Making the Transition to Population Health Management? How to Effectively Negotiate Value-based Contracts in the New Retail Market

Tuesday, May 19, 2015 | 11:00 AM - 12:00 PM CST

Description: : Providers that decide to move upstream to capture a greater share of premium revenue by participating in value-based contracts must learn how to execute effective risk sharing health plan partnerships that are market and segment specific. These partnerships will be targeted at specific geographic areas and market segments such as employee health, Medicare Advantage, commercial ACOs, or narrow network products for the health insurance exchanges. These partnerships can provide access to key infrastructure such as informatics, care management, marketing and retail sales, and the ability to leverage the partner's brand or distribution systems. However, unless partnerships are able to grow market share and covered lives, these new alliances may not be a sustainable business model. The key to meeting these challenges lies in understanding the values arrangement, its differences as well as assessing and evaluating the feasibility to assume risk under a value-based arrangement.

Attend and learn:

Goals of Effective Value-based Contracting (including setting Targets for growth and profitability by market segment and Product selection to provide optimum combination of price, benefits, and network configuration to attract consumers)
Incorporating the Right Safeguards to Mitigate Contract Risk (including anti-steerage protection, Exclusive co-branding and Automatic price escalators if volume isn't delivered)
Key Arrangements: Pros and Cons of Various Arrangement Types
How to Define Risk for Your Organization
What's Required to Transition to Value-based Contracting
Successful Implementation Factors


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