Employers who use the pricing control and consistency of MedBen’s alternative reimbursement strategies can lower their claim costs substantially compared to traditional PPO plans. Our proven solutions include:
- Traditional reference-based pricing (RBP) that pays providers a fair and reasonable fee for medical services.
- Direct-to-employer contracting (DTE) with area health care systems at agreed-upon rates.
- Benefit-specific RBP – Laser-focused RBP aimed at risk reduction.
- Out-of-network RBP for any services received outside your plan’s provider network.
- Hybrid RBP that combines a physician PPO network with a hospital RBP.
These strategies also offer the flexibility to create multiple benefit options, such as mixing RBP services or offering a DTE-contracted health system with a wraparound PPO network, to meet your unique population needs.
Discover how our alternative reimbursement strategies can win big for your business by calling MedBen’s Marketing Department at 888-627-8683.