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 webinar 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.

Learning Objectives:

• Understand the payer perspective on value-based models, including the key principles, internal competencies needed and alignment strategies for successful engagement.
• Develop a “payvider” skillset to negotiate and execute collaborative relationships with payers, focusing on value-based care contracts, effective negotiation strategies and sustainable practice transformation.

Faculty:

Rick Goddard, Vice President, Head of Commercialization and Strategy, Lumeris

Jeff Anderson, Vice President, Managed Care, Lifepoint Health

Continuing Education Credit

ACHE Qualifying Education Credit

This webinar is eligible for 1 ACHE Qualifying Education credit. ACHE Qualifying Education credits will be automatically updated in your My ACHE account upon completion of the recording.

Interprofessional Continuing Education Credit

In support of improving patient care, the American College of Healthcare Executives is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the American Academy of PAs (AAPA) to provide continuing education for the healthcare team.

This activity was planned by and for the healthcare team, and learners will receive a maximum of 1 Interprofessional Continuing Education (IPCE) credit for learning and change. For further information about Joint Accreditation credits and certificates, please click here.

Physician Continuing Medical Education

The American College of Healthcare Executives (ACHE) designates this live activity for a maximum of 1 AMA PRA Category 1 Credits^™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Continuing Nursing Education

The American College of Healthcare Executives designates this live activity for a maximum of 1 contact hours of continuing nursing education.

Continuing Pharmacy Education

The American College of Healthcare Executives designates this knowledge-based activity for a maximum 1 contact hours of continuing pharmacy education credit. 

Continuing Social Work Education

The American College of Healthcare Executives designates this knowledge-based activity for a maximum 1 contact hours of continuing social work education credit.

Continuing Education for Dietitians

The American College of Healthcare Executives designates this knowledge-based activity for a maximum 1 contact hours of continuing education credit for Registered Dietitians and Dietetic Technicians, Registered. RDs and DTRs should enter activities offered by jointly accredited providers as type 102 on Professional Development Portfolio (PDP) activity logs. CPEUs awarded must be commensurate with participation in the activity.

Physician Associate/Physician Assistant Continuing Education

The American College of Healthcare Executives has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for a maximum of 1 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.