About the Course
Reference-based pricing (RBP) is a cost-containment strategy used in healthcare and insurance to determine reimbursement rates for medical services and procedures. Instead of using traditional fee schedules or negotiated rates with healthcare providers, RBP sets reimbursement rates based on a reference point, often a benchmark or a percentile of what providers charge for a particular service. The RBP approach is typically employed when there is limited or no existing agreement between the payer (e.g., an insurance company) and healthcare providers. Based on the measurable plan savings generated by RBP, the marketplace has seen a dramatic rise in popularity, with RBP now being considered by 20% of self-funded employers, up from 6% in 2016. Tom Wittick and Woody Waters will walk you through the basics of the RBP mechanism and the details accompanying this platform as more plan sponsors see it as their fiduciary obligation to explore this model.
Course Highlights
- Define RBP
- Fundamental Tenants of RBP
- Varying Degrees of RBP
- Pre-sale: Understanding Buyer/Broker
- Disputes that may Arise
- RBP Service Platform Essentials
- Calculating Total Cost to the Plan
- Prospect Profile and Client Case Studies
Continuing Education Credits
The Reference-Based Pricing Course has been filed for continuing education credits in all 50 states. Please check your state's CE approval status (coming soon) and rules prior to purchasing the course.
Online Cost
The cost of the Reference-Based Pricing Course is $179 for members and $235 for non-members (refund policy and privacy policy), which includes online instruction in two webinar modules, a final exam and continuing education credits.
Discounts are offered to NABIP Corporate Partners and company groups over 25. Please contact professionaldevelopment@nabip.org for a quote.
Classroom Cost
Online Format
Course instruction will be delivered through NABIP's Online Learning Institute. For everything you need to know from creating an account to purchasing and accessing your course to taking the final exam, click here to access the user guide.
Coming Soon
Classroom Format
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