More than 12 years ago, we launched our reference-based pricing (RBP) solution with our very first client. Since then, we’ve helped more than 500 self-funded companies save millions on their healthcare — with most clients experiencing a 25-30% cost reduction. Results like these have made ELAP the leading RBP solution in the U.S. healthcare industry.
Reference-based pricing: explained
A proven approach to reducing healthcare costs
Data drives better results
Unlike traditional PPO plans that base their payments on inflated prices reported by the provider, RBP takes a more data-driven approach. We use both the actual cost of the service as reported by the hospital and Medicare reimbursement rates, rather than the inflated markup, as a reference to determine a fair and reasonable payment to providers.
Here’s how it works:
Audit
Audit claims for errors and unexplained and excessive charges.
Identify
Identify the actual cost of the service.
Reprice
Reprice using Medicare and reported costs.
Determine
Determine an equitable payment and margin.
How much can you save?
Answer a few questions about your healthcare spend and we’ll provide an instant analysis of your potential savings.
A signature achievement
See how Signature HealthCARE reduced costs, optimized benefits and dramatically improved recruitment efforts with ELAP.
Restaurant chain serves up cost savings
Since partnering with ELAP, Caspers Company, a Florida-based restaurant operator, has saved $4.8 million versus its previous PPO.
Boat retailer sees maximum impact
See how ELAP has impacted this boat retailer’s bottom line and helped MarineMax realize $5 million in savings.
Lumber company celebrates 12+ years of results
For 14+ years, The Langdale Company has used the ELAP solution to drive down healthcare costs.
