I had the pleasure of presenting at Health Choice Network’s 28th annual conference last week in beautiful Boca Raton, Florida. My presentation focused on FQHCs and their role in providing value-based care. We are excited to be partnered with HCN and look forward to sharing case studies and other intelligence related to FQHCs and health value.
While I was tempted to look for Bon Jovi and Adam Sandler (both are property owners there), I was too engaged with the wonderful attendees, presenters, and great content at the event! I thought I’d highlight a piece of one of the presentations I saw, from Michael Lawton, CEO of United Healthcare’s Florida Health Plan.
Based on his years of experience in value, Mr. Lawton spoke about negotiating value-based contracts between payers and providers. He stated something like this: for providers, spend 10% of your time on the quality and financial measures – those are the easy things. The rest of your negotiation (90%) should be focused on the more important and difficult items. These include (but are not limited to):
- Access to actionable patient data
- Provider education
- Cloud-based technology
- Access to data
- Care management tools
- Credentialing providers
- Improving health literacy of patients
- Self-guided learning, proprietary job aid, and an archive of best practices
- And the list could go on…
Essentially, your relationship with your payer should be a partnership. There are likely some additional items that are unique to you that you will want to prioritize. Just make sure you go into the conversation with a plan to do more than define quality and financial metrics.
I hope this helps you take your NEXT STEP on the Race to Value!
Institute for Advancing Health Value