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Valued-Based Payments (VBP)

HCS offers Valued-Based Payments (VBP) as an additional cost-saving solution. Our product benchmarks clients’ institutional claims costs against a Medicare-based pricing system. The calculated result is a fair and reasonable price for each procedure, plus clients still receive their network discounts for all other services.

In addition to the innovative pricing technology associated with this product, clients have a team of seasoned negotiators behind them who work with hospitals and facilities to determine pre-procedure pricing agreements, ensuring that the facility is fairly reimbursed and mitigating the possibility that the member will be balance-billed.