For most specialty and primary care provider organizations, contracts with health plans are a strategic necessity. Health plan enrollment has grown across the commercial, Medicare, and Medicaid sectors. They control the majority of provider reimbursement for health care servicesāand their reach in long-term care, I/DD, foster care, and social services has extended with that expandedā¦
This year,Ā OPEN MINDSĀ hasĀ been focused on crafting a winning strategy, including a deep dive into the four phases of strategic planning (seeĀ Crafting Organizational Strategy: A Best-Practice Path To Success & Sustainability) and a detailed process for developing a strategic vision (seeĀ How to Determine If Your Mission & Vision Are Ready For The Future: Setting the Stageā¦
Discussions about organizational strategy can easily take a negative turn, especially when talking about whether boards of directors at specialty provider organizations are up for the challenge of governance in a value-based market. Admittedly, the focus on value and increasing financial risk in contracts is testing the limits of board governance, particularly for non-profit organizationsā¦
