Have ‘The Best’ Services, But No Health Plan Contracts?

In the past few weeks, many provider organization executives have expressed frustration that they have “great” services, but they can't get reasonable contracts with health plans. In the same time period, health plan executives have talked to us about their challenges in finding provider organizations that are ready for reimbursement pegged to performance. Why this disconnect?

Pay-for-value is a two-part strategic issue for executives of organizations providing behavioral health services. The inevitability of some type of value-based reimbursement is part of the strategic landscape (see There Is No Plan B and Tackling The Thorny Issue . . .