Tag Archives: Optum Risk Matters

Health care alliances require balance, clear goals

In our previous post, we discussed how health care alliances are becoming more prevalent as the industry evolves. There are tremendous benefits to forming alliances, but health care leaders need some solid skills and strategies to make them work. There are a number of challenges in making a health care alliance work. First, each alliance […]
Read More »

Focus on the future when developing your provider network

Every health system and provider organization entering into risk-based contracts needs to focus on the types of providers they want in their network. The type of providers they want will depend on the services they provide and the geographic coverage they need. However, a network should not be static as providers take on additional levels […]
Read More »

Realizing the value of health care alliances

Mergers and acquisitions (M&As) have ebbed and flowed with the health care industry for decades. The economic downturn of the late 2000s brought with it an increase in M&A activity. But, while it’s still an important trend, another trend is emerging that may contribute to a slowing of M&A: provider alliances. In the latest Optum […]
Read More »

How to strategize when the strategic goal is unknown

One of the contradictions of value-based care is that we know we need to plan, yet we’re not always sure what we’re planning for. The old adage that “when you fail to plan, you plan to fail” applies here, but planning without seeing the entire picture means you may be taking your organization into dangerous […]
Read More »

Health care providers respond to market push toward value-based care

Announcements from several commercial payers along with the Centers for Medicare and Medicaid Services (CMS) early in 2015 around increased efforts to form value-based contracts with providers seemed to point to an impending rise in risk-based contracting. In addition to this increasing market pressure, the reality of hospitals and health systems nationally continuing to see […]
Read More »