The Health Plan Imperative

When creating sustainability strategies for provider organizations, one key question in most plans is “what do health plans want?”;The answer to this question matters more now than ever. Most consumers now have their health benefits through some type of managed care plan—over 90% of consumers with commercial/employer-sponsored health benefits, over 70% of Medicaid beneficiaries, and over 60% of Medicare beneficiaries (see;10 Things To Know About Medicaid Managed Care).

But the importance of;health plan policy and practices to provider organization sustainability will only continue to grow in the next year or two . . .