Average PPO allowed amount is 250% of Medicare. Hospitals cash PPO checks and are happy.
Average Reference Based Pricing (RBP) allowed amount is 150% of Medicare. Hospitals cash RBP checks and are not happy.
Continue reading Reference Based Pricing Spreads Happiness Across The USA
Reference-based pricing is a different way of doing healthcare. Here’s how to get it right
By Christian YantornoDecember 28, 2022, 9:00 a.m. EST3 Min Read
Reference-based pricing entered the conversation a few years ago as a solution and response to unsustainable healthcare price increases, and the model is still gaining traction among self-funded organizations. It is becoming increasingly popular as employers embrace an alternative solution that will help them cut costs.
Continue reading RBP + CPO + DPC + HFAP + SDRD + CR = Affordable & Better Health Care
If your plan is a PPO you are overpaying for health care by 100% and more. Of course you have no idea if that’s true because you’ve been lied to for years on end. And, you have little ability to find the truth because PPO contracts are proprietary, secret contracts of adhesion.
Continue reading Retail vs Wholesale
