A New Direct Contracting Model:
Physician-Owned, Physician-Led, and Built for Broad Adoption.
After more than 16 years in direct contracting, one insight is clear: employers and healthcare providers—physicians and facilities alike—are looking for seamless, integrated solutions that remove administrative and financial barriers.
This new Direct Contracting Model is physician-owned and physician-led, placing doctors at the heart of healthcare delivery.
Patients can access private practice physicians with no out-of-pocket expenses, all processed directly through their health plan.
To find a physician, they can log in to their health plan website or call the 1-800 number. This solution is so much more straightforward than my previous attempts.
Physicians and facilities experience predictable, timely reimbursement without the administrative headaches of external billing, learning cost accounting, or building bundled prices. Just do what you’ve always done!
At the same time, employers benefit from a solution that works within their health plan framework.
This approach delivers an integrated, high-quality care experience that aligns with patients’ and physicians’ needs and goals.
The Benefits for All Stakeholders
•Patients: Direct access to physician-led care with no out-of-pocket expenses, just straightforward, patient-centered healthcare.
•HR Teams: A hands-off experience without additional engagement or communication strategies; everything is integrated within the health plan’s platform.
•CFOs: Enhanced cost control with a premium, efficient provider network that reduces waste and improves care quality.
•CEOs: Freed from the distractions of managing complex healthcare logistics, allowing focus to stay on core business priorities.
•Physicians & Facilities: Positioned at the center of the no-copay, no-deductible network, they benefit from timely, reliable reimbursement through the plan, streamlining operations and enhancing patient trust.
The Result
This Direct Contracting Model within a physician-owned benefits agency is a game-changer. It is designed to align seamlessly with patients, physicians, and employers.
By empowering physician-owned hospitals and private practices to build their own benefits agencies that lead with innovation, we’re creating a sustainable healthcare framework that centers on quality, accessibility, and cost-effectiveness.
It’s healthcare redefined to put physicians back at the heart of the system.
-Rojas out.