What is Reference-Based
Pricing (RBP)?
Pricing (RBP)?
Reference-based pricing (RBP), simply put, is a way to pay providers using a reference point, like Medicare. When first introduced over a decade ago, visionary leaders wanted to lower costs for self-funded plans. While they were successful in lowering costs, there were gaps in the quality of care and member experience. Apostrophe studied those gaps and designed a better plan that all but eliminates them, setting Apostrophe apart from other TPAs.
Do you know how healthcare costs are determined?
Transparent RBP Plans
Rates reflect the actual, fair and regionally adjusted cost of healthcare.
Traditional PPO Networks
Rates are a discount off of arbitrarily billed chargemaster.
Contrary to popular belief, costs are not correlated to quality. Members have access to a variety of providers, some with the highest quality ratings in our markets. The only difference is, we’ve negotiated fair, transparent prices. In exchange, we steer our members to them.
We prefer to negotiate, not litigate.
And we’re pretty good at it.
the number of
Apostrophe claims
that landed in court*:
the number of
Apostrophe members
who have had a hit
to their credit*:
oh health yeah!
Apostrophe plans include access to a variety of high-quality in-person and virtual providers, including primary care, urgent care, behavioral and physical therapy.
As a Certified B Corporation, we believe in business as a force for good. Our values — Simplicity, Transparency and Love — keep us aligned with our customers.
* Data is based on all Apostrophe claims over the last four years.
** Data is based on 2020 Apostrophe claims
Apostrophe is the mid-market leader in intelligent health benefits. We offer the only turnkey solution that balances savings with quality care and member experience.
we offer our solution to self-funded health plans
in select regions of the U.S.
in select regions of the U.S.
Contact us to see if we’re
the right fit for you.
the right fit for you.