What Health Plans Are Looking For? Hint: It’s Not A Bigger Provider Network

A couple weeks ago at The 2017 OPEN MINDS Strategy and Innovation Institute, I had the opportunity to hear from two health plan executives about what they are looking for from provider organizations. Most interesting to hear was what they were not looking for – more contracted provider organizations. What they are looking for is provider partnerships that improve performance: in terms of consumer outcomes, access to service, HEDIS measures, and financial alignment.

Speaking to this trend, I heard from Matthew O. Hurford, M.D., Chief Medical Officer, Community Care Behavioral Health Organization and Alyssa L. Rose, JD/MSW, Director, Network . . .