For Partners
For government & public-sector plans
For a self-funded city, county, school district, university, or special district, direct contracting can cut your highest-cost surgical claims substantially and give you rates you can disclose line-by-line in a public meeting. It’s built to work with public procurement rules, alongside collective bargaining, and for retiree/Medicare populations.
Why public-sector plans
Public budgets aren’t keeping pace with medical inflation, and orthopedic/spine procedures are the costliest, most variable claims most plans face. For public bodies there’s a second pressure: council members and trustees expect a plain-language, public explanation when a claim spikes the plan. Direct contracting answers both — one bundled rate, disclosed in full before signature, defensible in any public meeting.
Built for government — what matters
Procurement-compatible
Structured to work within Kentucky Model Procurement Code and Indiana public purchasing rules — RFP responses, sole-source justification where applicable, and cooperative purchasing. Each engagement starts by confirming the right procurement pathway.
Public-meeting transparency
Every rate is disclosed before signature, formatted for a council/board/commission packet — no redactions, no hidden side agreements.
Collective-bargaining compatible
Aptiva is a preferred option inside the existing plan design; bargained benefit levels are preserved. Savings flow to the plan as a whole.
Retiree & Medicare support
Medicare-eligible retirees in the group plan can access services under the same terms, with Medicare as primary payer where applicable.
Entities served
Cities and municipalities (including police/fire/public works), counties, public school districts (teachers, staff, athletics), public universities and community colleges, special districts and authorities, and inter-local/cooperative arrangements where multiple entities pool together.
How it interacts with KEHP / Indiana state plans
Local entities and districts participating in the Kentucky Employees’ Health Plan (KEHP), and Indiana public entities in the state plan, keep those affiliations — a direct contract works alongside them. For self-funded local entities that have elected out, a direct contract becomes a primary cost-management tool inside their own plan.
Frequently asked questions
Does Aptiva work with city, county, and school district plans?
Yes — self-funded public-sector plans across Kentucky and Indiana, structured to meet public disclosure and transparency standards.
Can we use this under public procurement law?
Yes — designed to be compatible with Kentucky and Indiana public purchasing, including RFPs, sole-source justification, and cooperative purchasing.
How does it interact with collective bargaining?
It works alongside any CBA; bargained benefit levels are preserved, and it’s additive rather than in conflict.
Are workers’ comp claims included?
No — workers’ comp is a separate pathway (and Aptiva is already in-network with major public-sector WC managed-care organizations).
Is there a minimum group size?
No minimum; the agreement is built for groups from a few hundred to several thousand covered lives.
See what it could mean for your plan.
Review the government partnership overview and request a savings estimate → aptivahealth.com/for-government. (Do not include PHI in your message.)
General information, not legal, financial, or tax advice. Public-records statutes may apply to communications.