healthcare contracting

Direct Primary Care: The Employee Benefit Cannabis Business Owners Can’t Afford to Miss

The Growing Pains of a Growing Industry With many states legalizing both medical and recreational use, the fairly new cannabis industry is experiencing rapid expansion and professionalization. And this expansion covers a wide range of businesses. These include plant-touching and ancillary businesses, from cultivation and dispensaries to packaging and accessories. As these businesses mature within […]

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Health Leader’s Direct Primary Care Analysis: A Response

A recent Health Leaders analysis of Direct Primary Care (DPC) models by Marie Defreitas has many in the industry talking. She explores the possibilities of DPC models replacing traditional High Deductible Health Plans (HDHP) in anticipation of Medicaid cuts. Direct Primary Care is a membership-based healthcare model. Patients pay a monthly fee for specified primary

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The Big Beautiful Bill: HSAs Meet Direct Primary Care — A Game-Changer for Patients, Doctors, and Employers

Buried in the recent omnibus healthcare legislation, the One Big Beautiful Bill (OBBB), is a long-awaited update. You can now use Health Savings Account (HSA) funds to purchase Direct Primary Care (DPC) memberships. How the OBBB Impacts HSAs Historically, IRS rules restricted the use of HSA dollars for DPC, citing it as a form of

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Black and white photo of a doctor looking out the window

Why Employed Primary Care Physicians Are a Losing Proposition for Health Systems

Every so often, an article emerges that so perfectly aligns with a company’s strategy to address a problem, and discovering it feels like striking gold. Kaufman Hall’s recent piece, “Hospitals keep losing money on physicians. Is there another way?” is one of those articles. The fundamental question raised in the article—to employ or not to

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doctors in a office looking at paperwork

How HRAs can pay for DMCAs

In the face of the constantly changing healthcare landscape, alternative healthcare models become more crucial to providers and networks looking to remain competitive. More than ever, patients are searching for affordable, transparent, and empowering health plans. And providers want to deliver high-quality and hassle-free care with price transparency. Subscription and membership-based healthcare models are proving

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Emerging Direct-to-Employer Contracting Strategies

The trend of direct contracting in healthcare, where employers and providers bypass traditional insurers to build customized health plans, represents a significant shift in the healthcare landscape. Here’s a detailed comparison of the two models, their benefits and drawbacks, and their potential impact on the traditional insurance model: 1. Health System-Employer Direct Contracting In this

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