What Do Health Plans Want? I Asked The Experts…

For specialty provider organizations, a larger and larger proportion of service reimbursement is now dependent on relationships with health plans. Payers—federal and state governments, the military, and employers—are increasingly adopting managed care models to finance and deliver their health care benefits using health plans. And, as part of creating and sustaining health plan relationships, it is important to know what they are looking for in provider organizations, as well as the things they don’t like.

I decided to reach out to some of the health plan experts who are part of the OPEN MINDS team and get . . .