Capability

Health Plan Relationship Development

Durable, productive payer–provider partnerships.

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Strong payer relationships are built between contracts, not just during them. Carafelli Healthcare helps providers and plans build the trust, communication and shared goals that make every future negotiation and joint initiative easier.

When the relationship works, issues get resolved before they become disputes, and both sides can pursue quality and value-based goals together. Carafelli Healthcare has spent decades on both sides of that relationship and knows what makes it productive.

How Carafelli Healthcare helps

Relationship strategyA clear plan for how provider and plan work together beyond the contract.
Joint operating committeesStructure and cadence for the meetings where real issues get solved.
Escalation & resolutionDefined paths so problems reach the right person quickly.
Shared goal alignmentAligning both sides around quality, access and value-based objectives.
Communication rhythmRegular, honest communication that builds trust over time.
Partnership planningTurning a transactional relationship into a strategic one.

Common questions

Is this only for providers?

No — Carafelli Healthcare works with provider groups, health plans and payers to strengthen the relationship from either side.

How is this different from negotiation?

Negotiation sets the deal; relationship development makes every future deal, and the day-to-day between them, work better.

Related capabilities

Let’s talk about Health Plan Relationship Development.

A short conversation with Christine is the fastest way to see where the opportunity is.

christine@carafelliconsulting.com