The promise of value-based care is to deliver the best outcomes at a lower cost. Providers are incentivized to keep members healthy by proactively managing the health needs of the members, delivering high quality care while reducing the use of unnecessary tests and treatment. Self-funded employers have a lot to gain from this model in higher quality,…
Category: Health Plan Administration
Is it time to take a fresh look at direct contracting?
Outside of health benefits, your organization is likely to have direct relationships with hundreds of partners with specific agreements, point of contacts, the price for services, and expected quality of delivery. Why can't it work for health benefits? It can. Contrary to popular belief, direct contracting with health systems is not a new idea. It…
Effective health plan administration with outsourced providers
Health plan administration can be a significant drain on your HR and administrative staff. If the in-house staff is burdened with administrative tasks, it can't make progress on strategic initiatives. That's one of the reason why the outsourced plan administration is on the rise in mid-large sized companies all over the country. The other reasons include…