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Workshop Session 3C: Maximizing Revenue through Provider-Payer Relations and Contracting

Monday, May 19, 2025
3:45pm – 4:45pm  
Location: Willow A
Earn 1 CE Credit(s)
In this session, we will explore the complexities and strategies involved in building and strengthening relationships between healthcare providers and payers, particularly through value-based contracts (VBC). As healthcare transitions from fee-for-service models to value-based arrangements, the importance of mutual understanding and trust between providers and payers has never been more critical. The speakers will discuss the evolution of these relationships, using a "dating" analogy to highlight how both parties must grow, adapt, and collaborate for long-term success. This session will focus on how providers can better understand payer needs, build trust, and eventually move from basic fee-for-service agreements to more robust, mutually beneficial value-based partnerships.

Learning Objectives:

  • Understand the Dynamics of Value-Based Contracting: Explore how the shift from fee-for-service to value-based contracts requires a trusting and adaptive relationship between providers and payers, and how both parties can evolve together for mutual benefit.
  • Identify and Address Payer Needs: Learn how healthcare providers can assess payer requirements and position their services to meet those needs, ensuring that both parties are aligned in their goals and fostering a stronger partnership.
  • Navigate the Provider-Payer Relationship: Discover strategies for building long-term, collaborative relationships with payers by focusing on shared goals, understanding each other's roles, and recognizing the value of growth and adaptation in these partnerships.