Huffines learned about Imagine360 for self-insured employers and its leading reference-based pricing (RBP) solution that’s built in.
RBP was appealing because of its thorough auditing of medical bills and because it starts with the cost of the service instead of arbitrary facility chargemaster charges. It then adds a profit margin to calculate a fair and reasonable reimbursement amount for employers, members and health systems.
To better understand how RBP works, the large claim was audited and assessed at approximately $30,000 — not the $300,000 paid by their PPO plan.
Besides the deep savings and control that Imagine360 offered, the enhanced member support and online account management were important for Huffines.