Managed care strategies to optimize financial performance

It is critical for the financial well-being of hospitals and other healthcare provider organizations to be fairly compensated by health plans and managed care organizations (MCOs). While most health systems have some solid focus on their managed care relationships, certain things are not always elevated to priority status, which can have a material impact on managed care performance; these include optimizing managed care financial and “nonfinancial” terms as well as reviewing employed physician managed care terms and how they relate to performance and underlying physician compensation.

Listen to Baker Tilly’s on-demand, informative webinar that discussed how healthcare providers can minimize healthcare costs and improve patient experiences through the review of their managed care arrangements. Our team of Value Architects™ discussed:

• How to optimize managed care agreements so they cover your employed physician groups and substantially improve financial performance
• How to ensure physicians are being fairly compensated
• Ways to remediate underperforming staff who are not covering their costs
• The effect that “nonfinancial” terminology in managed care agreements has on contract financial performance
• Price transparency reporting requirements and their effect on negotiating reimbursement rates for the health system and its employed physicians

For more information on this topic, or to learn how Baker Tilly’s Value Architects™ can help, contact our team.