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How Self-Funded Health Plans Are Leveraging Direct Contracting
AssuredPartners
Apr. 8, 2025 "Direct contracting ... provides the cost control of [reference based pricing (RBP)] without the associated member disruption. In this model, the employer negotiates a fixed price for care with the provider and pays the claim cost directly from health plan funds. Most direct contracts use a bundled arrangement, where the entire episode of care is billed as one cost, rather than multiple billing codes in the traditional fee-for-service model." MORE >> |
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