Direct contracting: a Minnesota case study.
During 1996, HealthEast Care, Inc., a healthcare provider-owned and governed direct-contracting company, successfully responded to a request for proposal from the metropolitan Minneapolis-St. Paul-based Buyers Health Care Action Group (BHCAG), a coalition of self-insured employers, to provide healthcare services to members of BHCAG's Choice Plus health plan. HealthEast Care developed a care system proposal for BHCAG that balanced consumer and purchaser expectations with historical healthcare costs. Providers are reimbursed for contracted healthcare services according to a unique fee-for-service, budget-based payment model. BHCAG chose to contract with HealthEast Care and 23 other care systems in the metropolitan Minneapolis-St. Paul area and other parts of Minnesota to serve more than 117,500 Choice Plus enrollees.
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HealthEast Care, Inc., St. Paul, MN, USA.
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D002017:Budgets; D003164:Competitive Bidding; D019033:Delivery of Health Care, Integrated / Q000191:economics* / Q000458:organization & administration; D018588:Fee-for-Service Plans; D006264:Health Benefit Plans, Employee / Q000191:economics* / Q000331:legislation & jurisprudence / Q000458:organization & administration; D006265:Health Care Coalitions; D007324:Institutional Management Teams; D008910:Minnesota; D017146:Models, Organizational