title: Provider-sponsored networks. Physicians organize for direct contracting.
abstract: The Provider Service Network (PSN) concept is part of a wider movement by physicians to restructure for managed care to improve bargaining leverage for America's more than 600,000 active medical practitioners. Direct contracting has a simple appeal--no intermediaries. Imagine managed care contracts without the costs or hassles of an HMO or third-party intermediary. The PSN is a new form of managed care organization, but without the middleman. Savvy, self-insured employers, business coalitions, and government health programs are the potential "buyers." Doctors and hospitals are the "sellers," organizing provider networks on a regional and statewide basis. Up for grabs are over 225 million consumers whose health benefits are currently managed by insurance plans, HMOs, and third parties. This new marketplace of direct contracting may sound to doctors like the Garden of Eden, but there is plenty of opposition. PSNs will not become a national trend without a fight.
authors.affiliation: Health Forecasting Group, Santa Clarita, CA, USA.
authors.forename: R C
authors.initials: RC
authors.lastname: Coile
mesh_terms: D019090:Case Management / Q000191:economics; D019058:Community Networks / Q000191:economics / Q000458:organization & administration*; D003284:Contract Services / Q000191:economics / Q000458:organization & administration*; D018166:Health Care Reform; D006279:Health Maintenance Organizations / Q000191:economics / Q000458:organization & administration; D006801:Humans; D007343:Insurance Carriers / Q000191:economics; D018854:Managed Competition; D008389:Marketing of Health Services / Q000191:economics / Q000458:organization & administration; D010819:Physician's Role; D010820:Physicians / Q000458:organization & administration*; D014481:United States