The recent AMGA” Payer’s Survey” revealed that 20% of health systems expect to be forced to take downside financial risk in the next two year, up from 3% in the last survey.
Downside risk is nothing to mess with. If you execute it poorly, the costs will be dear—maybe even your job.
You must get ahead of this. If you haven’t had a discussion with your payer about their future plans, have it now.
I know, I know, most payers lie every time you speak to them, but occasionally one slips up and tells you the truth.
When that happens, the conversation is of immense value.
Once, during such a conversation, a payer of ours let slip that they were going to try to change one of our total-risk contracts.
We were able to perform the due diligence and keep our privileged position.
You can reap benefits like this, too.
But you gotta have the conversation first.
And for that to happen, you have to be the one to ask.