Reference Based Pricing (RBP)

Reference based pricing (RBP) is a healthcare model that pays claims based on an established benchmark rather than a carrier-determined fee.
  • All Vendors (38)
  • Top Vendors (3)
Sort by:
Sponsored sort by
Imagine360

Imagine360

5.0 (2)
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1968

Employees

1,400

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Imagine360

Imagine360 has 50+ years of combined experience. In 2020, Group and Pension Administrators (GPA) joined forces with ELAP Services, EBMS, and Imagine Health, which became sibling corporations through WaterStreet Healthcare Partners. This integration allows our organization to deliver the most experienced and first completely integrated health plan with reference-based pricing as its core.

Imagine360 delivers a fully integrated health plan with the savings of reference-based pricing built in and consistently generates 15–25% savings for 900+ self-funded employers. Imagine360 is entering its next phase of growth with a fresh infusion of capital to expand its comprehensive suite... Show More
Advanced Medical Pricing Solutions (AMPS)

Advanced Medical Pricing Solutions (AMPS)

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2005

Employees

400

Funding Summary

Clients Your Size Clients Your Size

Clients size is Locked

About Advanced Medical Pricing Solutions (AMPS)

AMPS is a healthcare technology company transforming how organizations manage healthcare costs by connecting the industry's most critical cost-saving strategies into one accountable ecosystem. Rather than forcing employers, health plans, TPAs, and brokers to manage disconnected vendors across medical, pharmacy, and payment integrity, AMPS brings these capabilities together under a single partner focused on one outcome: delivering the lowest net cost while improving the member experience.

Powered by more than two decades of proprietary data, physician expertise, legal advocacy, and intelligent technology, AMPS fine-tunes every aspect of the healthcare spend. From prospective payment integrity and medical claim... Show More
6 Degrees Health

6 Degrees Health

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info

Min. Group Size

5 eligible

Lives Serviced

350,000

Average Cost

Average Cost is Locked

16 RFI Questions Get access to vendor answered question RFIs.

RFI questions number is Locked

13 Specific Questions Specific Questions

Lock

Product Features

Not Provided.

Product Description

Reference Based Pricing:
Customizable White glove RBP solution. Through our evolution, we have bolstered our team with industry experts in RBP and established dedicated teams to member service, client service, balance bill... Show More
Company Overview
ClaimDOC

ClaimDOC

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info

Min. Group Size

100 eligible

Lives Serviced

300,000

Average Cost

Average Cost is Locked

16 RFI Questions Get access to vendor answered question RFIs.

RFI questions number is Locked

13 Specific Questions Specific Questions

Lock

Product Features

✓

Flexible reimbursement and contracts

 ✓

RBP members flexibility
✓

Health plans integration

 ✓

Service cost comparison
Show All Features

Not Provided.

Product Description

ClaimDOC is an Audit and Member Advocacy firm. There is way too much inappropriate billing in Billed Charges and the Audit is key to removing that fat. Then we cover the member to... Show More
Company Overview
MedWatch, LLC

MedWatch, LLC

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info

Min. Group Size

1 eligible

Lives Serviced

80,000

Average Cost

Average Cost is Locked

16 RFI Questions Get access to vendor answered question RFIs.

RFI questions number is Locked

13 Specific Questions Specific Questions

Lock

Product Features

✓

Flexible reimbursement and contracts

 ✓

RBP members flexibility
✓

Health plans integration

 ✓

Service cost comparison
Show All Features

Not Provided.

Product Description

MedWatch’s Health Bill Analysis department is the engine behind our Referenced Based Pricing service. With over 17 years of industry experience in claim negotiation and repricing activity, MedWatch supports our clients’ needs when... Show More
Company Overview
HealthCheck360

HealthCheck360

4.3 (31)
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1994

Employees

210

Funding Summary

None

Clients Your Size Clients Your Size

Clients size is Locked

About HealthCheck360

At HealthCheck360, we turn our passion into your program. We’re leaders in population health management and well-being solutions. Our services are like a choose your own adventure book. Select the options you need to fill gaps in your current benefits or create a comprehensive program to fit your organization’s unique culture. We can even work with your brokers, third party administrator, insurance companies or other benefit provider for a complete integration of services. Show More
AmeriBen

AmeriBen

4.8 (1)
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1958

Employees

615

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About AmeriBen

AmeriBen provides comprehensive services in Human Resource and Management Consulting and Third Party Medical Benefit Administration services on behalf of self-funded group health plans.

 Show More
Brokers Holding Group, LLC

Brokers Holding Group, LLC

4.6 (1)
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2013

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Brokers Holding Group, LLC

With over 80-years combined experience and multiple carrier production awards, Brokers Holding Group provides comprehensive service for our broker partners and their clients. Our extensive knowledge of the ACA, combined with our comprehensive carrier portfolio, allows us to determine the best coverage & benefits for your'​ accounts.

 Show More
ClaimChoice Administrators

ClaimChoice Administrators

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info

Min. Group Size

20 eligible

Lives Serviced

2,000

Average Cost

Average Cost is Locked

16 RFI Questions Get access to vendor answered question RFIs.

RFI questions number is Locked

13 Specific Questions Specific Questions

Lock

Product Features

✓

Flexible reimbursement and contracts

 ✓

RBP members flexibility
✓

Health plans integration

 ✓

Service cost comparison
Show All Features

Not Provided.

Product Description

Reference Based Pricing (RBP) is a cost-containment strategy with a fixed limit that reduces employer healthcare costs and out-of-pocket expenses for employees. The approach typically has no in-and out-of-network payments, making it ideal... Show More
Company Overview
Personify Health

Personify Health

4.0 (106)
Visit Profile
View Profile
Select Vendor to Compare
Product Info

Min. Group Size

-

Lives Serviced

-

Average Cost

Average Cost is Locked

16 RFI Questions Get access to vendor answered question RFIs.

RFI questions number is Locked

13 Specific Questions Specific Questions

Lock

Product Features

✓

Flexible reimbursement and contracts

 ✓

RBP members flexibility
✓

Health plans integration

 ✓

Plan document preparation
Show All Features

Not Provided.

Product Description

Personify Health administers reference-based pricing (RBP) and will include appropriate language in the plan document to align with their clients' plan design. We regularly work with RBP partners and our service model focuses... Show More
Company Overview
90 Degree Benefits

90 Degree Benefits

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2017

Employees

169

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About 90 Degree Benefits

At 90 Degree Benefits, we believe the right health plan does more than just provide benefits – it takes your business in the right direction.

Whether you’re looking to transition from being fully insured, or are interested in self-funding with a new plan administrator, 90 Degree Benefits has the experience, tools and unparalleled industry expertise to take your plan in the right direction.

With 24 offices serving 560,000 members nationwide, we deliver health plans built on uniquely crafted benefits designed specifically for the needs of our clients across the country.

It’s... Show More
Agility Innovation Partners

Agility Innovation Partners

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked
Custom Design Benefits

Custom Design Benefits

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info

Min. Group Size

50 eligible

Lives Serviced

-

Average Cost

Average Cost is Locked

16 RFI Questions Get access to vendor answered question RFIs.

RFI questions number is Locked

13 Specific Questions Specific Questions

Lock

Product Features

✓

RBP members flexibility

 ✓

Health plans integration
✓

Service cost comparison

 ✓

Plan document preparation
Show All Features

Not Provided.

Product Description

Custom Design Benefits proprietary TrueCost program is an innovative and creative approach launched in 2012. TrueCost is the solution to rising costs of healthcare - helping contain and reduce employee benefit costs, while... Show More
Company Overview
Marpai Health

Marpai Health

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Marpai Health

We are the SMART health plan company using Deep Learning, the most advanced artificial intelligence, to empower people to live better, stay strong and spend less on healthcare. Our SMART Health Plan Services System addresses the problems of healthcare past and fuels the new consumer-driven world by empowering patients with new, proactive abilities. We believe Deep Learning provides the best capability to create healthier people and stronger companies by making care more affordable, effective, accessible, convenient and easy to understand. Our SMART system makes it possible for health plan members to do things they could never do before:
•... Show More
WellRithms

WellRithms

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked
1.800MD, LLC

1.800MD, LLC

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info

Min. Group Size

25 eligible

Lives Serviced

-

Average Cost

Average Cost is Locked

16 RFI Questions Get access to vendor answered question RFIs.

RFI questions number is Locked

13 Specific Questions Specific Questions

Lock

Product Features

✓

Service cost comparison

 ✓

Member advocacy and guidance
✓

Enrolling assistance

 ✓

Personal support
Show All Features

Not Provided.

Product Description

Designed to ensure fair medical pricing, Medical Bill Negotiation utilizes expert medical advocates to negotiate with hospitals and providers on behalf of 1.800MD members directly. Advocates aim to achieve discounted bills and accommodating... Show More
Company Overview
Assured Benefits Administrators

Assured Benefits Administrators

4.6 (1)
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1985

Employees

150

Funding Summary

Clients Your Size Clients Your Size

Clients size is Locked

About Assured Benefits Administrators

Since 1985 Assured Benefits Administrators has been helping employers manage and administer their health plans. We are a customer driven and outcomes based organization who takes a “best in class” approach to providing employers with the highest levels in service, process, strategy and technology.

ABA remains privately owned and regionally focused with offices in El Paso, Texas and headquarters in Dallas. Show More
HealthEZ

HealthEZ

5.0 (1)
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1982

Employees

150

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About HealthEZ

HealthEZ was founded as Family Health Plan in 1982, establishing the first PPO in the Nation. Our company established medical management services integrated with the network in 1983 and provided an integrated service to many insurance companies, TPAs and large employers, including Northwest Airlines and the Fairview Nurses union plan.

Today we operate as HealthEZ and America’s PPO, under the umbrella of The Araz Group. We have over 150 employees on staff, primarily located in our Bloomington, MN headquarters. Our 40 years of experience operating as an independent network, managed care services company and third-party administrator... Show More
bbgbroker

bbgbroker

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1995

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About bbgbroker

The Business Benefits Group is a large, independent, full-service benefits and insurance brokerage. Our mission is to serve as a trusted partner to employers in the DC metro area, by providing best in class consulting on complex problems. Our team of professionals bring years of experience from a variety of industry backgrounds, providing a unique perspective and willingness to challenge the status quo.

While we are headquartered in Fairfax, VA, BBG is a regional agency with an international reach, regularly utilizing our solid relationships with every major carrier or vendor in the industry. Show More
ELAP Services

ELAP Services

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

Select up to 3 Vendors to Compare

×