The Direct-to-Employer Solution

The DTE strategy is established when the Healthcare Provider “directly” contracts with a self-funded employer down to two (2) employee lives – in most states – to provide healthcare services to members through a DTE solution using data from claims, clinicals, Rx, and financials to better target and address the healthcare needs of a population.

There are financial incentives for the Healthcare Provider that include incremental revenues that produce optimum margins through the incorporation of plan designs. This will financially incent members to use YOUR medical providers, adhere to protocols intended to address gaps in care, and to manage appropriate utilization.

There are three (3) critical questions that are answered by deploying a DTE Solution:

  • When was the last time your local healthcare provider knew you had a budget?
  • When was the last time they knew how it was calculated?
  • When was the last time they collaborated with you on how to manage your budget and mitigate your risk?

With the DTE strategy, now they do.

Prescription Drug Experience

New Edge Rx is a pharmacy benefit manager that processes and pays prescription drug...

Medical Claims Experience

Have you ever wondered which medical claims are costing you the most? We can show you...


At New Edge Solutions, we realize that your group’s demographics can directly impact...