
Hey Doc! What’s your best price? I’ve got cash!…………………..It’s your choice!”
By Bill Rusteberg
Plan sponsored Cash Pay Health Plans don’t have to be complicated. The process is really very simple, a business transaction where buyer and seller agree on price, not a faceless back room third-party intermediary whose pricing methodology is grounded in moral hazard.
Any plan can do this. Doesn’t matter if you’re with a BUCA or not. It’s none of their business and never will be.
Plan members simply present a form similar to the one shown below when they are told covered medical procedures are recommended.

Cash pricing is discounted pricing. Managed care pricing isn’t. It’s turbocharged pricing for powerless consumers.
This simple process requires legwork by plan members. They become an active part of the transaction, a responsibility they have never had before. And they are rewarded for their efforts when they succeed.
“Hey Doc! What’s your best price? I’ve got cash!
Is there a better, faster, more efficient way producing the same results? Of course there is. Zelle and other methods abound in the market. Choice is good.

