title: Partnering with payers? Key lessons to keep in mind.
abstract: Key factors healthcare leaders might wish to consider when evaluating potential partnerships with payers include: Use of safeguards to prevent a payer from using benefit design to shift expected volume from high-revenue service lines or channels. Right to participate in narrow networks. Use of segment-specific language, which protects providers from payers that may try to extend a rate decrease from one patient segment to another. Exclusive co-branding. Automatic price increases if volume is not achieved.
authors: BDC Advisors, LLC, Miami, USA. bill.eggbeer@bdcadvisors.com
authors: Bill
authors: B
authors: Eggbeer
authors: CHE Trinity Health, Livonia, Mich., USA.
authors: Kevin
authors: K
authors: Sears
authors: Holy Cross Hospital, Fort Lauderdale, Fla., USA.
authors: Kenneth
authors: K
authors: Homer
mesh_terms: D003299:Cooperative Behavior; D006282:Health Personnel; D007348:Insurance, Health; D020414:Risk Sharing, Financial / Q000458:organization & administration*; D014481:United States