Inventors:
Dena Bravata - San Francisco CA, US
Anastasia Toles - San Francisco CA, US
Maeve O'Meara - San Francisco CA, US
Matthew Vanderzee - San Francisco CA, US
Rina Horiuchi - San Francisco CA, US
Naveen Saxena - San Francisco CA, US
Assignee:
CASTLIGHT HEALTH, INC. - San Francisco CA
International Classification:
G06Q 50/00, G06Q 40/00, G06Q 30/00
Abstract:
Embodiments of methods and systems for providing a payer with a platform for reference pricing of health care deliverables are disclosed. One method includes identifying a set of one or more health care deliverables to which reference pricing is to be applied, and setting a reference price for each health care deliverable of the set. For this embodiment, setting the reference price includes providing the payer with analysis of negotiated rates for the health care deliverable across at least one of geographies, demographics, and centers of excellence, and allowing the payer to set the reference price for each health care deliverable based on the provided analysis. The method further includes receiving a health care deliverable request from a user who is covered by the payer, retrieving the set reference price corresponding to the health care deliverable request, and providing the set reference price or out-of-pocket cost to the user.