Direct Contracting for Self-Insured Employers
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Streamlined Behavioral Healthcare
In today’s volatile healthcare landscape, self-insured employers are increasingly seeking ways to balance high-quality care with fiscal responsibility. The Hanley Center’s Direct Contracting Model offers a strategic solution, providing high-value residential treatment through a framework built on transparent pricing, cost containment, and seamless operational harmony.
Why Partner with Hanley Center?
Our direct contract is designed to integrate effortlessly into your existing benefits ecosystem while providing the predictability that CFOs and HR Directors demand.
- Cost Containment & Predictability: By moving away from variable billing cycles, we help employers manage their spend without sacrificing the level of clinical excellence Hanley Center is known for.
- Transparent Pricing: We utilize a “Preferred Partner Rate,” a transparent per diem (daily) rate. This upfront clarity minimizes the variability often associated with behavioral health billing, ensuring the plan knows the core daily cost for residential treatment from day one.
- No Change to TPA Carrier: Implementing this model does not require changing your Third-Party Administrator (TPA). We work within your current infrastructure to keep workflows simple.
- Easy Integration: We submit standard claims (UB-04) directly to your existing carrier, following the same authorization and medical necessity reviews your team is already accustomed to.
Frequently Asked Questions (FAQ) Direct Contracts with Hanley Center
How are the rates structured?
We utilize a transparent per diem rate for our residential programs. While third-party charges or specific ancillary services (such as specialized labs or external prescriptions) may be billed separately, the Preferred Partner Rate ensures the plan knows the core daily cost upfront.
For more information call (561) 841-1051.
Does this require changing our TPA or workflow?
No. We submit standard claims directly to the group’s existing carrier. This includes obtaining authorization through your insurance provider. Furthermore, we can adapt to your preferred length of stay: we can follow standard medical-necessity reviews or discuss setting a fixed number of authorized days to further streamline administration. Learn more by calling (561) 841-1051.
Does this contract waive the patient’s financial responsibility?
No. In accordance with strict legal and ethical guidelines and insurance regulations, members remain responsible for their specific plan’s deductibles and out-of-pocket (OOP) maximums. These amounts are collected from the patient upon admission.
For more information, call (561) 841-1051.
Do patient payments count toward their plan deductibles?
Yes. Because claims are processed through the TPA like a standard claim, all payments made by the patient are reported and applied to their plan accumulators and deductibles as normal.
Call (561) 841-1051 for more information.
Take Control of Your Behavioral Health Spend
Hanley Center is committed to being a partner in your employees’ wellness and your company’s financial health. By bridging the gap between clinical excellence and administrative efficiency, we provide a path to recovery that makes sense for your bottom line.
Call (561) 841-1051 to learn more and get started.
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Address: 933 45th Street
West Palm Beach, FL 33407
