Direct-to-Employer Contracts definition
Direct-to-Employer Contracts are defined as newly negotiated Payor Contracts with an employer’s self-funded health benefits plan that govern the base fee for Physician’s provision of professional items or services. A Direct-to- Employer Contract may also contain an incentive component related to the achievement of specified clinical quality, cost and/or other performance goals including, without limitation, value-based bonus arrangements and shared savings initiatives. When a Direct-to-Employer Contract has been entered into by CIN, it is referred to as a “CIN Direct-to-Employer Contract A “Base Participation Contracting Member” elects to be bound to, provide care under, and otherwise adhere to the following types of Payor Contracts that have been or will be entered into by CIN (i.e., all past, present and future CIN Payor Contracts of the following types):
(i) CIN Base Participation Contracts; and
(ii) CIN Direct-to-Employer Contracts.