Succeeding At The Value Game

Among the myriad questions that provider organization executives grapple with these days, two of them are certainly top of mind. How can you prove “value” to payers and health plans? And how will you get paid for that value?

We had the opportunity to learn how one specialty provider network has, over the course of a decade, answered those questions. They created a model for measuring performance and value, and worked with their primary payer to develop a reimbursement model that provides financial dividends for good performance. That provider network, the Missouri Behavioral Health Council, was the focus of the . . .