RBP Report Cover

Reference-based Pricing:
Risks and Rewards of Playing Health Care Hardball

Last year, CPR set out on a study:

  • To determine how and why reference-based pricing (RBP) can work
  • To understand the risks and trade-offs it poses
  • To explore strategies for merging RBP with more traditional value-oriented health care strategies

To this end, CPR developed a request for information (RFI), which was distributed to eight RBP vendors and one third-party administrator (TPA) who partners with multiple RBP plans. Through the course of reviewing responses, consulting with experts, stakeholders and RBP clients, CPR developed the RBP Evaluation Toolkit, summary scorecards, and white paper Reference-based Pricing: Risks and Rewards of Playing Health Care Hardball.

In this report, CPR examines the evolution, mechanisms and strategy behind RBP solutions, and explores the most important questions health care purchasers should consider when evaluating an RBP vendor.

Access our most salient findings: