Direct Contracting Done Right: How Employers & Hospitals Win Together

What if employers and hospitals stopped negotiating against each other?

In this episode of the Dysrupt Healthcare Podcast, Lester J. Morales sits down with Doug Hetherington, founder of Health to Business, to talk about a different approach to healthcare purchasing one rooted in transparency, partnership, and long-term alignment. This isn’t about fighting the system.

It’s about strengthening relationships inside the communities we all serve. Doug shares:

  • Why direct contracting is really about trust and shared incentives
  • How hospitals benefit from predictable revenue and reduced administrative burden
  • Why employers gain stability when they align with local health systems
  • How removing financial friction improves access and outcomes for employees
  • Real stories of companies and hospitals creating lasting community impact

When employers and providers work directly together, something powerful happens:

  • Predictable payments
  • Stronger patient relationships
  • Reduced collection strain
  • Better plan stability
  • Healthier communities

At its core, this episode is about moving from a transactional model to a community health partnership model. Hospitals are not the enemy. Employers are not the enemy.

Misalignment is the problem and alignment is the solution. If you’re a hospital leader, CFO, employer, broker, or advisor, this conversation will give you a new lens on what’s possible when we build together.

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