Performance and service guarantees should be tied to administrative and clinical performance. Your employer healthcare vendor should place a portion of their total base fees at risk directly tied to engagement, satisfaction, measurable health outcomes and achieving ROI targets.
For example, Marathon Health places up to 10% of its annual fees (not just M&A) at risk in each contract year. Risk can be divided in several ways, but as a general rule should focus on these four areas:
- Member Engagement (member engagement rate with the health center and utilization by high-risk/chronic population)
- Member Experience (member satisfaction surveys and repeat utilization rates)
- Quality Measures (achievement of clinical quality metrics, risk reduction, meeting goals for chronic condition members at the standard of care)
- Client Savings (engaged vs. non-engaged member savings)
Find a partner that focuses on the health outcomes that matter most to you and represent a comprehensive set of performance standards in the industry driving experience, outcomes and savings.