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PBGH’s Value Based Benefit Design and Right Priced Care

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California consumers lack essential information about the price and value of the most common health care services. PBGH’s Value Based Benefit Design and Right Price Care Projects make prices more transparent, with an ultimate goal of motivating consumers to choose the right care at the right price. The project works with health plans and self-funded employers to aggregate data and share price information about select commonly available services – ranging from imaging studies to knee replacements. Based on analysis of cost variation, the project will recommend fixed dollar benefit coverage levels for select high cost and/or high volume procedures. The project then helps plans develop tiers of coverage that encourage consumers to use the providers that offer the right care at the right price. For more details, please contact Emma Hoo at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .