Monthly Archives

January 2018

Direct to Employer Contracting: Can It Improve Patient Engagement and Reduce Waste?

Practice area:

Since the enactment of both the Health Information Technology for Economic and Clinical Health Act (HITECH) and the Affordable Care Act (ACA), the healthcare industry has embarked on several initiatives to improve quality and lower healthcare spending. From the accountable care organization (ACO) and other payment model initiatives offered by the Centers for Medicare and Medicaid Services and the Center for Medicare and Medicaid Innovation to the high-deductible health plan initiatives undertaken by employers, to the trends in risk-based contracting by other commercial payors, the focus on quality and cost continues to be an important theme in healthcare.  Access to timely, actionable data – especially with the widespread adoption of electronic medical records – renders the possibilities of success more attainable.  At the center of all of this is the patient, who is now viewed as a customer and for whom engagement and satisfaction are of critical importance.

As more clients in our ERISA practice make the move to self-insured plans, and more clients in our