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Can You Identify Stakeholder Alignments at the Local Level?
As the US healthcare system continues to evolve, one of the key trends is how healthcare is coordinated and administered. More and more, healthcare is being delivered at a hyper local level. The drive by payers and providers toward higher quality, lower cost care has triggered the consolidation and coordination of local health systems to achieve this goal. This has triggered a lot of activity in terms of partnerships, mergers and acquisitions and how regional healthcare providers are affiliated. Understanding these provider organizations and how they impact brand pull-through is critically important.
Are you confident you’re spending time with the right accounts, the right providers, and the right contacts at affiliated facilities?
With over 900 merger and acquisition deals last year, provider networks are evolving rapidly. This can mean changes in license status, address changes and or shifts in affiliations.
Staying on top of these local dynamics is critical to account planning.
Instant Pulse
It is important to understand when payer contracts may be more challenging to pull through because of powerful IDNs within a payer’s network. Understanding healthcare system dynamics form region to region is critical.
Mark Cherry
Keep My Finger on the Pulse
Resources
How does the move towards value based care impact your approach to engaging payers and providers that control benefit design and delivery of care?
It is important to engage with risk-bearing providers – and the payers with whom they contract – regarding the value of drug therapies and the evidence for the effectiveness of those drugs.
Instant Pulse
As the healthcare industry moves away from the fee-for-service model, it is necessary to understand how payers and providers approach cost and quality.
Sarah Wilson
Keep My Finger on the Pulse
Resources
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Did You Know?
Medicare Advantage carriers are projected to add more than 3.2 million lives from 2019 to 2021 and grow to cover more than 36% of the Medicare population. This enrollment trend indicates that providers and pharmaceutical companies should devote more time and resources to their relationships and contracts with payers that are gaining market share and power through Medicare Advantage. This includes startups, many of whom have made significant inroads.