Mega-IDNs Rattle Payer Landscape: As Dominant Provider Systems Gain Control, MCOs Fight Back

This live session took place on Thursday, June 14th 2018. 

There has been a marked uptick in the trend of employers bypassing traditional insurers to contract with integrated delivery networks for employee healthcare. Deals range from those that are limited in scope to full-fledged contracts that cut the MCO out entirely and provide for all employee healthcare services.

Despite this, traditional MCOs are fighting back to regain and/or combat the influence of IDNs on the delivery of healthcare.

Specifically, this webinar seeks to cover:

• The growing control of IDNS over benefit design, formulary, cost controls, and disease management as they engage in varying levels of direct contracting with employers.
• Efforts by employers to explore bypassing PBMs to directly contract with drug manufacturers in an effort to better control Rx spending/supply chain.
• Enrollment trends for IDN-owned health plans amid the volatility of health insurance exchanges and Medicaid expansion.
• Specific procedures/therapeutic areas impacted by these trends.
• How IDNs are partnering with MCOs to offer joint-venture health plans
• How MCOs are fighting back and putting increased premium/cost transparency pressures on IDNs.
• Actionable insights to consider when moving forward.

Presenters:

Valerie Pillo (Host), Market Analyst at Market Access Insights

Mark Cherry, Principal Market Analyst at Market Access Insights

Brandon Gee, Senior Analyst at Market Access Insights