Becoming A ‘Preferred’ Health Plan Partner

The past decade has brought some big shifts in service reimbursement. There is more managed care - 73% of the insured population is enrolled in managed care plans (see U.S. Population Enrolled In Managed Care, 2011-2018: An OPEN MINDS Reference Guide). This means that almost all consumers with employer and commercial coverage are in some managed care plan—70% of Medicaid consumers, and 30% of Medicare consumers (see U.S. Population Enrolled In Managed Care, 2011-2018: An OPEN MINDS Reference Guide). At the same time, the managed care plans covering consumers are consolidating. Currently 50.1% of lives . . .