Want Better Return On Health Plan Services? Plan To Be A Better Partner

Provider organization executive teams are trying to map out how to have better relationships with health plans to get better rates, more referrals, and shared financial incentives. Why? Because 62% of the insured population is already in some type of managed care plan—99% of commercially insured, 70% of Medicaid, 30% of Medicare, and 49% of Tricare—and that number is likely to continue to increase (see U.S. Population Enrolled In Managed Care, 2011-2018). We’ve seen a shift—albeit slowly—in relationships between health plans and provider organizations over the past decade. There is now more alignment . . .