Biomedical subjects

S N Burrows

Publications and source records attributed to S N Burrows.

2 recordsLinked to original sources

PubMed1997

Direct contracting: a Minnesota case study.

During 1996, HealthEast Care, Inc., a healthcare provider-owned and governed direct-contracting company, successfully responded to a request for proposal from the metropolitan Minneapolis-St. Paul-based Buyers Health Care Action Group (BHCAG), a coalition of self-insured employers, to provide healthcare services to members of BHCAG's Choice Plus health plan. HealthEast Care developed a care system proposal for BHCAG that balanced consumer and purchaser expectations with historical healthcare costs. Providers are reimbursed for contracted healthcare services according to a unique fee-for-service, budget-based payment model. BHCAG chose to contract with HealthEast Care and 23 other care systems in the metropolitan Minneapolis-St. Paul area and other parts of Minnesota to serve more than 117,500 Choice Plus enrollees.

Budgets↗

PubMed1997

HealthEast Care: a direct contracting company.

HealthEast Care has contracted directly with large self-funded Minnesota employers, including 3M, since 1992. These innovative direct contracting arrangements continue to demonstrate how collaborative efforts between health care purchasers and providers can be of advantage to those enrolled in self-funded and noninsured health plans. Insured HMO enrollment in Minnesota has been flat since 1991, while enrollment in self-funded plans and in noninsured public health plans has doubled during the same period. Minnesota is a bellwether state on the threshold of reform that will shift the power race for health care change from HMOs to purchasers and providers responding to consumer needs.

Competitive Bidding↗