How Reference Based Pricing (RBP) can be the next solution for Employer Based Health Plans.

With rising cost of healthcare plans, employer groups are looking at new health tactics that provide cost-shifting to their employees.
A successful RBP program requires a comprehensive approach that employers set pricing limits on the maximum amounts they will cover on particular heath care service. The employee can choose the providers at the reference price and pay the difference between the actual price of the service and the employer’s limit. Or go with a provider that will reduce their price to the reference price.

BMA has partnered with leading vendors in technology and reimbursement experience in the healthcare industry. With over 100 years of aggregate reimbursement experience we have assembled a team of experts to help manage the reference-pricing program from the plan inception to claim resolution.
Together, BMA can offer a proactive RBP plan that is simple, straightforward and saves money!!!

We provide:

• Consulting on plan design
• Member Education
• Patient Advocacy
• Medical Management
• Comprehensive Reference Pricing
• Apparel Management
• Provision of Member and Provider Liasons
• Balance-Bill Negotiation

To learn more about how we can help you, contact us!

To see our full article about RBP plans, click here!