In Part 1 of this series, we covered the basics—premiums, deductibles, co-insurance, and out-of-pocket maximums. But if you’re an HR professional or business leader tasked with evaluating or managing your company’s health plan, understanding the next layer of terminology is essential. These are the terms that can dramatically impact cost, quality, and transparency—and they often fly under the radar.
In Part 2, we’re breaking down four more advanced—but critical—terms you should understand to make smarter, more strategic benefits decisions: BUCA, Reference-Based Pricing (RBP), Direct Contract Pricing, and Network.