When employers and insurers use reference pricing for diagnostic tests, the average price paid for those tests dips by almost a third, according to a new U.S. study. Under reference pricing, which is ...

The use of reference pricing by health insurers and employee health benefit plans stands high on the policy and regulatory agenda because it is gaining popularity, particularly now that federal ...

Reference pricing — or capping payment for a specific healthcare service — offers only modest potential savings for health plans and purchasers looking to contain costs, according to an analysis ...

Reference-based pricing entered the conversation a few years ago as a solution and response to unsustainable healthcare price increases, and the model is still gaining traction among self-funded ...

Reference pricing for medical procedures constrains costs by capping the amount an insurer will pay for a procedure and making the patient pay the extra amount. In California, Calpers has been ...

On October 10, 2014, the Departments of Labor, Treasury, and Health and Human Services issued a frequently asked question (FAQ) regarding the use of reference-based pricing in non-grandfathered large ...

Michael Belman, M.D., has witnessed firsthand the benefits of reference pricing. When he had cataract surgery in Los Angeles he found a variation in prices ranging from $3,500 to $11,000. By taking ...

Reference pricing has been touted as a way to create provider competition in healthcare, but a recent Federal Trade Commission article argued this isn't the case. Reference pricing is a relatively new ...

A reference pricing initiative was linked to more prescription fills of lowest-priced drugs and a decreased average price per prescription, but higher rates of copayments by patients, a new study ...