Reference-based pricing (RBP) is an alternative to traditional medical pricing that generally stabilizes and/or reduces claims costs. Also known as Medicare Reference-Based Pricing, RBP describes any claim pricing methodology grounded in analysis of an objective value for medical services and adjudicating medical claims based on some multiple of that value usually Medicare-based.
The medical pricing wave of the future is here. Don’t be left behind! Understand the nuances of RBP. Learn how you can benefit from RBP.
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John is a Principal with Windsor Strategy Partners, LLC. In addition to having 30 years of experience as a pension and health care actuary, John is WSP’s lead consultant on pharmacy benefits and GASB valuations for post-employment benefits other than pension. As Actuarial Director for Benefit Advisors Network, John coordinates actuarial activity between BAN members and WSP specialties. John is a Member of the American Academy of Actuaries, a Fellow of the Society of Actuaries, and an Enrolled Actuary under ERISA.