Direct Contracting

Health Planning Solutions assists health care providers in negotiating direct contracts for the provision of health care services to self-insured employers. The objective is to negotiate fair and equitable arrangements on behalf of health care providers that result in additional sources of revenue, enhance market share, and foster long term relationships with area employers.

First, we conduct an analysis of your market to determine if opportunities for direct contracting exist. We look at the relative strength of health care network choices in the area available through national, regional, and local vendors such as third party administrators and insurance carriers.

We then we develop a list of employer marketing targets based on an examination of their current arrangements and your existing contracts.

Next, we work with you to design a financial arrangement which would meet your requirements while offering employers an opportunity for value purchasing.

Market testing then proceeds through a series of discussions with target employers. If serious interest is surfaced, we will develop a prototype contract which details the services to be offered, pricing, and, if warranted, performance guarantees as well as other contract provisions.

Further negotiations take place with interested employers and a contract is prepared for final sign off.

Health Planning Solutions acts as an advocate for health care providers in the direct contracting process while enhancing employer partners trust and understanding of the health care delivery process. The result is win-win agreements which lay the groundwork with long term relationships in which the provider is viewed as a high quality and cost-effective partner fully engaged in serving health care needs of the employer and the work force.