Approximately 7,900 hospitals in the U.S. each use around 900 unique revenue codes.

Navigating this pricing complexity has driven many self-insured employers to rely on Reference-Based Pricing (RBP) to keep their group health plan costs affordable, transparent, and predictable. But despite its good intentions, RBP is inherently flawed and ultimately unsustainable.

There is a better path forward: Sustainable Claims Pricing™ (SCP) — a smarter, integrity-driven alternative strategy that overcomes RBP’s limitations and brings lasting value to plan sponsors and their members.

In this white paper, you’ll learn:

• What RBP is, where it falls short, and why it’s losing effectiveness
• The risks of pricing based on Medicare multiples
• How Sustainable Claims Pricing™ (SCP) delivers more accurate, defensible pricing
• Why clinician-led reviews reduce billing errors and inflated costs
• How self-funded plans can avoid balance billing and legal risk
• And more…

Join hundreds of professionals who’ve partnered with WellRithms to stop overpaying for healthcare. Download the white paper and take back control of your healthcare spend.