Keeping health spending local benefits your hospital, local business, and your community.
![](https://rhiaprogram.com/wp-content/uploads/2024/04/direct-contrating-regional-employers.png)
We provide:
- Outreach to local employer contacts
- Expert review of current claims and spend to spot opportunities
- Coordinated communication with hospital employees
- Contact negotiations where there’s mutual interest
- Hospital advocacy with plan’s TPA for optimal modeling, reimbursement structure and contract administration
- Design and support for business development activities with local employers
The Benefits of Direct Contracting
For rural and community hospitals
![](https://healthsure.com/wp-content/uploads/2022/12/Reduction.png)
REDUCTION
in patient bad debt due to benefit plan design changes in the form of reduction or fully waived cost share.
![](https://healthsure.com/wp-content/uploads/2022/12/Utility.png)
INCREASED UTILIZATION
and revenue created by patient steerage through employer benefit plan design changes, and incentives.
![](https://healthsure.com/wp-content/uploads/2022/12/Protect.png)
PROTECT
current utilization, market share, and revenue by being proactive before other area hospitals implement it first.
![](https://healthsure.com/wp-content/uploads/2022/12/deeper-relationships.png)
DEEPER RELATIONSHIPS
with local employers builds stronger community support.
![](https://healthsure.com/wp-content/uploads/2022/12/reduced.png)
REDUCED
administrative denials, payment delays and payer bad debt.
For local/regional employers
![](https://rhiaprogram.com/wp-content/uploads/2024/04/lower.png)
LOWER
out of pocket expenses for
employees when utilizing
the higher tier provider
![](https://rhiaprogram.com/wp-content/uploads/2024/04/potential.png)
POTENTIAL
for lowering overall health plan cost by keeping more services local. Accomplished in one of two ways:
- Services in the local facility may be less costly than similar services at a tertiary care hospital or provider in a larger market.
- Reimbursement with the local provider when directly contracted should be more competitive than large network rates for the same provider.
![](https://rhiaprogram.com/wp-content/uploads/2024/04/convenience.png)
CONVENIENCE
care closer to home may lead
to faster return to work.
For Both
![](https://rhiaprogram.com/wp-content/uploads/2024/04/patient-experience.png)
PATIENT EXPERIENCE
for local employees is convenient and better overall
![](https://rhiaprogram.com/wp-content/uploads/2024/04/piggy-bank.png)
PLAN SAVINGS
accrue to the local employer while at the same time
enhancing revenue for the local provider. Both can benefit
instead of a national carrier keeping the margin.
![](https://rhiaprogram.com/wp-content/uploads/2024/04/money.png)
KEEPING MORE
health plan dollars local will benefit the employer, hospital and community as a whole.