Katie Colgan, JD: No financial relationships to disclose
With the increase in market penetration of Medicare Advantage and Medicaid Managed Care, even the savviest providers are being challenged. Provider Owned Networks are helping providers improve clinical outcomes and access value-based reimbursement, which has eluded long term care and post-acute care providers without the volume to do so. Under State Affiliate leadership, provider members have created Provider Owned Networks in a growing number of states to negotiate collaboratively with managed care payers to improve outcomes and efficiencies. This session will help you learn more about participation in provider-owned networks as a strategy to improve providers' position with managed care, and the unique quality and clinically integrated capabilities each network achieves.
Learning Objectives:
Identify the impact of managed care in Medicare, Medicaid, and value-based care.
Recognize how Provider Owned Networks assist providers in improving resident outcomes and reimbursement through value-based contracting.
Explain the benefits and requirements forming a Provider Owned Network.