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As more employers seek out alternatives to high cost health care, solutions like reference-based pricing, also called metric-based pricing, are becoming more mainstream. It can be a complex concept that may be misunderstood by employers, but as a broker, you can make your clients aware of this exciting solution. Reference-based pricing offers substantial savings, and partnering with a qualified solutions provider puts you in the best position possible to offer strategic counsel to clients who are exploring whether they should make the switch.
It's not uncommon for employers who are intrigued by the cost savings and control that comes with reference-based pricing to be worried about leaving their familiar PPO plan behind. This is often coupled with apprehension about how reference-based pricing may cause disruption to their employees, so it's your job as broker to vet options and find a partner who aligns with your clients' needs and objectives.
Choose a partner with experience and expertise
With more and more solution providers to choose from, it's key to evaluate the industry and look for partners that are trusted and experienced. That means they are open to site visits and welcome prospective clients, they sign on as a strong plan partner or co-fiduciary, and they offer expert help in assisting with the transition from traditional insurance to reference-based pricing.
Site visits can be invaluable
To truly understand who is representing your client, a dedicated broker should request to see the company's operation in person. A site visit can help brokers understand if the reference-based pricing provider is financially secure, committed to their clients and if they have adequate resources to act on behalf of each client.
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