Shift Shapers Podcast

26 Apr 2021

Ep #356: Making Direct Contracting More . . . Direct – with Doug Geinzer

David Saltzman 0 Comments

This week’s episode features a conversation with Doug Geinzer, Founder and President at High Performance Providers. Bundled plans provide cost benefits to providers while also connecting patients to quality healthcare. Direct contracting gives patients lower costs which are transparent upfront and provides options for destination medicine too. For an even more attractive offer, patients also get safety guarantees in high performance networks with proven reliability.

What You’ll Learn From This Episode:

  • 01:51 Direct contracting: Benefits for both purchasers and providers
  • 09:06 Bundled plans for destination medicine
  • 12:04 Tailored bundles, hospital transfer agreement, and superior service
  • 16:04 Connecting patients to quality healthcare

Quotes:

04:32 “In a bundled arrangement, the terms are negotiated before the surgery even occurs. So there is a flat amount. It’s transparent and that purchaser writes one check rather than multiple checks.”

05:52 “The purchasers want it to be easy. The providers want to earn more money. And this satisfies both of their needs.”

07:43 “From the provider side, you’re eliminating your administrative department that is doing the billing, the coding, the appeals, the collections, everything that comes with it. They’re spending about 27% of what they’re billing collecting what they charged.”

08:52 “Patient doesn’t have any patient obligations, so the plan will waive the co-pay and the deductibles for the patient because they’re saving so much money and they know they’re going to be able to get that patient back to work sooner.”

19:23 “With all of the providers that I work with personally, they have to publish their outcomes every year. So now their outcomes are out there because we need to guarantee that we are in the upper 5 percentile of the practitioners in the United States.”

Listen to the Full Interview:

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