Speaker: Direct-to-employer contracting may benefit orthopedic practices
Click Here to Manage Email Alerts
Key takeaways:
- Direct-to-employer contracting may benefit orthopedic practices.
- Tracking internal metrics and targeting local employers may open potential contracting opportunities.
WAILEA, Hawaii — In his presentation at Orthopedics Today Hawaii, Samuel Moen, BS, shared tips for orthopedic provider groups looking to engage employers and third-party administrators in direct-to-employer contracting.
“[Musculoskeletal] MSK costs are an expense for both general health and work comp for employers,” Moen said. “The groups that can manage and develop these relationships will differentiate themselves as a desirable MSK provider.”
One component that employers analyze in orthopedic providers is quality metrics, according to Moen.
“Quality metrics are important to help employers understand how your group is different from the group next door,” Moen said. “High quality in the minds of an employer and an insurance company is cost over outcomes.”
He said appropriate surgical utilization and indication are also key characteristics of a desirable musculoskeletal provider.
“Indicated surgery is important and not the over utilization of ancillary services,” Moen said. “It is finding that balance between what is indicated and what is necessary.”
In addition, Moen said monitoring internal data, producing marketing handouts and campaigns, targeting and forming partnerships with local employers, and tracking savings are key elements of the direct-to-employer contract pipeline.
“Finally, with the commercial insurance and Medicare reimbursement reduction, it is appealing to employers to have a new sustainable revenue stream for this group,” Moen said.
Collapse
Moen S. The future of orthopedics: Direct-to-employer contracting. Presented at: Orthopedics Today Hawaii; Jan. 7-11, 2024; Wailea, Hawaii.
Read more about
Click Here to Manage Email Alerts