Resource Type


CMS Value-Based Care Opportunities In Medicaid

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 […]

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 […]

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 […]

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 […]