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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Reference Based Pricing (RBP) Q3 2024Q3 July 2024: Winners
List of the top 3 Reference Based Pricing (RBP) in Shortlister as of July 2024, presented in the order they appear in the full Vendor Listing tab.
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SentryHealth is a clinical-first care navigation company that combines data science, technology, and an experienced care team to match members with the best available health care. It blends expert guidance with personalized care plans, empowering members to ... View Full Profile
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
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
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
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... View Full Profile
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ClaimChoice Administrators is one of the largest independent administrator of self-funded union, traditional and association health plans in the country bringing more than 30 years of staff experience in delivering integrated, customized benefit solutions, ... View Full Profile
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
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... View Full Profile
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
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
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
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
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
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
Lucent Health is a leading third-party administrator serving the self-insured employer market, with a fully integrated care management solution. Lucent Health is human focused and data driven, with plan administration, patient care programs and cost controls ... View Full Profile
Established in 1988, MedWatch is a proven industry leader providing population health management and cost containment services nationwide to a wide variety of clients including TPAs, MGUs, stop loss carriers, employers, schools, hospital systems, Taft Hartley ... View Full Profile
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
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
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
