Direct contract physicians don’t submit claims because the care is not based on fee-for-service.
Hint Health is rolling out a nationwide network to provide direct contracting between employers and primary care providers, bypassing traditional insurance in the PCP market.
Hint Connect is providing employers a single point of access to hundreds of independent primary care providers, the company said.
It also removes the challenge for DPC practices to find and access large employers.
For physicians in direct primary care, “the challenge is getting to an employer-based that’s large enough,” said company COO Mark Nolan.
Hint Connect is currently rolling out across Texas in major metro areas and the Rio Grande Valley. Over the next three months, Hint Connect will expand to Colorado, Arizona, Oklahoma and Florida and will soon go nationwide.
WHY THIS MATTERS
Physicians like the simplicity and ability to operate partially or fully outside of the insurance-based system while having someone else take care of the administrative burden, Hint said.
Physicians don’t submit claims because care is not based on fee-for-service.
The HintOS platform automates enrollment, eligibility, invoicing, and payment. It offers direct-to-consumer membership management, Hint said.
Employers pay physicians a set monthly fee for each employee to receive primary care. The average cost is around $50 to $75 a month, according to Nolan.
Hint Health comprises 1,700-plus clinics, more than 5,700 employers and nearly a million lives. Its platform helps providers increase membership and saves money for employers, the company said.
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