Alternative Reimbursement Strategies Win Big for Employers

Nov 2, 2022 | Alternative Reimbursement Strategies, Direct-to-Employer Contracting, Preferred provider organization (PPO), Reference-Based Pricing

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.