Ditching PPOs for Direct Contracting

From EBA

Jeff Fox, a principal and the benefits practice leader at HJ Spier in Indianapolis, Ind., is ditching PPOs in favor of direct provider contracts for his employer clients. He pairs this with self-funding to achieve substantial cost reductions over their previous preferred provider discounts, and in some cases, he helps clients band together to enter direct contracts as an employer coalition.

Fox’s partner in these undertakings is Gary Everling, the executive director for business development at Hendricks Regional Health in Hendricks County, Ind., and the Hendricks County Government and the Town of Plainfield, Ind., were his first direct contract clients.

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