Jason McLaren

Reliant Health Partners is a medical cost containment and specialty bill review company with a reputation for obtaining the largest sustainable claims reductions while making the process as simple as possible for our clients. We work with third party administrators and insurance brokers serving self-insured organizations, including public and private businesses, associations, government entities and Taft Hartley groups to re-price their out-of-network group health and workers' compensation claims. Looking to improve the client experience from start to finish, RHP made a commitment to get more savings with less noise by offering total transparency and guaranteed results. Through this commitment, we pioneered our Fair Market Pricing™ (FMP) methodology which incorporates geographic and provider specific benchmarks to consistently reduce bills to a true a defensible “Fair Market Price”. Our Fair Market Pricing™ process is a more robust version of what has come to be known in the industry as Reference Based Pricing. Simply put, FMP is the most cost effective reimbursement method available today. We use the provider's own cost and profitability factors, sourced from various data points, to determine and communicate pricing. These sources include actual reimbursement data and facility cost data to assure that the recommended payment is a “Fair Market Price”, providing a good value for the payer and a reasonable profit for the provider, a sustainable relationship. Our unique method results in overwhelming provider and facility acceptance with averaged discounts of 52% off the billed amount and an overall appeals rate of less than 1.75%.