Why wellness should be a part of dynamic value-based plan design

According to RAND corporation, about 80% of large employers in U.S. offer wellness programs. Despite a significant spend (over $8 billion annually) by employers on these programs for over 20 years, participation by employees as well as the program's ROI remains poor.  We can think of three possible reasons: Lack of targeting Lack of evidence Lack of…

Narrow network and value-based-care are not the same thing for employers

Narrow networks have been in the news for the last few years. A number of carriers have started to offer this to employer-sponsored health plans as well as to individual marketplace. This concept is marketed differently than what it really is. Narrow network is essentially a higher discounting method based on an assumption that a…

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…