In recent years, health insurers find themselves facing increasing pressures to create tangible improvements in health outcomes within the US. A key challenge that provider and benefit vendors frequently face is in demonstrating their value proposition to health plans so that their services can be included as covered benefits or as care management programs. Often, the providers and benefit vendors offer a compelling solution but are unable to support the effectiveness of their programs due to the newness of the solution. This whitepaper will explore the value proposition that these solutions can bring to the healthcare market, analyses that can be conducted to support the value proposition claims, and strategies to get data in order to conduct a retrospective study on the solutions.

Considerations for Benefit Vendors and Providers in Demonstrating Their Value Proposition to Health Plans