Reframing The Provider/Payer Relationship For Long-Term Competitiveness

Executive teams at specialty provider organizations face a pressing, overarching question: how can they build stronger, more strategic relationships with health plans? The answer to that question is critical for sustaining revenue, securing better rates and referrals, and positioning their organizations for long-term relevance in a system moving rapidly toward value-based care.

Finding the right answer is crucial and time-sensitive. Health plans are expanding their influence by managing increasingly complex populations and covering a broader range of services, including those traditionally provided by specialty organizations. As a result, health plans are now payers, partners, gatekeepers, and performance . . .