Across the country, managed care organizations are successfully delivering treatment services to large populations and doing it in a way that saves states significant sums of money. These demonstrated savings show that value-based reimbursement and managed care arrangements aren’t going anywhere, which means that executives of provider organizations must find a way to position themselves to work closely with managed care companies. How? By developing relationships with the payers in your market, considering what metrics they are tied to and how you can help them to meet their performance requirements, discussing how you can align programs and services with the goals of the payers and health plans in your market, and providing data that proves your service lines can achieve both high quality outcomes and lower costs.
This readings book covers these important components to building value-based partnerships:
- How to start strategic conversations with health plans
- How to demonstrate your organization’s value in way that will capture health plan’s interest
- How to secure and optimize service agreements with health plans
The readings book includes a curated selection of articles and resources from the OPEN MINDS Circle Library, as well as the most recent presentation deck from OPEN MINDS’ best practices seminar on contracting with health plans.