From Vendor To Strategic Alliance

There has been a lot of discussion about aligning the goals of health plans and provider organizations, largely by finding an alternative to “pay for volume” and moving to reimbursement based on value. To do this requires ending the commodity “vendor” relationships that exist between health plans and their provider network contractors.

Many executives on both sides of the equation are discouraged about the slow progress toward this shift. Health plan executives talk about the difficulty in making changes in their own care management systems and in finding provider organizations that are ready (financially, technologically, and more) to accept non . . .