Direct provider contracting: one employer's experience.
Employers and unions typically offer an array of health care options to their plan participants including many managed care options. However, until recently, few have considered contracting directly with an integrated delivery system (IDS), therefore circumventing health plans altogether. This article offers a case study of one employer's experience with direct IDS contracting, including employee contribution strategy, benefits design and evaluation of the delivery system.
Hanson
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Marsh
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Coulter
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D003284:Contract Services / Q000191:economics*; D017047:Cost Sharing; D019033:Delivery of Health Care, Integrated / Q000191:economics / Q000458:organization & administration*; D017049:Employer Health Costs; D005249:Fees and Charges; D006264:Health Benefit Plans, Employee / Q000191:economics / Q000458:organization & administration*; D006279:Health Maintenance Organizations / Q000191:economics / Q000458:organization & administration; D007342:Insurance Benefits; D015146:Midwestern United States; D017008:Negotiating; D019982:Organizational Case Studies; D010934:Planning Techniques; D015397:Program Evaluation