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"Broker Guide: Exploring the Next Generation of Reference-Based Pricing"

The realm of healthcare benefits is evolving, and next-generation RBP solutions are at the forefront of this transformation. With the guidance provided in this comprehensive guide, you'll be better equipped to navigate the changing landscape and deliver superior healthcare cost containment for your clients.

Over 15 years ago, the concept of reference-based pricing (RBP) emerged as an innovative solution to combat the skyrocketing costs of healthcare. Its core objectives were clear: enhance transparency in healthcare pricing and hold providers accountable for their charges. Today, RBP stands as a tried-and-true strategy adopted by employers and their brokers, consistently reducing healthcare expenditure by 15-30% annually.

As more self-funded employers have embraced the RBP model, a wave of new providers has entered the marketplace with service models that differ significantly from what was available a decade ago. The combination of these advancements and the latest technology developments has made the selection of the right RBP solution for your clients more complex. This guide identifies the enhancements that have the most significant impact on client satisfaction, including:

• The evolutions of RBP
• Enhanced Member Support features
• Data insights drive better results
• Direct contracts improve provider access
• The ultimate RBP checklist including 5 questions to ask when assessing providers

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