HealthcareWhat Are the Benefits of Using a Reference Based Pricing Tool in Healthcare?

As we make our way through a global economic recession, the cost of healthcare has drastically increased, making it challenging for employers to provide affordable healthcare options to workers. Although deferring the cost to employees is an option, it is not preferable due to its negative impact on the well-being of the employees and the company’s morale. Employers are therefore looking at multiple other options that can lower the financial burden of managing employee health benefits while addressing their health concerns appropriately. Reference-based pricing is one such healthcare planning strategy that aims to lower the cost of health plans significantly through control of expenses for various medical services, procedures, and medications. Read on as we take a closer look at the benefits of using a reference-based pricing healthcare tool to make employee health benefits more affordable for your business.

About Reference Based Pricing

Reference based pricing is a healthcare pricing strategy that sets an upper limit on the amount an employer would pay for a procedure instead of letting the insurance provider determine the cost entirely. By doing so, it prompts the insurance provider to accept the predetermined payment or justify the high rate for a nominally priced procedure. This method uses customary prices for each procedure or treatment modality and ensures that employees are not charged more than necessary for their medical or surgical treatment. It’s a great way to keep up with all the details that could easily get lost.

Benefits of Using Reference Based Pricing

Here are some of the most notable benefits of using reference-based pricing in healthcare:

Low Costs

Saving costs of healthcare procedures, medications, and diagnostic modalities is one of the most important benefits of using a reference-based pricing healthcare tool. Through a predetermined cost ceiling for various procedures and drugs, employers can negotiate lower rates that benefit both employers and employees and streamline the expenses for employee healthcare. It also eliminates the cost variance observed for different insurance providers and geographic locations, instead providing a standard rate for each procedure.

High Transparency

Reference based pricing tools allow for greater transparency in healthcare. This provides employers and employees a chance to better understand the costs associated with various medical and surgical procedures, diagnostic tests, medications, and more. It helps employees make well-informed decisions regarding healthcare and get a better view of how the healthcare industry works. These decisions can help them in the future and avoids possible stressors. Knowing what they are getting beforehand helps them to make better decisions in the long run.

Enhanced Quality of Care

By negotiating to receive standard pricing for the same procedure that might be costly elsewhere, employees are likely to receive better quality care at a low price. Reference based pricing also makes it possible for employees to stick to their budget and lower insurance premiums, making better financial management possible. It’s always in a company’s best interests to make sure that their employees are covered. Using these kinds of tools ensures that their healthcare company is running smoothly.

Increased Employee Satisfaction

Affordable healthcare is more likely to significantly increase employee satisfaction through access to high-quality treatments and procedures at standard rates. Employees are more likely to be satisfied with their employers and health coverage, making employee retention rates higher for employers and business owners. Employees are more likely to stay with their employer when they know that they are taken care of. Ensuring these types of tools beforehand gives the employee incentive to stay.


If you are an employer searching for ways to manage the costs of employee healthcare benefits, you should consider using a reference-based tool for healthcare pricing. These tools can help you provide higher-quality medical care at lower rates and significantly increase employee satisfaction through high transparency and affordability. The more comfortable the employee the better it is for the company. If you are thinking about the future of your company make sure that it includes taking of your employees and their healthcare.

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Digital Health Buzz!

Digital Health Buzz!

Digital Health Buzz! aims to be the destination of choice when it comes to what’s happening in the digital health world. We are not about news and views, but informative articles and thoughts to apply in your business.

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