How To Build Win-Win Payer Partnerships: Marketing, Negotiating & Contracting With Health Plans
April 29, 2021
Value-based reimbursement and managed care arrangements aren’t going anywhere, which means executives of provider organizations must find a way to position themselves to work closely with managed care companies. How should they do this? By developing relationships with the payers and then supporting those relationships with metrics that allow provider to align services with both consumer and payer needs. In this session, we will discuss the fundamentals of developing outreach and engagement with payers, including the following “how to’s”:
- Starting strategic conversations with health plans
- Demonstrating your organization’s value in way that will capture health plan’s interest
- Securing and optimizing service agreements with health plans
Richard Louis, III Vice President, OPEN MINDS
Richard Louis, III has extensive experience as a behavioral health administrator, business development specialist and innovator of new service lines. Before joining OPEN MINDS, Mr. Louis was the Director of Development For – Behavior & Addiction Medicine at Southern California Healthcare Systems Inc of Prospect Medical. He was involved with projects focused on health care integration, new service lines, and health plan contract development. In that role, he pioneered the development of a series of innovative and profitable integrated behavioral health treatment and population health management solutions that target high cost and complex behavioral health populations.
Cathy Gilbert, Senior Associate, OPEN MINDS
Cathy Gilbert brings over 20 years of health care industry experience to the OPEN MINDS team. Ms. Gilbert currently serves as a Senior Associate at OPEN MINDS. Her areas of expertise include advanced project leadership skills, training development, health care processing systems, policy development, and implementation to ensure compliance with accreditation requirements. Before joining OPEN MINDS, Ms. Gilbert served as the Vice President II, Network Development at Magellan Healthcare Inc.