Payer Provider Collaboration + Vertical Integration

Payer and Provider Collaborations - Why Now?

Under pressure from competitive threats and government mandates, many providers and insurers have come to the realization that working together may be the only way forward in a healthcare industry. From products and networks to risk arrangements and financial models, several issues must be thoroughly evaluated as part of a payer strategy. Kaufman Hall assists both providers and payers in creating differentiated strategies that improve care and reduce costs.

Understanding the need for payer and provider collaboration

What's Contributing to the Burning Need for Vertical Integration?

Large integrated competitors are increasingly shrinking the available market

Consumer expectations of a convenient, seamless experience

Pressure to control healthcare costs from employers and consumers is mounting

Intensifying scrutiny from regulators

Trusted in Payer Provider Partnerships

Working on A Broad Array of Managed Care Strategies with Payers and Providers

We help your organization look beyond transactions between hospitals and health systems to partnerships between health plans and provider organizations. Our recent payer-provider partnership highlights include:

Successful launch of a joint venture health plan between a payer and provider
Establishment of a health plan’s provider partnership program to prepare providers to take on financial risk for health plan lives and support the dual growth in the face of competition from a large, integrated health care company
Development of a plan for joint investment in new delivery system assets to provide the marketplace with a low-cost site of care alternative

We're Not Just Advisors—We're Your Partners

Payer-Provider collaboration and vertical integration in healthcare is becoming increasingly important as value-based care is now one of the primary differentiators for most medical systems.

Our Experts

With our deep and multi-disciplinary approach, our senior team of experts ensures that partnerships are driven by solid strategic and financial principles.

John Poziemski

Managing Director, Practice Leader, Strategy

John Poziemski focuses on enterprise-level strategy, including system growth strategy, payer-provider strategy, partnership strategy, and system redesign strategy.

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