Effective strategies for health plan network management 
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Effective strategies for health plan network management 

Network management is larger and more complex than ever as the market observes an increasing number and variety of networks, large growth in value-based care arrangements, a significant population shift towards Medicare advantage, which has risen from 19% in 2007 to 51% in 2023, and new regulations. It is crucial for health plans to continue innovating their network management strategies to keep up with market demands and outpace competitors. Failing to meet expectations and effectively collaborate with contracted providers can lead health plans to cause friction with stakeholders, incursion of financial penalties, and potential exclusion from government programs, which can significantly impact their bottom line. 

Join Baker Tilly for an informative webinar where we will discuss the evolution of network management in recent years and how successful health plans are adopting effective and compliant network strategies. Our professionals will provide insight into crucial considerations for planning effective network management plans, including the impact of recent regulations and the adoption of value-based care (VBC) models of reimbursement. Additionally, we’ll explore strategies to mitigate common challenges encountered by health plans when reviewing their provider networks and identify actionable steps health plans can take to mitigate risk and increase operational efficiencies that facilitate growth.  

 Who should attend
  • C-suite professionals as well as network management, internal audit, compliance and value-based care professionals within health plan organizations 
Learning objectives 
  • Understand current trends in network management and how successful health plans are adopting effective and compliant strategies 
  • Gain insight into key considerations for planning effective network management strategies, including recent regulations and the adoption of VBC reimbursement models 
  • Recognize common pitfalls encountered by health plans when trying to review and improve the management of their provider networks 
  • Identify actionable steps health plans can take to mitigate risk and increase operational efficiencies 

There are no prerequisites for this webinar, and advance preparation is not required. There is no cost to attend this webinar. 

 

Level: Overview 

CPE credit: One hour (1) total credit 

Field of study: Management Advisory Services 

Host: Stephanie Parker 

 

A certificate of completion will be emailed to you four to six weeks after the event. 

For more information regarding administrative policies such as complaint and refund policies, please email [email protected]

 

CPE sponsors

Baker Tilly US, LLP is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: learningmarket.org

 

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