Relentless Health Value

EP350: Employers Direct Contracting With Hospitals, in Real Life, With Katy Talento

Informações:

Sinopsis

In this healthcare podcast, I’m talking about direct contracting IRL (in real life) with Katy Talento. This is a conversation that’s more about the reality of direct contracting than the theory of direct contracting, and this was not an accident. So much of healthcare transformation is really easy to say and much harder to actually do. So … direct contracting. In the context we discuss in this episode, generally direct contracting means when an employer or their benefits consultant, more likely, hooks up with a provider organization, lots of times a hospital or a health system. Moving forward here, I’m just gonna say employer when I sort of really mean the employer and their TPA and their repricer, the constellation of consultants and other vendors that are working with the employer. So, just for simplicity, the employer says to the provider organization, “Hey, let’s cut out the middleman here” (middleman likely being some insurance carrier). “I will just pay you directly, and it will be a win-win because no