Reference Pricing Can Reduce Medical Outlays, Costs

| posted in Blog, Newsletter

In an effort to coax health plan participants to use price-shopping behavior when deciding on where to have a procedure, more insurers are starting to roll out a system known as “reference pricing.” With reference pricing, the health insurer imposes a limit on the amount it will pay for a particular procedure – a limit that is reasonable and allows access to care for patients. The price is usually a median or average price in the local market. When a health plan participant selects a provider that charges less than the cap, they will receive the standard coverage with little…
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