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

In recent years, health insurers have been under increasing pressure to deliver measurable improvements in health outcomes within the US, with a key challenge being the need to clearly demonstrate the value proposition of their services to health plans for inclusion as covered benefits or care management programs. While providers and benefit vendors often offer compelling solutions, they may struggle to support the effectiveness of their programs due to their relative newness. This whitepaper will explore the value these solutions can bring to the healthcare market, the analyses that can be conducted to validate their claims, and strategies for gathering data to support a retrospective study on their impact.

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