REFERENCE-BASED PRICING

Take Control of Your Healthcare Spend

REFERENCE-BASED PRICING

Take Control of Your Healthcare Spend

WHY REFERENCE-BASED PRICING?

Repricing is straightforward, but exceptional service is what truly sets vendors apart. Our concierge model offers personalized support and transparent management, ensuring a seamless experience for every client. 6 Degrees Health’s solutions combine superior member service, deep expertise and innovative technology to harness the power of Reference-Based Pricing (RBP) to lower healthcare costs by 20-40% compared to traditional health insurance solutions.

WHAT WE DO

As an industry leader in RBP, our solutions offer quality health plans with significant savings.

REFERENCE-BASED PRICING

Comprehensive Health Plans
Reference-based pricing and metric-based provider contracts result in savings of 20-40% compared to traditional PPO plans.
Robust Patient Support & Member Advocacy
Our commitment to member satisfaction drives an exceptional and seamless experience.
Flexible Plan Design
Design a plan that aligns with your company’s goals using multiple RBP and contracting solutions.

CONCIERGE-LEVEL SUPPORT

A comprehensive approach to elevating member experience, offering personalized care, tailored services, and exceptional support at every touchpoint.

MEMBER EDUCATION

Provide your members with the tools and education to discover the full potential of an RBP health plan.

DEDICATED SUPPORT

Your plan will have a dedicated point of contact who is available to assist and inform members.

CUSTOM MEMBER APP

Empower your members with customized provider search, click to call, and live case support.

IMPLEMENTATION

Ensures a smooth transition for the health plan and members with full vendor integration and our two-phase OnRamp program, minimizing care disruptions.

PROVIDER OUTREACH

Our Call Ahead Program helps members quickly connect with a new physician or healthcare practitioner, ensuring seamless access to care.

LEGAL SUPPORT

Our MediShield solution offers best-in-class legal representation, ensuring robust member protection.

THE RPB EXPERIENCE — POWERED BY MEDIVI

Experience the future of healthcare with 6 Degrees Health’s MediVI platform, where advanced analytics and AI seamlessly drive our mobile and desktop application, empowering clients and members to make informed decisions.

OPTIMIZE YOUR PLAN WITH THE

ULTIMATE RBP SOLUTION

Facility & Professional Claims Repricing with Professional Plus (physician only wrap)
MediShield legal support combined with co-fiduciary responsibility to lower average claim spend and protect members
Industry Leading Payment Integrity Program to attack large claims with clinical expertise
Full No Surprises Act Support
Integrated contracting team to resolve billing and access issues in advance with contracting support.
MediCash prepay solution enhances member experience while driving additional savings.

136%

Average Medicare Reimbursement Rate Outperforms Industry Average

950K+

Contracted Providers with Professional Plus

99%

Savings off Disputed Charges with MediShield

RESULTS IN UP TO 40% INCREMENTAL SAVINGS

CLIENT TESTIMONIALS

“I believe 6 Degrees Health is on a mission to change healthcare and pricing. This is a multi-year strategy and battle in our industry. This will not change tonight or tomorrow, but 6 Degrees is here to do what is right, not what is easy.”

President,Group Health Broker

“ [6 Degrees Health’s] analytics are amazing – they have incredible data for you in the decision-making process and as you’re working with them. We also found them to be quick and efficient when it comes to resolving difficult claims, which is important when managing a health plan.”

VP of Human Resources,TreeTop, Inc.

“Over the last few years we’ve definitely seen a big increase with self-funded plans. A lot of these plan sponsors are doing this because they want more customization and more flexibility. By partnering with 6 Degrees Health, depending upon where that plan sponsor is with their journey, the sponsor can [choose from] the different levels of solutions that they deploy.”

Chief Executive Officer,Coastal Administrative Services

Ready to Work Together?

Our team can help you find the right solution.

GET STARTED

Ready to Work Together?

Our team can help you find the right solution.

GET STARTED

PAYMENT INTEGRITY

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Data Mining & Recovery
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