Reference-based Pricing Simplified
Accurate, Proven, and Defensible
Health plans need RBP that’s accurate, proven, and defensible – otherwise, they face pushback from providers, balance billing to members, and dissatisfaction for the employer group. But RBP calculations for reimbursement are often complex, inconsistent, and confusing.
Context4 Pricing makes reference-based pricing simple. We’re leading the way in the new age of healthcare pricing with our in-depth, accurate data and cutting-edge cloud technology. These ingredients combine to deliver a proven, defensible healthcare pricing solution with total Medicare gap-fill and unmatched accuracy.
Comprehensive and Adaptable
If it’s Medicare RBP you want, Context4 Pricing uses all the actual CMS Prospective Payment Systems to calculate the pricing. For UCR RBP, we use our industry-leading UCR data. Either way, you get accurate and timely pricing results.
Context4 Pricing is part of the Context4 Health Plans Suite, our modular, integrated technology platform. Implementation is effortless, and the service is secure, immediate, and reliable.
The Complete RBP Solution
All Medicare Prospective Payment Systems (PPS), fully automated
Context’s leading UCR fee data
The ability to have the solution return a percent of Medicare to you
Cloud-based for easy implementation
No data to manage or software to maintain