For employers and HR

  • Direct contract health plans: how they actually work — What a direct contract health plan is, how it differs from renting a network, and what changes for an employer who moves to one.
  • Can you run a self-funded plan without a traditional TPA? — What a TPA actually does for a self-funded employer, which of those jobs a direct-pay marketplace removes, and which ones still have to be done by somebody.
  • An alternative to reference-based pricing — Why reference-based pricing produces balance bills and member friction, and what agreeing the price in advance changes about that.
  • Transparent healthcare pricing, and what it is worth to an employer — Published prices only reduce cost when somebody can act on them. What an employer needs alongside transparency for it to change the bill.
  • Lowering health plan costs at a small company — The levers a small employer actually controls on health benefits, and which ones change cost rather than shifting it onto employees.

All Mishe guides