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Related Experiment Videos

Direct provider contracting: one employer's experience.

E Hanson, S Marsh, C H Coulter

    Benefits Quarterly
    |July 1, 1999
    PubMed
    Summary

    Employers can directly contract with integrated delivery systems (IDS) to offer health benefits, bypassing traditional health plans. This case study explores an employer

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    Area of Science:

    • Healthcare Management
    • Health Services Research
    • Employer Health Benefits

    Background:

    • Traditional employer health benefits often involve managed care options.
    • Direct contracting with integrated delivery systems (IDS) is an emerging alternative.
    • Few employers have explored circumventing health plans for direct IDS contracts.

    Purpose of the Study:

    • To present a case study of an employer's direct contracting experience with an IDS.
    • To analyze the employee contribution strategy in direct IDS contracting.
    • To evaluate the benefits design and performance of the chosen delivery system.

    Main Methods:

    • Case study methodology.
    • Analysis of employer's direct contracting strategy.
    • Evaluation of benefits design and delivery system performance.

    Main Results:

    • Details of the employer's direct IDS contracting approach.
    • Insights into the employee contribution strategy.
    • Evaluation findings on the integrated delivery system.

    Conclusions:

    • Direct IDS contracting offers a viable alternative to traditional health plans for employers.
    • Strategic benefits design and contribution models are crucial for successful direct contracting.
    • Further research is needed to understand the broader implications of direct employer-IDS partnerships.

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