Direct Contracts & Healthcare Pricing Complexities – Part 1
Provider access is the biggest hurdle to successfully implementing a non-traditional health plan. Whether you are utilizing a reference-based pricing strategy or another alternative, direct contracts are almost always utilized to overcome this challenge. Creating direct contracts with providers sounds simple, but doing this correctly is much more complicated than just getting a rate you can live with.
On this month’s ClaimTalk, experts Jay Kempton, Shane Cerone and Brad Hansen discuss the complexities of direct contracts and navigating inconsistencies in healthcare pricing.
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