Eligible for: ACMPE: 1 |ACHE: 1 |CEU: 1 |CME(AAPC*): 1 |CPE: 1.2 |PDC: 1 Traditional | Intermediate | Application * This session is included in the 2025 MGMA Summit education program.
Move on from decreasing reimbursements, pre-approvals and other administrative headaches that come with traditional payers. Discover how to open a new revenue stream by tapping into the self-insured employer market in your region. Approximately 100 million covered employees in the United States are enrolled in self-insured health plans, and ever-growing numbers are being directed to high-quality, lower-cost venues of care at independent practices and ASCs. Learn practical steps on how to contract with self-insured employers in your region from practice leaders who have successfully done it. By contracting directly with employers you can streamline payments and communications, eliminate pre-approvals and payment delays while enhancing patient access and care. Gain insight on how to work with broker advisors and their navigation teams who are actively re-directing patients away from expensive venues of care to independent practices and outpatient centers in your area. There are brokers/advisors developing Community Owned Health Plans for employers and need to expand their provider network. This session will equip clinical practices with both the foundational knowledge and practical steps to leverage transparency and direct contracting, ultimately helping them to thrive as valued partners in the employer healthcare ecosystem.
Learning Objectives:
Apply principles learned of employer direct contracting for medical practices
Discover the market size and opportunity self-insured employers can represent for your practice
Manage the process of joining provider networks that brokers/advisors, TPAs, and nurse navigators leverage for Community Owned Health Plans to employers
