Keeping health spending local benefits your hospital, local business, and your community.
We provide:
- Outreach to local employer contacts
- Expert review of current claims and spend to spot opportunities
- Coordinated communication with hospital employees
- Contact negotiations where there’s mutual interest
- Hospital advocacy with plan’s TPA for optimal modeling, reimbursement structure and contract administration
- Design and support for business development activities with local employers
The Benefits of Direct Contracting
For rural and community hospitals
REDUCTION
in patient bad debt due to benefit plan design changes in the form of reduction or fully waived cost share.
INCREASED UTILIZATION
and revenue created by patient steerage through employer benefit plan design changes, and incentives.
PROTECT
current utilization, market share, and revenue by being proactive before other area hospitals implement it first.
DEEPER RELATIONSHIPS
with local employers builds stronger community support.
REDUCED
administrative denials, payment delays and payer bad debt.
For local/regional employers
LOWER
out of pocket expenses for
employees when utilizing
the higher tier provider
POTENTIAL
for lowering overall health plan cost by keeping more services local. Accomplished in one of two ways:
- Services in the local facility may be less costly than similar services at a tertiary care hospital or provider in a larger market.
- Reimbursement with the local provider when directly contracted should be more competitive than large network rates for the same provider.
CONVENIENCE
care closer to home may lead
to faster return to work.
For Both
PATIENT EXPERIENCE
for local employees is convenient and better overall
PLAN SAVINGS
accrue to the local employer while at the same time
enhancing revenue for the local provider. Both can benefit
instead of a national carrier keeping the margin.
KEEPING MORE
health plan dollars local will benefit the employer, hospital and community as a whole.
