On September 15, 2020, the Centers for Medicare and Medicaid Services issued guidance to support state Medicaid Directors in moving towards value-based arrangements and alternative payment models. The guidance outlines lessons learned from early state and federal experiences in implementing […]
Resources
Solving Behavioral Health Service Delivery Challenges: Why You Need To Be Thinking About AI…
Executive teams of behavioral health organizations are balancing several issues at the same time – improving access to care, productivity management, ensuring consumer safety, reducing administrative costs, and more. The solutions to these issues are increasingly being addressed by artificial […]
Dust Off Your Emergency Playbook
By Monica Oss, Chief Executive Officer, OPEN MINDS It appears we’re moving right from the pandemic emergency to the stagflation emergency. Like every executive, I’ve been waiting for the pandemic emergency to ‘be over’ and return to normal—or at […]
Three Keys To Margin Turnaround
By Monica Oss, Chief Executive Officer, OPEN MINDS This year has seen increasing financial pressure on health and human service provider organizations. This week, the Kaufman Hall’s monthly report on health system finances reported that U.S. hospitals and health […]
Preparing For The Health Plan Shift
By Monica Oss, Chief Executive Officer, OPEN MINDS For most specialty and primary care provider organizations, contracts with health plans are a strategic necessity. Health plan enrollment has grown across the commercial, Medicare, and Medicaid sectors. They control the […]
How To Incorporate Health Plan Partnership Preparedness Into Your Strategic Plan: A To-Do List For Value-Based Reimbursement & Risk-based Contracts
By Joe Naughton-Travers, Ed.M., Senior Associate & Executive Editor, Management Newsletter, OPEN MINDS This year, OPEN MINDS has been focused on crafting a winning strategy, including a deep dive into the four phases of strategic planning (see Crafting Organizational Strategy: A Best-Practice Path […]
Preparing Your Board For Value-Based Contracting
By Joe Naughton-Travers, Ed.M., Senior Associate & Executive Editor, Management Newsletter, OPEN MINDS Discussions about organizational strategy can easily take a negative turn, especially when talking about whether boards of directors at specialty provider organizations are up for the […]
Creating A Meaningful, Market-Based Strategic Vision: The First Step In The Strategic Planning Process
Everything about strategic planning starts with a vision of where the organization is going and the measurable objectives that need to be achieved along the way. Vision statements are built on the organization’s mission, which is the statement of why […]
How To Create A Strategy For Future Sustainability & Success: The OPEN MINDS Strategic Planning Process
Realizing “market advantage” means strategically planning for market advantage—a process that “everyone does,” but few executives perfect. When done well, strategic plans can either assure sustainability and drive performance, or they can make sure the organization can adapt quickly enough […]
Finding The New Market Space
Over the course of the past three years, the expansion of the health plan footprint in the field has increased. Health plans manage 95% of commercial/employer members, 90% of Medicaid members, and 50% of Medicare members (see Managed Care Plans Cover […]
Moving Beyond Fee-For-Service With Health Plans: Essential Elements To Getting Paid For Value
Slowly but surely, value-based reimbursement (VBR) is happening in the specialty provider marketplace. 40% of specialty provider organizations reported participating in a VBR contract (an increase of 13% from the previous year) according to our 2022 OPEN MINDS Performance Management […]