Evolving Health Plan Relationships To Financially Aligned Partnerships

When building relationships with health plans, provider organization executive teams must make “value” the central pillar of their strategies. Whether that means repositioning current services or developing new service designs, expanding relationships with health plans will depend on evolving relationships into financially aligned (i.e., value-driven) partnerships. In some ways, this is the holy grail of health plan contracting and relationships—where your organization and the health plan mutually benefit when quality and cost performance targets are met.

Keep in mind that "financially aligned" means a financially risk-based contract, and it is most likely to be both "win . . .