The Valued Plan Partner
Health plans use alternative payment models to align provider incentives with Triple Aim principles: lower cost, higher quality, and better experience for patients. Despite a decade of shared vision, providers have yet to substantially take on downside risk.
To change providers’ profit outlook and promote participation in downside risk, health plans must look beyond financial incentives to support creative operational improvements that meaningfully enhance clinician experience. In this deck, we showcase the payment models, data, analytics tools, and utilization management adjustments that enhance provider willingness and capability to accelerate their engagement in downside risk.
More from the Health Plan Advisory Council
Case Study: How one health plan partnered to better engage their members
Member engagement can take many forms and some health plans are using a partnership model to accomplish their objectives. In this free article, we review how one health plan is working with Community Health Workers. Learn more here.
Do your members see you as a trusted source of information?
Although health plans have a wealth of insight that could help members better navigate the health care system, many of them are not interested. The truth is that many members don’t trust their health plans. Learn why here.
Home page: More about the Chief Medical Officer Roundtable
We aren't simply a break-out session or an email list. We are a community of health plan chief medical officers providing deep insights into challenges shared, tactics employed, and tools needed to implement change at your plan. Check us out at advisory.com/CMO