Employers everywhere agree: rising health plan costs are making it harder to compete for top talent. Why? As healthcare costs increase, health insurance premiums follow suit. The result? You’re forced to water down benefits, shift costs to employees, and watch your competitive edge slip away.
At what point do we stop treating these annual cost increases as inevitable? There’s a better way to manage your health insurance costs, and it starts with eliminating the middleman.
What is Direct Contracting?
Direct contracting allows employers to work directly with healthcare providers, bypassing the traditional insurance middlemen who drive up costs. In Southwest Michigan, we’ve built a new provider network using this strategy. Our clients now have access to high-quality, lower-cost care—and when employees use this network, they pay $0 out of pocket.
Through direct contracting, employers and providers agree on pricing for medical services, and by paying the providers directly, employers eliminate extra fees often associated with insurance networks.
While PPO and HMO networks offer a wide range of providers, they frequently lack standardized pricing. The same medical service can have differing prices across providers. And involvement of third parties increases costs due to additional administrative fees.
We harnesses direct contracting to enhance cost efficiency and care quality for our clients. Fixed rates for services lowers expenses significantly. By aligning expectations and pricing directly with providers and hospitals, we streamline payments and eliminate network fees, helping employers manage their costs effectively.
Direct contracting not only reduces costs but also improves healthcare access for employees. Employees receive care from top-tier providers who have committed to specific quality standards, ensuring excellent care without the limitations of traditional networks. And the fixed pricing agreements lead to lower costs for employees, reducing financial stress.
Lower Costs, Better Benefits, Stronger Competitive Edge
By introducing competition into the healthcare system, we’re helping employers break free from the cycle of escalating costs. Direct contracting naturally drives prices down while improving care quality. Clients of Sympl Benefits have experienced measurable savings, stronger benefits packages, and a positive shift in company culture.
We can help you analyze your current plan and determine the right fit for your business. Contact us today to start the conversation and take control of your health plan costs.
Comments