How did we get to this new marketplace? -- Federal government policy -- Economy -- Decreased supply of physicians and hospital beds -- Drug costs -- What consumer-directed models will emerge? -- High-deductible plans -- Tiered networks -- Schedule of covered services -- Personalized health plans -- Open-market approaches -- Defined contribution model -- How can I best position my organization? -- Need for a strategy -- What strategic approach might an organization take? -- How do I negotiate effective contracts with insurers? -- Negotiation -- Sources of power in negotiation -- Contract terms -- Negotiation tips -- Where will consumer-directed care take us? -- Future and consumer-directed products -- Need to develop a payer strategic plan -- Final thought
