From Health Plan Contract To Health Plan Partnership In Four Steps

A key theme this week at The 2018 OPEN MINDS Performance Management Institute was moving health plan/provider organization relationships from transaction vendor, to partnerships. Why? There is more managed care across all payers, more value-based reimbursement as the health plan payment model; smaller health plan networks with more “preferred” contracts; and the need for collaboration to make these new relationships work.

My key takeaways from Mr. Martin's experience? First, market intelligence is critical. Do your research. It’s your job to understand the payers and health plans in your market and present information to them that is . . .