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Forming Provider-Payer Partnerships: Key Considerations for Providers

Evaluating Product, Membership, Network, Partnership Model, and Financial Model When Pursuing Partnerships

A live 90-minute CLE video webinar with interactive Q&A

This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

Tuesday, June 11, 2024

1:00pm-2:30pm EDT, 10:00am-11:30am PDT

Early Registration Discount Deadline, Friday, May 17, 2024

or call 1-800-926-7926
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This CLE webinar will guide healthcare counsel on provider-payer partnerships and the critical considerations for providers. The panel will evaluate product, membership, network, partnership, and financial models when pursuing a partnership as well as outline navigating the process.

Description

Healthcare provider organizations and health plan collaborations create new opportunities but also present legal and business risks. These collaborations integrate care delivery and financing. Before proceeding with the partnership, healthcare providers need to carefully evaluate several considerations, including the partnership model and the products created.

For example, will the providers have some exclusivity or preferential status with the payer? What lines of business of the partnership make sense? How will the parties define the target population and reimbursement models? Both providers and plans need to understand their target geographic market and their needs to differentiate their offerings and make them compelling to the potential members.

A partnership must be able to support its members' care needs. The membership model is essential and set up to achieve the delivery of the needed healthcare. Being able to reach the proper scale will allow both payers and providers to mitigate and manage risk.

Listen as our authoritative panel of healthcare attorneys examines provider-payer partnerships and the primary considerations for providers. The panel will evaluate product, membership, network, partnership, and financial models when pursuing a partnership as well as offer best practices for navigating the process.

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Outline

  1. Provider-payer partnerships
    1. Emerging trends
  2. Key considerations for providers
    1. Product
    2. Membership
    3. Network
    4. Partnership model and governance
    5. Financial integration
  3. Best practices for navigating the process

Benefits

The panel will review these and other vital issues:

  • What are the current and emerging trends with payer-provider partnerships?
  • What are the key considerations that healthcare providers should evaluate before entering into a partnership with health plans?
  • What are the potential hurdles facing providers who want to enter into a payer-provider partnership?

Faculty

Patel, Kinal
Kinal M. Patel
Partner; Co-Chair Payor Provider Convergence Area of Focus, Health Care & Life Sciences Sector
Foley & Lardner

Mr. Patel advises healthcare, life sciences, and insurance companies on complex transactional, alternative payment...  |  Read More

Additional faculty
to be announced.
Attend on June 11

Early Discount (through 05/17/24)

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Early Discount (through 05/17/24)

You may pre-order a recording to listen at your convenience. Recordings are available 48 hours after the webinar. Strafford will process CLE credit for one person on each recording. All formats include course handouts.

To find out which recorded format will provide the best CLE option, select your state:

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