Practice Solutions
Resources and opportunities for every practice
DirectCare offers optional practice consulting separate from benefits access. A review can explore transparent pricing, direct relationships with patients, employer readiness, and selected purchaser, center of excellence, or network channels.
Separate from benefits access
Practice consulting with DirectCare
DirectCare can help a practice assess readiness for employer contracts, consider transparent service and episode pricing, and evaluate whether separate direct patient relationships or selected center of excellence and network channels may be appropriate.
Consulting is optional and not required to access ABMSP benefits. Services or channels require a suitable arrangement, separate review, and applicable approval. No contract, acceptance, patient volume, or partner program inclusion is guaranteed. DirectCare is not an insurance carrier, licensed TPA, payer, or utilization management gatekeeper.
ABMSP
Diplomates
Specialty practices and clinical capabilities
DirectCare
Practice consulting
Members
Guided specialty access
Healthcare Distribution & Demand
Purchasers
Employers
Purchasers
Union health funds and associations
Purchasers
Captives, PEOs, and other self funded plans
Distribution
Centers of excellence and navigation
Distribution
Brokers, consultants, and TPAs
Distribution
Technology platforms and strategic partners
Additional cost
Practice Development Tools
Practical tools for market readiness, transparent pricing concepts, and commercial planning. Examples are illustrative, not offers or plan benefits. Program pricing and potential ABMSP support are under review.
Employer readiness
Review how clearly the practice presents its services, access model, outcomes, and operational capabilities to prospective purchasers.
Transparent service and episode pricing
Evaluate transparent service and episode pricing concepts for informed conversations with patients and purchasers. Examples do not represent a price offer or a benefit included in a medical plan.
Practice marketplace concepts
Explore how a separate marketplace arrangement could help practices describe direct relationships with patients and present their services to purchasers.
Commercial positioning
Clarify the practice value proposition, service model, and operational story for commercial conversations.
Direct to employer education
Understand common direct to employer models, purchaser expectations, and the preparation involved before pursuing opportunities.
Separate review may apply
Opportunities Requiring Review
These selected pathways depend on the needs and requirements of the applicable purchaser, program, network, or partner.
Center of excellence programs
Discuss selected center of excellence concepts that may have separate clinical, operational, geographic, or purchaser requirements.
Employer and union channel opportunities
Review potential employer and union channels that depend on the needs and requirements of each purchaser or program.
Network participation
Explore selected network opportunities that require separate assessment, contracting, and acceptance.
Purchaser specific opportunities
Consider opportunities designed around a particular purchaser, population, location, or service need when appropriate.
Some opportunities depend on the requirements of the applicable program, purchaser, network, or partner. A discovery conversation helps determine which pathways may fit your practice.