3 ms·
> RBP is a multiple of standard Medicare rates, say 140%, often is substantially less than a negotiated rate from a Carrier, hence balance billing and not so ha
by chimeracoder 3y ago
> RBP is a multiple of standard Medicare rates, say 140%, often is substantially less than a negotiated rate from a Carrier, hence balance billing and not so happy provider.
Negotiated rates are also themselves set as multiples of the Medicare Allowable Rate. Both are set as multiples of Medicare rates; that's not something unique to reference-based pricing.
- ecommerceguy 3y ago>>Negotiated rates are also themselves set as multiples of the Medicare Allowable Rate. Care to provide proof of that statement? "...instead of negotiating prices with providers." From the American Hospital Association: https://www.aha.org/fact-sheets/2021-06-08-fact-sheet-reference-based-pricing https://www.aha.org/fact-sheets/2021-06-08-fact-sheet-refere...