Managing the Care of Your Patients from the Payer Perspective

This session will provide valuable insight into the contracting world of managed care organizations and help health centers prepare and position themselves to respond effectively. This includes: an overview of strategies and metrics payers use when evaluating and contracting with new and existing providers; an exploration of what motivates their business decisions; and approaches to new markets and products, such as qualified health plans (QHPs). We will also examine the various care models in the marketplace as payers hold providers accountable for the cost and quality of each patient’s care.