Modern Healthcare October 26, 2019
Most self-insured employers and other healthcare purchasers rely on health plans to act as their agents in the healthcare marketplace—especially when it comes to contracting with providers and administering claims. And it’s likely that the majority will continue in just this way.
Recently, however, there has been a noticeable uptick in the number of self-insured purchasers, big and small, procuring healthcare services in new ways and outside of this traditional relationship. This offers healthcare providers an opportunity to form new relationships with purchasers directly or with vendors, from alternative third-party administrators to firms that specialize in helping purchasers carve out particular services and send their plan members to hand-picked, higher-value providers.
This innovation is spurred by a rolling series of...
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