LetsTalkValue about payer-provider contracting in TheNextTango with Caitlin Masters

"No one P can do it alone - payers and providers especially are like Siamese twins" says Caitlin Masters, author of the 'payer' chapter 4 in her discussion with Book editor Verena Voelter.

The intent of this chapter is to help the curious reader to understand the idiosyncrasies of payment models in health care - for pills, procedures and services. How does this work between hospitals and health insurances, between pharma companies and payers? Caitlin summarizes it swiftly in 3 key takeaways:

1) focus on prevention and have a holistic view on the patient needs "that is the foundation to create value!";

2) payers and providers must collaborate, there is no other way as they "share the same customer - the patient!"; and

3) "you can't improve what you don't measure" - payers and providers have to trust and find ways to share data around high risk patient populations so that you can start identifying where the 50% of wasted healthcare delivery cost occur.

Curious? Then this is your must-tune-in episode. Let's Dance!