Stethoscope and medical bill When implemented together, reference-based pricing and medical bill review can reduce claims by more than 70 percent.

As health care costs continue their relentless upward climb, many self-funded employers feel they have one of two choices—cut benefits or increase employee contributions. Either choice continues the undesirable pattern of passing health care cost increases onto employees.

On a national scale, employees already shoulder too much of this burden. Consider that since 1970, pre-tax compensation has increased by over 60 percent, while actual take home pay has increased less than 3 percent. In another sobering example, hospital spending in non-Medicare households is twice that of Medicare households.

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