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Reference Pricing

Tracked employer-provider arrangements using Reference Pricing. This page aggregates public examples, counterparties, covered lives, reported savings, and primary sources from the DirectContract database.

Tracked contracts

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Covered lives represented

Active or expanded

19%

Highest reported savings

Tracked arrangements

Claritev (ValuePoint / PlanOptix) ↔ Undisclosed employer (new logo)

Undisclosed · 2025-09

Claritev Corp disclosed in a Q3 2025 investor presentation (SEC 8-K) that it 'closed one new logo with 4-year agreement valued at $3.7M TCV for ValuePoint/PlanOptix products.' ValuePoint is Claritev's reference-based pricing and exclusive network product for self-insured employers. Employer not named; contract is closed, multi-year, with a stated $3.7M total contract value.

Model: Reference Pricing

Status: active

Lives: Not disclosed

Savings: Not disclosed

Primary source ↗

Imagine360 ↔ Undisclosed employer

United States · 2025-01

Imagine360, a reference-based pricing health plan platform, reported 19% cost savings for a self-insured employer versus a traditional health plan. Imagine360 sets reimbursement at a percentage of Medicare across providers rather than routing through carrier-negotiated network rates.

Model: Reference Pricing

Status: active

Lives: Not disclosed

Savings: 19%

Primary source ↗

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