It is critical healthcare providers be fairly compensated by payers and managed care organizations (MCOs) if they are to remain financially sustainable. While many factors in managed care contracts have a financial impact on compensation, there are also many nonfinancial terms to consider.
Listen to this informative Healthy Outcomes podcast episode as our leading industry specialists answer and discuss common questions surrounding managed care. Learning objectives of this episode include:
Connect with us to hear more about our healthcare team.
David Gregory, MPA, FACHE, principal, Baker Tilly
David Gregory is a principal in the healthcare industry, primarily responsible for directing projects for all healthcare client types, including hospitals, health plans, and life sciences and technology companies. His specialties include financial analysis and reimbursement modeling, strategic planning and marketing, new technology value analysis and market access assessments, and value-based care (VBC) models and partnerships.
Steven Briggs, VP of managed care, Cooper University Health Care
Steven is responsible for setting corporate managed care strategies and overseeing payer relationships, contract negotiations and pricing decision-making. He is a versatile managed care executive with an extensive senior-level contact network, experience contracting across varied reimbursement methodologies, and a demonstrated track record of growing and managing revenue/profitability. His specialties are in managed care contracting, reimbursement negotiations and payer relations.
Kwynn Smith, VP, payer contracting, Mount Sinai Health System
Kwynn Smith is the vice president for payer contracting for Mount Sinai Health Partners for various forms of payers. Key areas of responsibility are negotiating and managing the fee-for-service contracts for the Mount Sinai Health System facilities, narrow network, private label products, specialty bundles, international payers, direct contracts and other areas of payer-related contracting. Prior to joining Mount Sinai Health Partners, he was the AVP of contracting at Montefiore Health System for more than 17 years. Kwynn has over 23 years of experience in contract negotiations and management within the healthcare market, ranging from hospital to ancillary and professional contracting experience.