ARM Projects

Reference Based Pricing

ARM is working with Payer Compass, Inc. (Plano, TX) to implement a the lastest in our efforts to contain health plan costs.

The heart of this strategy is that the costs for services provided by physicians and facilities are erratically and eroneously priced. We address this issue by building health plans that reimburse only up to a "reference Based Price". This is, broadly, a multiple of the Medicare Allowed Amount.

Reference Based Pricing enalbles a degree of predictability for health plans. This predictable cost is frequently less than 50% of the cost of a traditional PPO plan.p>