title: Dealing direct. If you want to play in the big leagues of direct contracting, pay attention to these risks.
abstract: There's danger in direct contracting with employers, but big advantages if you know how to steer clear. In this excerpt from Dealing Direct, a recent book from American Hospital Publishing, the authors point out common obstacles--from retaliation by insurers to managing high-risk enrollees to shifts in the market.
authors.affiliation: Columbia/St. David's Healthcare System, Austin, TX, USA.
authors.forename: E P
authors.initials: EP
authors.lastname: Gee
authors.forename: A
authors.initials: A
authors.lastname: Fine
mesh_terms: D003284:Contract Services / Q000458:organization & administration*; D003659:Decision Making, Organizational; D005377:Financial Management, Hospital; D006264:Health Benefit Plans, Employee / Q000458:organization & administration*; D006752:Hospital Planning / Q000191:economics / Q000379:methods*; D008389:Marketing of Health Services; D012308:Risk Management; D014481:United States