How To Build Value-Based Payer Partnerships: An OPEN MINDS Executive Seminar On Best Practices In Marketing, Negotiating, & Contracting With Health Plans
Across the country, managed care organizations are successfully delivering treatment services to large populations and doing it in a way that saves states significant sums of money. These demonstrated savings show that value-based reimbursement and managed care arrangements aren’t going anywhere, which means that executives of provider organizations must find a way to position themselves to work closely with managed care companies.
How? By developing relationships with the payers in your market, considering what metrics they are tied to and how you can help them to meet their performance requirements, discussing how you can align programs and services with the goals of the payers and health plans in your market, and providing data that proves your service lines can achieve both high quality outcomes and lower costs. In this crucial seminar, we will discuss:
- How to start strategic conversations with health plans
- How to demonstrate your organization’s value in way that will capture health plan's interest
- How to secure and optimize service agreements with health plans
Richard Louis, III
Senior Associate, OPEN MINDS
Richard Louis, III brings extensive experience in both public and for-profit behavioral healthcare administration and business development to the OPEN MINDS team. He has a long history of successful development and launch of groundbreaking new program initiatives resulting in new business and revenue growth. Mr. Louis is currently the Senior Vice President of Business Development and Managed Care Operations at ANKA Behavioral Health, Inc. and recently served as Vice President of Health Integration and Behavioral Health Services for Healthcare Innovators, LLC (HI).
Prior to his position with HI, Mr. Louis was the Executive Director of Strategic Development and Planning at Pathways – Molina Healthcare, a national for-profit behavioral healthcare company based in Fredricksburg, Virginia, and operating in 23 states. In this role, Mr. Louis to improve the behavioral healthcare program through the development of an integrated behavioral health treatment strategy that included in-community care management and coordinated care services to reduce hospital re admissions for severely mentally ill clients in county mental health systems, health plans, MCOs and medical groups.
Mr. Louis also served in various positions for College Health Enterprises (CHE) most notably serving as Vice President of Government Operations and later as Regional Director for CHE Senior Psychological Services. CHE is a for-profit behavioral healthcare organization that provides behavioral health treatment services in long-term care settings. While serving as Vice President of Government Operations, he created the first public sector division for CHE by establishing new service lines, contracts and new profit/revenue streams for this for-profit organization. Over a 10 year period, his responsibilities included the development of new and innovative programs/contracts, and direct management oversight of specialty behavioral health programs for a variety of public sector payers and venues. Mr. Louis then moved into his Regional Director role, where he developed and managed the first field-based behavioral health coordinated care program under contract with a national health plan serving members throughout Southern California; as well as the development and implementation telehealth therapy services for long-term care facilities in rural parts of targeted states.
In addition, Mr. Louis has served in a number of leadership roles with several organizations in the community including: the California Hospital Association – Center for Behavioral Health, Advisory Board; the Board of Directors of the Forensic Mental Health Association of California, College Hospitals, and Intercommunity Child Guidance Center of Whittier. He is in his 29th year as a reserve police officer (volunteer) with the City of Monterey Park Police Department in East Los Angeles, currently holding the rank of Captain; and former Police Commissioner – City of Claremont Police Department, in Los Angeles County.
Mr. Louis graduated with a Bachelor of Arts in psychology from Whittier College and is a Police Academy Graduate from Rio Hondo College in Whittier, California.