5 tips to build a value-based relationship game plan
The shift to an outcomes-based model of business you have been reading about for years is real and is finally occurring. We have watched it at the state level in places such as Texas and Tennessee with service-level contracts for specific regions. We also see it at the payer level with programs such as Aim Specialty Health, which focuses more on usage and proving efficacy.
Conversations with payers frequently include discussions about outcomes, yet the term “outcome” by itself is generic and might not mean much if you have not been specifically affected in your organization—or perhaps it means everything because you have been affected. In either case, your approach, preparation and continued engagement with payers are what continue to add meaning to the term “outcomes.” Stated more simply: an outcomes-based model requires having a value-based relationship with your payer.
Preparing yourself for value-based relationships with your payers is something that every company can do, regardless of size or service area. So, what does this mean to you and what can you do about it? Following are five tips to jump-start your payer relationship game plan.