Gary W. Herschman, Anjana D. Patel, and Adam C. Solander, Members of the Firm in the Health Care and Life Sciences practice, were featured in NJBiz, in “Cutting Out the Middle Man: Direct Provider Contracts Bypass Insurers to Link Employers, Hospitals,” by Anjalee Khemlani.
Following is an excerpt:
Take a step back in time to a world where the doctor handed you the bill and there was no insurance company looming in the middle.
That’s the idea behind direct provider care contracts, an increasingly popular option employers are looking into, according to three lawyers from Epstein, Becker and Green.
“Instead of using a health insurance company and paying a premium, employers are negotiating directly with health care providers, including hospitals and health systems, for their services,” explained Anjana Patel, Gary Herschman and Adam Solander in an article set to be published in upcoming months. “In other words, employers and providers are entering into contracts with one another to bring health care services to employees for a certain set price or discount.
“Many employers are looking not only to increase the use of these types of arrangements to include a larger group of disease conditions, but they are also turning to the health care providers to innovate and develop additional programs to more effectively and actively manage population health.”