| MORROW |
| AND ASSOCIATES, LLC |
| Improving the Business of Healthcare® |
| Professional negotiators backed by a small army of: Financial analysts (model contract rates – tie to product pricing, health plan budget) Actuaries (who price the products they sell) Attorneys (contract language to protect the health plan) Tools: Analytical tools utilize general claims data for “standard offers” Your claims data can be accessed Standard “boiler plate” contracts Health Plan contractors become experts at their contracts Financial Incentives: Sales & contracting make or break a health plan Negotiators are required to meet financial targets Local management team, regional and national executives are financially incentivised to meet financial targets |
| Why Do Health Plans Win? |
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Why Health Plans Win...
