JD Supra

Direct Contracting Fundamentals for Negotiating with Providers

Over the last decade, it has become increasingly common for self-insured plans to negotiate direct arrangements with healthcare providers—typically, large hospital systems or provider networks—under ...
JD Supra

A New Game In Town: Concepts and Opportunities in Direct-to-Provider Contracts

As employers look for new ways to control healthcare costs and provide innovative healthcare offerings to their employees, employers are starting to consider the “direct-to-provider” contracting model ...
Health Affairs

Medicare Advantage, Direct Contracting, And The Medicare ‘Money Machine,’ Part 2: Building On The ACO Model

Given an Orwellian title, Direct Contracting, launched by Center for Medicare and Medicaid Innovation (CMMI), was anything but direct. “Indirect Contracting” would have been a far more accurate name, ...
Health Affairs

An Employer-Provider Direct Payment Program Is Associated With Lower Episode Costs

Bundled payment has shown promise in reducing medical spending while maintaining quality. However, its impact among commercially insured populations has not been well studied. We examined the impacts ...
MarketWatch

Are Employers Bypassing Traditional Insurance? Nationwide Survey Finds 75% of Large Employers Engaged in Direct Provider Arrangements

NEW YORK, Aug. 22, 2024 /PRNewswire/ -- According to a new report from Brighton Health Plan Solutions, LLC, an overwhelming 75% of employers surveyed are engaged in direct contracts as part of their ...