Controlling the increases in provider reimbursement levels is a tool payers use to help contain medical
trend. When payment levels to providers are too low, however, the result can be provider marketplace
instability or reductions in the quality of services available to patients. A balance must be struck between
affordable provider payment levels and adequate funding for a stable and high quality healthcare
marketplace.
This session will present two viewpoints: one from the health plan affordability perspective and one from
the provider/facility practice perspective. You'll gain a better understanding of the considerations for
striking a fair balance, and leave with tools for helping negotiations between health plans and healthcare
providers be more productive and mutually beneficial.