Health plan CMOs aim to drive increased participation in value-based arrangements to align provider incentives with Triple Aim principle—lower cost, higher quality, and better experience for patients. But many physicians and provider administrators remain resistant to managing downside risk, either because they don’t think they’ll succeed or because they can’t see the benefit in a market that continues to reward fee-for-service.
To change providers’ profit outlook, plans should support operational improvements that meaningfully enhance clinician experience. We’ll share tactics and tools to help plans more effectively engage providers under risk-based payment models.
Things You’ll Learn:
- Highlights from our survey of plans and providers about their attitudes on downside risk
- Case studies on relieving providers’ prior authorization burden, offering actionable data insights, and applying behavioral economics to compensation design
Presenter: Jasmine DeSilva & Rachel Sokol