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Should you tap the market? Some points to consider.

Have you ever considered contracting directly with self-insured health plans for treatment of musculoskeletal conditions and/or wellness provision? Perhaps you should. It's a vast market that's full of opportunities for enterprising physical therapists (PTs). First, though, it's important to gain some background knowledge.

Definition and Prevalence

Healthcare.gov defines "self-insured plan" as a "type of plan usually present in larger companies [in which] the employer itself collects premiums and takes on the responsibility of paying employees' and dependents' medical claims. These employers," the site adds, "can contract for insurance services such as enrollment, claims processing, and provider networks with a third-party administrator, or they can be self-administered."

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  1. Employee Benefit Research Institute. Self-insured health plans: state variation and recent trends by firm size. EBRI.org Notes. http://www.ebri.org/pdf/notespdf/EBRI_Notes_11_Nov-12.Slf-Insrd1.pdf. Accessed March 22, 2016.
  2. Henry J. Kaiser Family Foundation. 2015 Employer Self Benefits Survey. http://kff.org/report-section/ehbs-2015-section-ten-plan-funding/. Accessed March 22, 2016.
  3. Herman B. Self-service insurance: insurers forced to compete for self-insured customers. Modern Healthcare. January 3, 2015. http://www.modernhealthcare.com/article/20150103/MAGAZINE/301039980. Accessed March 22, 2016.
  4. Aon Hewitt. 2014 Health Care Survey. http://www.aon.com/attachments/human-capital-consulting/2014-Aon-Health-Care-Survey.pdf. Accessed March 22, 2016.
  5. Society for Human Resource Management. SHRM Survey Findings—2015 Strategic Benefits: Wellness Initiatives. https://shrm.org/Research/SurveyFindings/Documents/SHRM_Survey_Findings-Strategic-Benefits-Wellness-Initiatives.pdf. Accessed March 22, 2016.

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