Direct Care Alliance

Direct Access to Healthcare For Less.
Better Costs & Better Care.

[Direct Care Alliance @The_DCAlliance]

Ask an operations leader what a bad case looks like and very little of the answer is clinical.

So which one costs you most? Date moved twice, workup incomplete, finance questions at the bedside, or auth still pending.

[Direct Care Alliance @The_DCAlliance]

The hardest part of this model to put in a slide is the phone call.

For anyone who has been near one of these cases: what is the part that never makes it into the cost analysis?

[Direct Care Alliance @The_DCAlliance]

@DutchRojas That last line is so important. A price means the most to a family when it is agreed upon before care starts, with no surprise bill waiting afterward! The ability to access the care you need should not add additional stress and surprises.

[Direct Care Alliance @The_DCAlliance]

A stop-loss renewal runs on whatever you can put in front of the underwriter.

Explanation is not evidence. So heading into this fall, are you bringing an explanation or a record?

[Direct Care Alliance @The_DCAlliance]

"Pay attention to what I just said. I said a price. It is not an estimate."

David Balat, Texas House Select Committee on Health Care Affordability, 1 September.

[Direct Care Alliance @The_DCAlliance]

If you have done this before, what is the question you wish you had asked first?

[Direct Care Alliance @The_DCAlliance]

Evaluating a direct case-rate arrangement? Four questions worth asking:

Price, coordination, payment timing, complexity.

[Direct Care Alliance @The_DCAlliance]

An agreement made in advance moves that variable to the front. The price is set before the procedure, and the facility is paid directly at that amount.

[Direct Care Alliance @The_DCAlliance]

A hospital can forecast almost everything about a planned procedure except when it gets paid.

[Direct Care Alliance @The_DCAlliance]

A price, not an estimate.

David Balat, Founder and Board Chairman of Direct Care Alliance, before the Texas House Select Committee on Health Care Affordability, 1 September 2026.

#DirectCareAlliance #SelfFunded

[Direct Care Alliance @The_DCAlliance]

That’s exactly what we do.

[Direct Care Alliance @The_DCAlliance]

“What’s your price?” is a deceptively important question.

For self funded organizations, specialty care does not have to begin with a network discount and end with an unpredictable claim.

Direct contracting, bundled pricing, and concierge navigation create a different path.

[David Balat @DavidBalatHC]

Direct contracts, price bundling, and concierge navigation is what @The_DCAlliance does on a daily basis.

@TomOliverson is exactly right and this is the model of the future for private and public organizations that choose to self fund

[Direct Care Alliance @The_DCAlliance]

Know the cost.
Know the care pathway.
Help the member navigate it.

[Direct Care Alliance @The_DCAlliance]

@DavidBalatHC @TomOliverson Exactly. For self funded organizations, the opportunity is not just lower cost. It is more control over how specialty care is purchased, priced, and navigated.

[Direct Care Alliance @The_DCAlliance]

This is the model. Direct relationships. Known pricing. Guided care. Self funded organizations should not have to accept opacity as the cost of accessing specialty care.

[The Doctor’s Lounge Podcast @DRsLoungePod]

"No more networks. Just — what's your price?"

Rep. Tom Oliverson, MD (practicing anesthesiologist) on where he thinks healthcare is headed:

"The future may very well just be direct contracting models... no more networks. It's just — what is your price? What is your cash price?"

"This has been a dream of mine for over a decade."

[Direct Care Alliance @The_DCAlliance]

@DavidBalatHC @TomOliverson This conversation gets to the heart of what many self funded organizations are beginning to question: why should accessing specialty care require layers of pricing uncertainty?

[David Balat @DavidBalatHC]

Direct contracts, price bundling, and concierge navigation is what @The_DCAlliance does on a daily basis.

@TomOliverson is exactly right and this is the model of the future for private and public organizations that choose to self fund

[Direct Care Alliance @The_DCAlliance]

If you know a scheduler, a nurse, or someone in a finance office who is working, tag them. That is the whole post.

[Direct Care Alliance @The_DCAlliance]

Most of the country is off today. A lot of hospitals are not.

[Direct Care Alliance @The_DCAlliance]

What would you want stated up front?

[Direct Care Alliance @The_DCAlliance]

What Direct Care Alliance puts in writing before a case runs: one all-in price agreed with the facility, the employer committed in advance, a navigator on the episode, the facility paid directly at that amount. No prior authorization needed.