Page 12 - IBA Demo

Discover the Referenced Based Repricing Solution That O ers a Signi cant Improvement in Savings Without Compromising Quality of Care
Individuals looking for signi cant, game-changing savings are moving towards referenced based repricing. Referenced based repricing is designed to encourage healthcare plans to pay the provider a fair rate, without unduly restricting bene ts. Discover how Referenced Based Repricing solutions can save on claims costs without provider and facility restrictions.
Facility Claims of Actual Clients
WHY REFERENCED BASED REPRICING, AND WHY NOW?:
• Low incidence of member balanced- billing (> 1% occurrence)
• Member balance-billing support provided through in-house Legal Department
• No annual network contracts to manage
• No in ated invoicing based on percentage
of billed charges
• No network requirements
• No restrictions on which providers & facili- ties healthcare members can choose from
• Reducedadministrativeburdenforproviders
u Did you know that an RBR program could offer overall savings in the range of 72-77%?
EXAMPLE
TOTAL BILLED
ORIGINAL IN-NETWORK ALLOWED/PAID
RBR
@ 130% PAID
RBR OVERALL SAVINGS $
SAVINGS ABOVE NETWORK
RBR OVERALL SAVINGS %
ABC
$1,883,872
$1,350,738
$520,737
$1,363,135
$830,001
72%
LMN
$1,943,581
$1,433,037
$616,598
$1,326,983
$816,439
68%
XYZ
$879,582
$602,600
$229,665
$649,917
$372,935
74%
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REFERENCED BASED REPRICING