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Wednesday, August 14, 2024

PPO's. Do Employers and Employees Have a Cost-Saving, Quality Alternative?

                                           Yes. RBP --                                         Reference-Based-Pricing is the Compelling Solution                                                                                                                                                     But First: The Failures of the PPO System.

Put simply, the Preferred Provider, Organization healthcare model, representing more than 90% of the providers in most markets, has failed in the two areas it promised to cure:

(1) exclusivity of providers, based on the quality of their care, and 
(2) equitable negotiated cost-for-service.

The PPO model has resulted in extraordinary and opaque cost increases year-after-year; it is a runaway train with no foreseeable end and ever-diminishing healthcare quality.

                                                                              Moving On:                                                 The Compelling Solution: Reference Based Pricing (RBP)

RBP has had a long run—more than 20 years. It has become the most compelling solution to healthcare affordability and quality care. 

How? The transparent RBP model charges buyers—the Employers and Employees— a maximum “reference” price for healthcare services based on 140% to 150% of the Medicare schedule of claim payments. The Employer's TPA determines fair, fixed prices for quality care, not the providers.

The best part? In the first year, Employers and Employees save between 20 to 40% by implementing an RBP program. Thereafter, incremental annual increases are based on inflation.

The RBP model is cost-effective and consumer-centric providing Education, Communication, Enrollment, and Data Management to Employers and Employees for successful and Ongoing Implementation and support.

Want more information?
Let’s talk to see if the RBP Solution can work for you.😀

Philip W Eide, Eureka!!, President   .   Mobile/Text: 216.577-5579    Email: phil@vestabp.com   .   www.vestabp.com



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PPO's. Do Employers and Employees Have a Cost-Saving, Quality Alternative?

                                            Yes. RBP --                                          Reference-Based-Pricing is the  Compelling ...