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Reference-Based Pricing: Antidote to Rising Healthcare Costs

Healthcare costs in the United States are rising each year. Recent projections from the Centers for Medicare & Medicaid Services estimate that by 2026, nearly one in every five dollars spent in the United States will go to healthcare. What are we willing to do about it?  As a broker, health plan administrator, HR or Finance professional, we’re already working every day to keep costs under control, but is there more we can do?

What if there were a way to pay providers a fair price for their services, one tied to actual costs of treatment, rather than a price based on how much the patient’s benefits will pay out?  Sounds reasonable, right?