Employer Saves $1.41 Million through Direct-to-Employer Contracting

May 18, 2021 | Alternative Reimbursement Strategies, Case Studies, Cost Savings, Direct-to-Employer Contracting, Reference-Based Pricing

A MedBen Client switched from a traditional PPO plan to direct-to-employer (DTE) contracting in 2016. They contracted directly with multiple health systems, and paid for non-contracted care using reference-based pricing (RBP). By contracting with selected health systems, any chance of balance billing is eliminated through those contracted providers.

By comparing what the Client would have paid based on their prior PPO discounts, the Client saved $1.41 million between 2016 and 2020.
MedBen has contracted with doctors and hospitals across the Midwest. To find out how MedBen can help your plan get the most out of your health care dollars, contact your broker or call us at 888-627-8683.