The Health Plan Partnership Strategy—Referrals, Performance & VBR

Working with health plans is more important than ever for health and human service provider organizations—and more complicated. The reason is simple and was best stated by infamous bank robber Willie Sutton when asked why he robbed banks—"because that's where the money is." Over the past decade, health plans have picked up steam in terms of market share—now 75+% of the American population receives their health benefits through some type of managed care plan. That includes 90+% of people with commercial/employer coverage, 85% of Medicaid beneficiaries, and 50% of Medicare beneficiaries (see About 85% Of . . .