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.
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TouchCare

TouchCare

3.2 (1)
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Product Info

Min. Group Size

50 eligible

Lives Serviced

17,000

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

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Product Features

✓

Member advocacy and guidance

 ✓

Personal support
✓

RBP education plan
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Product Description

TouchCare is the premier health advocacy service. Our concierge-style approach saves members time, money, and hassle. We offer:

• Unlimited Consults
• Benefit Navigation Support
• RBP Process... Show More
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Imagine360

Imagine360

Reviews pending
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Company Overview

Founded

1968

Employees

1,400

Funding Summary

Not Provided

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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
MedWatch, LLC

MedWatch, LLC

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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
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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
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6 Degrees Health

6 Degrees Health

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Founded

2012

Employees

141

Funding Summary

Not Provided

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About 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 and innovative data technology to empower employers and their covered employees in realizing the true benefit of healthcare.

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ClaimDOC

ClaimDOC

Reviews pending
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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
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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
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ClaimChoice Administrators

ClaimChoice Administrators

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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
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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
Claros Analytics

Claros Analytics

4.0 (1)
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Founded

01/2007

Employees

15

Funding Summary

Not Provided

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About 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 advisors, plan administrators and plan sponsors, are achieving competitive advantage by pricing risk, modeling health plan changes, defining self-funded opportunities, and budgeting self-funded plan costs using our sophisticated predictive algorithms. Show More
Marpai Health

Marpai Health

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Founded

Employees

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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
90 Degree Benefits

90 Degree Benefits

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Founded

2017

Employees

169

Funding Summary

Not Provided

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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
Advanced Medical Pricing Solutions (AMPS)

Advanced Medical Pricing Solutions (AMPS)

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Founded

2005

Employees

88

Funding Summary

Not Provided

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About 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 review. This will not only demonstrate an added level of commitment to your clients, it will add a new line of revenue to YOUR company at ZERO expense to you.
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Agility Innovation Partners

Agility Innovation Partners

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Founded

Employees

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AmeriBen

AmeriBen

Reviews pending
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Founded

1958

Employees

615

Funding Summary

Not Provided

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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.

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Custom Design Benefits

Custom Design Benefits

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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
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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
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Personify Health

Personify Health

4.0 (98)
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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 your clients' plan design. We regularly work with 5 RBP partners and our service model... Show More
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Willrithms

Willrithms

Reviews pending
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Founded

Employees

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1.800MD, LLC

1.800MD, LLC

Reviews pending
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Min. Group Size

10 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
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HealthEZ

HealthEZ

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Founded

1982

Employees

150

Funding Summary

Not Provided

Clients Your Size Clients Your Size

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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
HealthSCOPE Benefits

HealthSCOPE Benefits

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Company Overview

Founded

2003

Employees

368

Funding Summary

Not Provided

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About HealthSCOPE Benefits

HealthSCOPE Benefits is a full service claims administration and health management firm providing administrative and other support services to self-funded employers. In select geographic markets, HealthSCOPE Benefits also works with strategic insurance company partners providing access to HealthSCOPE Benefits'​ networks. Headquartered in Little Rock, Arkansas with offices in Columbus, OH; El Paso, TX; Indianapolis, IN; Los Angeles, CA; Nashville, TN; St. Louis, MO; and Atlanta, GA, HealthSCOPE Benefits'​ more than 800 employees support clients in the management of almost $1 billion in annual healthcare expenditures.

We are currently the 4th largest TPA in the United States... Show More
bbgbroker

bbgbroker

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Founded

1995

Employees

Funding Summary

Not Provided

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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
Professional Benefit Administrators

Professional Benefit Administrators

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Founded

1985

Employees

Funding Summary

Not Provided

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About Professional Benefit Administrators

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-funded employer groups, Taft Hartley Funds, brokers and plan members the information needed to proactively manage their healthcare costs. Show More

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