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
Introducing Healthbase: the industry’s most accurate and intelligent affiliations platform.Healthbase is a unique platform that provides multi-disciplinary market access teams with both the data and insight they need to understand system alignment—down to the individual provider level—and ascertain the level of control IDNs exert on a geographic and physician basis.
Get answers to your biggest questions, including:
- What are the most influential networks worth targeting?
- How are HCPs affiliated to those networks, and to what degree are they controlled?
- To what degree have IDNs gained control by taking on the role of payer?
- How should we execute our account management strategy?