
Healthcare reform has grabbed the headlines with various cost-saving initiatives for employers and individuals alike. However, the potential for significant savings is available without any required change to the current structure.

Self-insured employers have long evaluated provider discounts offered by medical third-party administrators (TPAs) to assess the opportunity to reduce the cost of providing health insurance benefits to their employees.

This paper summarizes a few direct contracting strategies observed in the marketplace and identifies key areas for considerations as employers evaluate these options.