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Those of you who attended TC 2005 will recall a version of the table below from Bill Maloney’s
presentation on Consumer Driven HealthCare (CDHC). Many of you asked how you could become a participating
provider for CDHC plans so that you could capitalize on the changing market.
According to a 2004 Mercer Human Resources Survey, approximately 43% of employers were likely to
offer a Health Savings Accounts (HSA) or a Health Reimbursement Accounts (HRA) in 2005 as a benefit
plan option. That number jumps to 72% in 2006.
As healthcare costs continue to rise, and employers look for alternatives, you may start to see an
increase in patients with consumer driven plans. This may be evident when the patient has a high
deductible for in-network services.
A majority of the companies that offer a consumer driven product are big names in the healthcare
industry that have already established a provider network of their own; therefore, if you have a
contract with the health plan, you may already be listed as a participating provider for their
consumer driven healthcare products.
Other companies access multiple PPO networks that have already established provider networks; in which
case, you may be participating as a provider for consumer driven plans for one company through
your participation in another PPO agreement. You can contact the company and find out what network
they are utilizing in your area. It may be a network that you already have a contract with through
PREFERRED. If not, please feel free to contact us so that I can give
you a status on our progress with that specific network, and/or assist you with pursing the network.
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