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One of the hardest things for brokers and clients to judge is how their experience with ClaimDOC stacks up against other reference-based pricing programs. Without relative experience to draw on, it’s tough to know what “good” even looks like. Experts online and newcomers offline tend to lump all RBP programs together. So how can we expect plan sponsors to appreciate the differences?
I’ve worked with RBP plans for 12 years — first as a third-party administrator representative, where I became a believer after working on numerous programs. When that TPA was bought by private equity and merged with an RBP vendor, I got to see the full picture behind the curtain. I thought it was a good solution but, like many of you, I wondered how it compared. Now that I’m at ClaimDOC, I have that perspective — shaped not only by working for both organizations, but by being on their RBP health plans. Ironically, my prior employer marketed itself as the only RBP vendor that uses RBP for its own employees. They were either lying, or they were too lazy to research if their claim was true.
This is just one example where I’ve learned that not everything is at it appears. From TPA arrangements and promised customer service to more nuanced details — I can now distinguish between the sameness brokers and employers see on paper with RBP pitches.
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