HNAS recognizes that some employers want to control costs by using a reference-based pricing (RBP) strategy. Rather than relying on static network discounts, an RBP strategy focuses on using appropriate claim limits and audits to ensure fair and reasonable payments are made to medical providers.
We have RBP options to help us administer a metrics-based pricing solution for certain plans. Our strategy takes reference-based pricing to the next level by:
- Auditing facility claims with an eye toward transparency to determine fair costs.
- Assuming responsibility for dispute resolution to ensure plan payments meet ERISA obligations.
- Providing robust analytics that dovetail with HNAS's reports and benchmark data.
For more information on reference-based pricing and how your company can take advantage of this partnership, contact your HNAS sales director today.