Optimizing Health Plan Contracts & Health Plan Contract Management

Negotiating relationships with health plans is not a one-time management event. It is an ongoing relationship management process. It takes consistent maintenance, optimization, and reconceptualization of your health plan contracts and strategy. The goal is to keep and “upgrade” your contracts with health plans as your organization continues to build its “win-win” partnership with each health plan.

Oftentimes, I find that provider organizations only pay attention to their health plan contracts when it is time to renew them or when they think they need a fee increase (see What Do Health Plans Want? I Asked The Experts…). Long . . .