Reference-based pricing (RBP) is a cost containment strategy that sets price caps on medical procedures based on a reference point, differing from traditional healthcare pricing. RBP promotes cost reduction, enhances provider competition, and improves price transparency, empowering patients in their healthcare decisions. CMSpricer is a SaaS solution that aids in administering RBP by providing access to current CMS rules and policies for claims processing.

2. Introduction
Reference Based Pricing (RBP) is a cost
containment strategy. It sets a price cap
on specific medical procedures based on a
reference point. This is an alternative to
traditional healthcare pricing where
reimbursement rates for medical services
are determined on a particular reference
point rather than any provider's billed
charge.

3. How RBP
Pricing Works
A healthcare plan must set a price cap
under RBP for various numbers of
medical treatments.
This price cap normally depends on the
indicated reference point.
The patient may be accountable for
making up any difference if a
practitioner overcharges.

4. Presented By : Larana Corporate
Benefits
of RBP
RBP can aid in reducing healthcare
costs.
It encourages provider competition and
rewards economical decision-making.
It can improve price transparency.
It empowers patients to make better
healthcare choices.

5. CMSPricer- A Saas-
Based Software for
Reference-based
Pricing
CMSPricer is a SaaS-based software
that comes with up-to-date CMS rules
and policies. It helps to check and
compare more than 50 different health
policies. Using this system, you can
make error-free claims processing.

6. How to Find
More
Information? Contact us to get more info
info@CMSPricer.com
(469) 586-4715
cmspricer.com
support@CMSPricer.com