Reference Based Pricing (RBP)

Easily navigate the crowded vendor landscape

Reference based pricing (RBP) is a healthcare model that pays claims based on an established benchmark rather than a carrier-determined fee.

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Rachel B

HR Director

Vendor Banner Reference Based Pricing (RBP) Q2  2024

Q2 May 2024: Winners

Top 3 Reference Based Pricing (RBP)

List of the top 3 Reference Based Pricing (RBP) in Shortlister as of May 2024, presented in the order they appear in the full Vendor Listing tab.

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  • iOS Native Application
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  • SSAE 18 / SOC Audit(s) Performed
  • NCQA Accredited / Certified
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  • 3rd Party Integrations
31 Vendors
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Reviews pending
Full Reviews Breakdown

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 ... View Full Profile

Employees
1400
Lives Serviced
590,000
Funding
Not Provided
Minimum Group Size
No Minimum
Features
3rd Party Integrations
Android Native Application
iOS Native Application
Top Offerings
Reference Based Pricing (RBP)
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

6 Degrees Health

6 Degrees Health is a service-first cost containment company. For many, we set care free from the constraints of traditional networks. For others, we bring integrity to historically opaque billing practices. For all, we leverage unparalleled clinical expertise... View Full Profile

Employees
141
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
5 eligible
Features
3rd Party Integrations
Android Native Application
iOS Native Application
Top Offerings
Reference Based Pricing (RBP)
Healthcare Transparency Solutions
Fraud, Waste & Abuses
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

ClaimDOC

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 the limits of the benefit plan. We support the member and the plan for the ... View Full Profile

Employees
150
Lives Serviced
300,000
Funding
Not Provided
Minimum Group Size
100 eligible
Features
3rd Party Integrations
Android Native Application
iOS Native Application
Top Offerings
Reference Based Pricing (RBP)
Stop Loss Coverage
Benefits Navigation Platform
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
4.0 (1 reviews)
Full Reviews Breakdown

Claros Analytics

Claros Analytics provides next-generation analytics to model, price and predict health benefits cost. 7 of the top 10 national brokerages are clients and we have over a 90% renewal rate. Stop loss carriers, underwriters, reinsurers, benefits consultants and ... View Full Profile

Employees
15
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Responsive Design
Top Offerings
Data Analytics
Business Intelligence
Actuarial Service Firm
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

Advanced Medical Pricing Solutions (AMPS)

Turn to Advanced Medical Pricing Solutions (AMPS) for your healthcare cost management services and we will help you achieve meaningful and visible savings for your clients. Here at AMPS we utilize physicians to perform line-by-line audits on all claims we ... View Full Profile

Employees
Not Provided
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Reference Based Pricing (RBP)
Pharmacy Benefit Manager (PBM)
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

1.800MD, LLC

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 payment terms. When... View Full Profile

Employees
25
Lives Serviced
4,500,000
Funding
None
Minimum Group Size
10 eligible
Features
3rd Party Integrations
Android Native Application
Global Capabilities
Top Offerings
Primary Care – Virtual Care
Behavioral Health Access & Treatment
Benefits Navigation Platform
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -

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Reviews pending
Full Reviews Breakdown

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... View Full Profile

Employees
150
Lives Serviced
100,000
Funding
Not Provided
Minimum Group Size
No Minimum
Features
3rd Party Integrations
Android Native Application
Employee self-service
Top Offerings
Healthcare Third Party Administrator
Clinical Navigation / Care Coordination
Chronic Condition / DM
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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 ... View Full Profile

Employees
Not Provided
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

Crumdale Partners

Crumdale Partners is a diversified insurance firm providing custom, self-funded healthcare solutions to a bespoke set of brokers, consultants, and agents nationwide. We optimize the fragmented health benefits supply chain to reduce health benefit costs and ... View Full Profile

Employees
Not Provided
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
25 eligible
Features
3rd Party Integrations
Android Native Application
Dashboard analytics
Top Offerings
Emerging Products
Pharmacy Benefit Group Purchasing Coalition
Stop Loss Coverage
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

Professional Benefit Administration

PBA is a third-party administrator offering benefits management services to self-funded companies and Taft-Hartley Funds throughout the U.S. We are committed to continually bringing new ideas and innovative concepts to our clients and providing our self-... View Full Profile

Employees
Not Provided
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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 ... View Full Profile

Employees
169
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

ACS Benefit Services, LLC

ACS Benefit Services, founded in 1982, came from the realization that there needed to be better benefit solutions and health plans available in the marketplace. Since then, ACS has grown to be a leading third-party administrator by focusing on the future of ... View Full Profile

Employees
75
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

Alltrust Insurance

An employee benefits and HR consulting firm dedicated to creating healthier organizations, Alltrust Insurance is passionately focused on helping people live their best lives. A member of the Acrisure family since 2015 — one of the top four independent ... View Full Profile

Employees
54
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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 ... View Full Profile

Employees
50
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

Benefit Administrative Systems

Benefit Administrative Systems (BAS) is a Third-Party Administrator to self-funded companies promoting low cost healthcare solutions. BAS engages the employee population through an integrated portfolio of health management tools, cutting edge analytic ... View Full Profile

Employees
59
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

Context 4 Healthcare, Inc.

Headquartered in the Chicago area, Context 4 Healthcare, Inc. has more than 33 years of experience in software & data products for healthcare compliance. Our solutions impact more than 4,000 clients & tens of millions of lives. Context’s solutions have been ... View Full Profile

Employees
Not Provided
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

Custom Design Benefits

Founded in 1991, Custom Design Benefits is Cincinnati and the Tri-State’s largest independent, full-service Third Party Administrator of self-funded health benefit plans. Through self-funding, we assist employers to take back control by creating a plan that ... View Full Profile

Employees
58
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

EBMS

EBMS is an industry leader in health risk management and third-party administration of self-funded health plans. For over 38 years, we have outperformed our peers by continuously introducing innovative solutions to improve lives and change the way healthcare ... View Full Profile

Employees
223
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

Global Pricing Innovations (GPI)

Who we are GPI is a market leader in analytics and innovative solutions for biopharma pricing, market access and commercial strategy. Headquartered London, with an office in Mumbai, we support price decision-making throughout the lifecycle and help the ... View Full Profile

Employees
Not Provided
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

H.H.C. Group

HHC Group is a medical claims cost-containment company that discounts health claims and works on behalf of patient's, insurer's (including self-insured employer groups), third party administrators, as well as ERISA and government-sponsored health plans to ... View Full Profile

Employees
Not Provided
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -