The effectiveness of various RBP vendors was contingent upon the bank’s partnership with their TPA. As they sought to change TPAs, the bank aimed to explore new, more transparent RBP partners.
Our RBP model enables transparent management of healthcare costs, error rectification, and fair repricing of medical bills based on Medicare rates, providing the bank with increased flexibility in balance management and plan adjustments.
Sunwest Bank faces the challenge of aligning its innovative and entrepreneurial approach with an efficient healthcare plan. Previous experiences with reference-based pricing (RBP) vendors were heavily influenced by the relationship with their third-party administrator (TPA). Looking to change their TPA and the need for a cohesive and streamlined strategy, Sunwest Bank began exploring alternative RBP partners.
AMPS became an ideal partner for Sunwest Bank because of our transparency, user-friendly reporting, and strong collaborative relationship with the bank’s TPA. Through our RBP model, common errors in medical bills were rectified. Claims were repriced fairly at a percentage of Medicare rates, resulting in low balance bills.
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"AMPS has made RBP simple. When things are simple, my staff is happier, and my employees feel better using their benefits."
