This DTE strategy is established when a health care system “directly” contracts with self-funded employers down to as low as two employee lives to supply healthcare services through a contractual arrangement using claims, clinical, Rx, and financial data to better target and address healthcare needs of a population.

The core value proposition is that the Healthcare System is the center of the relationship with the employer – not an insurance carrier.

By offering a DTE Plan, employees are now incentivized to obtain health care from the Healthcare System’s facilities and providers which increases market share for the health care system by producing new incremental net revenue and additional margin.

The financial incentives include a gain sharing arrangement if an employer plan achieves a favorable claim cost variance to the budget. The DTE strategy also incorporates plan designs that financially incent members to use the Healthcare System medical providers and adhere to protocols intended to address gaps in care and to manage appropriate utilization.

Patient satisfaction increases, better outcomes are achieved, costs are reduced and provider satisfaction grows.

EBS understands the financial pressures that healthcare system executives encounter in managing the millions of dollars that it spends in providing health care coverage for its employees. Through the direct to employer health plan model, EBS is able to coordinate healthcare coverage in a more cost-effective manner not only with medical and surgical care but also with dental, vision, critical illness, gap, short-term disability, life, and proactive health management plans (PHMP).

What's different about EBS is that EBS will partner with health insurance brokers who are fully committed to its goals in providing healthcare coverage in a more cost-effective manner as well as ultimately expand market share for healthcare systems. These brokers will initially target small and mid-sized businesses of 2 to 500 employees in a healthcare system's market and who do not have the bargaining leverage with insurance companies, to significantly decrease their healthcare costs by utilizing the Healthcare System's providers through the same direct to employer health plan model.

CUSTOMIZED Program is uniquely “Branded” and “Messaged” by the Healthcare System -   You make all the medical decisions with access to all the sales, quotes, claims, eligibility, and analytics data. The DTE can be deployed with the Healthcare System's brand or establish a product brand without Healthcare System's name if concerned about insurance carrier or PPO network backlash.

TURN-KEY All administrative systems for self-funded employer-sponsored plans are included –Healthcare System can now compete with local, regional, and national carriers/payers/ networks.

REVENUE OPTIMIZATION Optimal top-line revenues and increased net earnings through gain sharing, reducing outmigration, increasing top-line revenues, and addition of new administrative revenues.

This DTE strategy is established when a health care system “directly” contracts with self-funded employers down to as low as two employee lives to supply healthcare services through a contractual arrangement using claims, clinical, Rx, and financial data to better target and address healthcare needs of a population.

The core value proposition is that the Healthcare System is the center of the relationship with the employer – not an insurance carrier.