Leadership Insights: Navigating Payer Partnerships for a Sustainable Financial Future (LEAD07)

Successful healthcare provider executives demonstrate a high level of proficiency and success in leading payer negotiations, forging strong relationships with payers that ultimately translate to improved patient outcomes for populations served. Unlike in a fee-for-service model, payer contract negotiations in a value-based care model are not a zero-sum game. Incentive misalignments and competing stakeholder priorities are not sustainable in an environment where all stakeholders aim to lower the total cost of care and enhance patient health outcomes. In a collaborative model, building successful partnerships with payers is essential, with all entities at the table as equal partners making joint decisions, performing clinical integration activities and working together on programs to support improved patient outcomes and quality performance. 

This session aims to equip healthcare providers with the knowledge and skills necessary to successfully engage in value-based care models through collaborative relationships with payers. Attendees will gain a deep understanding of the payer perspective, learning to "think like a payer" by exploring the principles and objectives driving value-based care initiatives. The session will cover the internal competencies required for providers to effectively participate in these models and will provide practical guidance on negotiating and executing value-based contracts. Emphasis will be placed on how to forge strong, meaningful partnerships with payers, overcoming traditional biases and assumptions to build win-win collaborations that improve patient outcomes and reduce health disparities.