Reduce cost. Maintain Care. Empower your Team.

At Providence Benefit Solutions, we’re commited to offering smarter, more sustainable health plan options. One of the most effective cost-containment strategies available today is Referenced Based Pricing (RBP)- a modern alternative to traditional PPO plans.

What is Referenced Based Pricing (RBP)?

RBP is a reimbursement strategy that bases medical payments on a fixed benchmark, typically a percentage above Medicare rates. This approach replaces costly PPO-negotiated rates and allows for greater control, transparency, and cost savings.

Benefits of RBP for Employers & Employees

20-30% Cost Savings

20-30% Cost Savings over traditional PPO models

No Network Restrictions-

Employees can visit any provider who accepts Medicare

Greater Transparency

Greater Transparency in billing and plan performance

Legal Advocacy Support

To help with any provider disputes or balance billing

Consistent & Predictable Pricing

How RBP Works?

  1. Reference Rate Set: Plans reimburse providers at 120-150% of Medicare.

  2. Employee Freedom: No need to worry about “in-network” providers.

  3. Provider Bills Plan: If billing issues arise, the RBP partner negotiates on behalf of the member.

  4. Advocacy & Support: Employees receive assistance and protection against overbilling or collection threats.

Our Role at Providence…

We partner with vetted RBP vendors and experienced Third-Party Administrators (TPAs) to ensure:

  • Seamless implementation

  • Employee education

  • Prompt resolution of billing issues

  • Strategic plan design tailored to your team

READY TO EXPLORE RPB?

Let’s see if Referenced-Based Pricing is right for your business.

Contact us to schedule a free consultation.