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.
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.
With our deep and multi-disciplinary approach, our senior team of experts ensures that partnerships are driven by solid strategic and financial principles.
Joyjit Saha Choudhury is a Managing Director with Kaufman Hall in the firm’s Strategy Practice.
Sarah Wiley is a Managing Director with Kaufman Hall in the firm’s Strategy Practice.