View COVID-19 Resources

Medicaid Coverage Gap Resources

View Health Equity Resources


Overview of States’ Hospital Reference-Based Pricing to Medicare Initiatives

This chart examines efforts by state insurance purchasers to use reimbursement rates paid by Medicare as a reference-point to inform their programs’ hospital payments. Through these Reference-Based Pricing to Medicare (RBP) initiatives, state purchasers are seeking to set their reimbursements to more accurately reflect the cost of providing services, rather than negotiating from the much higher hospital chargemaster rates.