Hospitals are under increasing pressure to manage healthcare costs while improving access, quality, and outcomes for their workforce. Direct contracting allows employers to establish more intentional relationships with healthcare providers, creating opportunities for improved pricing, care coordination, and member experience.
Why MHA Solutions
MHA Solutions supports hospitals in evaluating and implementing direct contracting strategies as part of a broader advanced health plan approach. We help organizations determine when direct contracting makes sense, identify appropriate partners, and align plan design, funding, and compliance considerations to support sustainable results.
Our capabilities include
• Strategic evaluation of direct contracting opportunities within the broader employee benefits and health plan ecosystem
• Alignment of direct contracts with self‑funded, alternative funding, and captive strategies
• Support with provider selection, network strategy, and performance expectations
• Integration with pharmacy management, care navigation, and data analytics to support informed decision‑making
• Ongoing governance and measurement to ensure programs continue to meet cost, quality, and access goals
Why It Matters for MHA Members
Direct contracting gives hospitals greater influence over cost drivers and care delivery while improving transparency and accountability. When thoughtfully designed, these arrangements can enhance access to high‑quality care, reduce unnecessary spend, and support a better experience for colleagues and their families. MHA Solutions helps MHA members approach direct contracting in a way that complements existing benefit strategies and supports long‑term workforce and financial sustainability.