Why DirectCare for Providers
DirectCare empowers healthcare providers by simplifying direct contracts with employers, unions, and health plans. Our streamlined approach – from contracting and implementation to ongoing patient navigation – ensures fast payments, increased patient volume, and reduced administrative burdens. Discover how DirectCare can help your practice thrive while focusing on quality care.
Expanded Patient Access
Streamlined Operations: Spend less time on billing
Fast Payments: Receive reimbursement within 0-14 days
Join a Quality-Centric Network
Data-Driven Insights: Leverage analytics.
Multi-Specialty Network: Over 2,000 Procedures.
GTM - How It Works (Step-by-Step)
Step 1: Assessment and Opportunity Analysis
We begin by assessing your practice’s readiness for Direct-to-Employer (DTE) contracts. This includes identifying gaps, preparing your practice for DTE engagement, and evaluating potential purchaser opportunities (Total Addressable Market - TAM).
Outcome: Gain a clear understanding of your practice's DTE readiness and potential revenue from purchaser partnerships.
Assessment and Opportunity Analysis - Process
- Readiness Evaluation: Identify current practice capabilities and gaps to optimize for DTE contracts.
- Preparation Plan: Outline steps to ensure compliance, billing efficiency, and care coordination.
- Market Analysis: Evaluate the local purchaser landscape to identify high-potential DTE opportunities.
- Revenue Forecast: Project potential earnings based on bundled contracts and local demand.
Step 2: Contracting
DirectCare works with you to select and bundle high-demand procedures using CPT codes, tailoring pricing strategies to meet purchaser needs while maximizing your practice’s revenue.
Outcome: Develop customized contract bundles with clear, transparent pricing for targeted procedures.
Contracting - Process
- Procedure Selection: Identify key services based on practice specialty and purchaser demand.
- CPT Bundling: Group related procedures to create value-based packages.
- Pricing Strategy: Establish competitive rates that maintain profitability while attracting purchasers.
- Contract Customization: Tailor contract terms to accommodate employer or union requirements.
Step 3: Implementation
We ensure the smooth integration of finalized contracts into payment platforms for quick and efficient processing.
Outcome: Seamless adoption of direct contracts with streamlined payment workflows.
Implementation - Process
- Platform Integration: Connect contracts to chosen payment platforms (e.g., HealthMe, MDsave).
- Data Mapping: Ensure accurate CPT codes and pricing configurations.
- Training and Support: Educate staff on processing DTE claims through the new system.
- Quality Assurance: Test workflows to ensure accuracy and efficiency.
Step 4: GTM (Go-To-Market) Strategy Execution
DirectCare executes targeted outreach strategies to engage employers, unions, Centers of Excellence (COE) programs, coalitions, captives, and more, promoting your DTE offerings.
Outcome: Boost practice visibility among purchasers, driving patient volume and revenue growth.
GTM Strategy - Process
- Targeted Outreach: Identify high-impact purchasers within your region.
- Multi-Channel Promotion: Leverage DirectCare’s network for marketing DTE offerings.
- Partnership Development: Build relationships with unions, employers, and healthcare coalitions.
- Ongoing Engagement: Monitor and optimize campaign performance to maximize contract utilization.
FAQ
What is Direct-to-Employer (DTE) contracting, and how does it benefit my practice?
DTE contracting allows healthcare providers to bypass traditional insurance networks and contract directly with employers, unions, and other healthcare purchasers. This model increases patient volume, streamlines payments, and eliminates the administrative burden of dealing with insurance claims.
How does DirectCare help my practice implement DTE contracts?
DirectCare provides comprehensive support, from assessing your practice’s DTE readiness to implementing contracts and executing GTM strategies. We simplify the contracting process, integrate payment solutions, and connect you with high-potential purchasers.
How long does it take to get set up with DirectCare?
Setup times vary based on practice size and readiness, but most providers can expect the onboarding process to take approximately 4-6 weeks, including assessment, contracting, and platform integration.
What types of procedures are typically bundled in DTE contracts?
DirectCare helps bundle high-demand procedures, such as orthopedic surgeries, GI procedures, and diagnostic imaging, using CPT codes to ensure clear and consistent pricing.
How will my practice get paid under DTE contracts?
Payments are processed through integrated platforms, ensuring prompt and transparent transactions. Providers often receive payments within days of service.
Can I customize the pricing for my procedures?
Yes, providers maintain control over pricing and can tailor bundles to meet the needs of specific employers or unions while ensuring profitability.
How do I know if my practice is ready for DTE contracting?
DirectCare conducts an in-depth assessment to evaluate your current capabilities and identify areas for improvement, such as billing practices and data integration, to ensure DTE success.
Will I lose patients by shifting to DTE contracts?
No, DirectCare’s model is designed to expand your patient base by attracting direct contracts with employers and unions, while still allowing you to maintain relationships with traditional payers.
What ongoing support does DirectCare provide after contracts are implemented?
DirectCare offers continuous support through contract management, payment processing, and GTM strategy execution, ensuring your practice stays connected to the right purchasers.
How does DirectCare identify potential purchasers for my practice?
We leverage our network of employers, unions, coalitions, and COE programs to identify high-potential contracting opportunities. By aligning your services with purchaser needs, we increase your practice’s visibility and attractiveness for direct contracts.
Ready to Transform Your Practice?
Join DirectCare and see how we optimize your patient acquisition and retention.