Reference Based Pricing
Transparent, Fair-Priced Healthcare Without Network Limitations.
LogroNetwork’s Reference-Based Repricing (RBP) solution empowers self-insured employers and health plans to break free from traditional PPO constraints. By aligning reimbursement with objective, data-driven benchmarks—such as Medicare and cost-to-charge ratios—our RBP model delivers predictable pricing, substantial savings, and complete transparency.
Why Choose LogroNetwork RBP?
Unlike traditional network pricing models that are opaque and inflated, LogroNetwork’s RBP solution provides a rational, defensible, and fair approach to reimbursement. Plans achieve significant cost reductions, while members retain access to any provider—anywhere—without being locked into limited networks.
Transparent & Defensible Pricing
Reimbursement is tied to published benchmarks—such as Medicare, cost-to-charge ratios, or industry-specific UCR—eliminating ambiguity and enhancing auditability.
National Provider Access
Members can seek care from virtually any provider nationwide, without geographic or network restrictions.
Balance Bill Advocacy & Legal Support
Our member advocacy and legal teams work proactively to resolve balance bills and ensure compliance with patient protections.
No Surprise Billing Compliance
Fully aligned with No Surprises Act and other regulatory frameworks, ensuring protection for both plans and members.
Substantial Cost Savings
Reduce claim spend by 30%–70% versus billed charges through fair, reference-based rates.
Comprehensive RBP Program Includes:
Initial claim repricing using Medicare and other defensible benchmarks
Provider outreach and negotiation when applicable
Member support and education to navigate potential provider inquiries
Legal and compliance support to resolve disputes and balance bills
Detailed savings analytics and performance reporting