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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MedWatch, LLC

MedWatch, LLC

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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

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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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Imagine360

Imagine360

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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
6 Degrees Health

6 Degrees Health

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Company Overview

Founded

2012

Employees

141

Funding Summary

Not Provided

Clients Your Size Clients Your Size

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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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ClaimChoice Administrators

ClaimChoice Administrators

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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
ClaimDOC

ClaimDOC

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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
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
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Advanced Medical Pricing Solutions (AMPS)

Advanced Medical Pricing Solutions (AMPS)

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Company Overview

Founded

2005

Employees

88

Funding Summary

Not Provided

Clients Your Size Clients Your Size

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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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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
Personify Health

Personify Health

4.0 (98)
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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

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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Agility Innovation Partners

Agility Innovation Partners

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Founded

Employees

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AmeriBen

AmeriBen

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Founded

1958

Employees

615

Funding Summary

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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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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
1.800MD, LLC

1.800MD, LLC

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Product Info

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
Company Overview
HealthEZ

HealthEZ

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Founded

1982

Employees

150

Funding Summary

Not Provided

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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
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
Crumdale Partners

Crumdale Partners

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Founded

2014

Employees

Funding Summary

Not Provided

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About 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 create better outcomes for employers and employees. We sell integrated and unbundled solutions to brokers looking for flexibility in their self-funded and level-funded health plans, pharmacy benefits, stop-loss, actuarial and compliance needs.­ Show More
Professional Benefit Administration

Professional Benefit Administration

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Founded

1985

Employees

Funding Summary

Not Provided

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About 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-funded employer groups, Taft Hartley Funds, brokers and plan members the information needed to proactively manage their healthcare costs. 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
ACS Benefit Services, LLC

ACS Benefit Services, LLC

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Founded

1982

Employees

75

Funding Summary

Not Provided

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About 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 the industry, creating long-term solutions and predicting the benefit administration needs of our employer groups.
At ACS Benefit Services, we are focused on one thing – providing the best benefit services in the market to our clients. Employers from coast to coast, large and small, national and local, all depend on us to understand their complex benefit... Show More
Alltrust Insurance

Alltrust Insurance

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Founded

1993

Employees

54

Funding Summary

Not Provided

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About 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 insurance brokerages in the country – Alltrust serves Florida-based employer groups with local stature and national presence, providing solutions for all employee populations.

Founded in 1994, Alltrust has always known that people and customer service are the driving factors of success. Since the beginning Alltrust has been recognized for its customer focus and friendly workplace with many awards,... Show More
Assured Benefits Administrators

Assured Benefits Administrators

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Company Overview

Founded

1985

Employees

50

Funding Summary

Not Provided

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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.

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