell – Vice President, Account Executive; Parker, Smith & Feek, The Business ...

Reference-based pricing can also open more care options and flexibility for employees, leading to lower costs for employees and employers. However, in some cases, employees may be charged the ...

But reference-based pricing models aren’t without challenges. To function properly, this approach requires a substantial amount of ongoing employee education and personal support. It’s up to the ...

For non–reference-based pricing facilities, unadjusted average PPO payments per hip or knee replacement dropped from $44,580 in 2010 to $28,282 in 2011 , a significant decline of 26.8 percent by ...

Reference-based pricing is about to get a serious reboot, with even more healthcare purchasers engaging in the practice and those that are already using it reviewing existing contracts with ...

The Medicare rate is $500, and the reference-based pricing plan’s fixed limit is 200 percent of the Medicare price, which comes out to $1,000. With RBP, the hospital may perform the service and ...

Kun Sun, Professor, Information Sciences and Technology, received funding from the Office of Naval Research for a project focused on reference-based automatic security patch generation.