Direct Health Contracts May Be Good? No Sh#t.

I thought I would relay how DPC is entering the minds of government officials:

The House Education and Workforce Subcommittee on Health, Employment, Labor and Pensions July 1 examined whether direct health care contracts between employers and providers could help address rising health care costs. During the hearing, lawmakers from both parties expressed interest in arrangements that bypass traditional insurers, with supporters citing lower costs, reduced administrative burdens and improved access to care. Witnesses highlighted advantages such as simplified billing, price transparency and direct primary care services, while lawmakers also discussed the need for greater insurer transparency and access to health plan data. The committee did not signal specific legislative proposals following the hearing.

That quote came from the American Health Association, which is ironic, as they exist only on the teets of traditional insurers and the government. It sure would be great to break those chains, but I digress.

Here are some quotes from the meeting:

• “Employer-sponsored care is the core of America’s health system, and Education and Workforce Committee members understand that employers want what is best for their employees.
• “Although they are not required to offer health coverage, small businesses often choose to do so to attract and retain top talent. As a former small business owner myself, I learned that investing in the health of my employees paid long-term dividends, both in productivity and the morale of the company.
• “Unfortunately, it is becoming more challenging for businesses of all sizes to offer competitive health care benefits. Ninety-eight percent of small employers offering health insurance are concerned that the cost of providing coverage will soon become unsustainable.
• “As health care costs continue to rise, employers are increasingly turning to innovative models—such as direct contracting and direct primary care—to deliver high-quality health care at a lower cost. Direct contracting allows employers to negotiate directly with providers, helping reduce costs, improve quality, and ensure more health care dollars are spent on patient care rather than administrative overhead. Direct contracts may also include direct primary care, which allows patients to access primary care services for a flat membership fee. This model decreases the total cost of claims, and patients are getting more comprehensive care and experiencing better health outcomes.
• “While there is great success with these models, barriers still exist, making it especially difficult for small and mid-size employers to take advantage of them.
• “One of those barriers is lack of data. Employers often struggle to access their own health plan and spending data. Without this information, employers and providers are unable to identify waste, assess quality and savings, and design health benefits that best meet the needs of their workers.
• “Today we will hear how these models are benefiting providers, employers, and employees, and discuss ways we can remove barriers that stand in the way of greater innovation and lower costs.”

The quote about data is the most interesting to me. The data is there. The savings are there. What the hell is going on? Does Google not exist for these people?

Here is my dilemma, however. Why do we want the government even discussing this anyway? What legislative proposals do we even need them to make? They only screw things up.

Your thoughts?