The Next Frontier: Clinically Driven, Employer-Customized Care 

Health systems and employers are bypassing insurers to deliver higher-quality, more affordable care By MICHAEL J. ALKIRE Employee health plan premiums are rising along with the total healthcare spending tab, spurring employers to rethink their benefits design strategy. Footing the tab, employers are becoming a more active and forceful driver in managing wellness, seeking healthcare partners that can keep their workforce healthy through affordable, convenient care. Likewise, as health systems assume accountability for the health of their communities, a market has been born that is ripe for new partnerships between local health systems and national employers in their community to resourcefully and effectively manage wellness and overall healthcare costs. Together, they are bypassing traditional third-party payers to pursue a new type of healthcare financing and delivery model. While just 3 percent of self-insured employers are contracting directly with health systems today, dodging third parties to redesign employee benefit and care plans is becoming increasingly popular. AdventHealth in Florida announced a partnership with Disney in 2018 to provide health benefits to Disney employees at a lower cost in exchange for taking on some risk, and Henry Ford Health System has a multi-year, risk-based contract with General Motors. The notion of bypassing payers is attractive for employers, especially on the back of consecutive cost increases they and their employees...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Economics The Business of Health Care direct-to-employer Employee Health Care Costs Health insurance Michael J. Alkire Source Type: blogs