Rates Tag

The use of reference-based pricing (RBP) to pay for the health care services has been growing over the last decade. This article discusses how RBP approaches have changed and improved over time, helping plan sponsors negotiate better prices for health care services. The term reference-based pricing...

Holding PBMs Accountable for Clinical Management by Kenneth B. Berry and Kristin Begley, Pharm.D. Drug plan sponsors can lower drug spending and improve member outcomes by working with pharmacy benefit managers (PBMs) that use strong, high-touch clinical management programs. Amid rising drug plan costs, the employee benefits industry...

A study found insurers often pay different prices for the same procedure at the same hospital. (Vox) - We’ve known for decades now that there is widespread variation in what different hospitals charge for the same medical procedures. Study after study confirms this finding (one of...