How can USI help our organization respond to rising costs associated with our self-funded employee health plan?
USI offers Reference Based Pricing (RBP) to organizations looking to significantly impact hospital and facility claims.
USI clients have experienced savings in excess of 30% when implementing Reference Based Pricing.
We’ve estimated the financial impact for you. Feel free to update the assumptions.
- USI continously evaluates RBP vendors to ensure the theplan is running
- Continuous compliance monitoring related to these strategies
- Can help attract and retain employees through lower out-of-pocket costs, lower contributions, and broader provider access
USI’s analysis of RBP strategies helps employers understand the range of options available and the associated compliance risks with each option.
RBP is complex and require significant oversight. The USI culture of shared knowledge provides employers with a significant advantage.
USI has developed an RBP readiness tool to assist employers in evaluating this plan design.
USI designs strategies to meet a wide array of employee needs, from low-cost coverage to comprehensive PPO plans.
Self-funded clients who are looking for drastic measures to reduce cost, especially if they do not have great access to a deeply discounted network or are in a more rural market where the traditional network carriers have not negotiated strong discounts with the one dominant hospital network in their area.
RBP may be subject to challenge and determined to be non-compliant or not meet Minimum Value requirements. This would potentially expose plan sponsors to employer mandate penalties along with other penalties and/or litigation. The key compliance concern is the lack of quality providers that have been identified willing to accept the reimbursement rates offered through the plan as payment in full.
USI assists employers to evaluate the compliance concerns that may accompany an RBP plan and preemptively address potential issues before they occur.
I’d like to explore further how USI can help our organization respond to rising costs associated with our self-funded employee health plan.
To get started, we would like to set up a meeting with you to walk through our RBP Interactive Guidance Tool and evaluate your organization's readiness score to see if RBP is a good option for you.