Self-insured health plans, combined with stop-loss insurance to alleviate the risks associated with catastrophic claims, offer an effective solution to a large number of employers striving to be in compliance with the new law while continuing to offer health care coverage and keep costs under control.
The new health care paradigm revolves around provider accountability whereby groups of doctors, hospitals, and other health care providers collaborate to provide the full range of medical care for patients. This creates an environment in which the employer, not the insurance company, has the opportunity for direct contracting.