Developing the Contract, Contingency Plan, and Relationship Management Plan: The community-based organization’s survival guide for moving into a managed care world
How does a community-based organization go about developing contracts and contingency plans, and managing relationships to succeed in the new managed care world?
In the Spring 2017 issue of American Society on Aging‘s Generations magazine (pp. 39-41), Jamie Almanza, MBA, Executive Director of BACS, answers this question. Ms. Almanza has good news for all non-profits considering this transformation – “it is not only possible, but is also a reinvigorating process for an agency, its staff, its consumers, and its funders.”
Since then, “BACS has spent the past five years transforming its traditional service delivery system, overhauling and investing in its infrastructure, and re-engineering its business development strategy so that it complements and leverages opportunities from the Affordable Care Act, such as value-based care, care coordination, and care transitions”
Ms. Almanza outlines three major steps an organization needs to consider when transforming itself to work within the managed care environment:
1. Leadership and vision toward investment in the future
2. Infrastructure toward accountability and growth
3. Marketing and partner development
Under Ms. Almanza’s leadership, and following these strategies, “BACS has transformed itself from an $8 million organization… to a $22 million organization with a clear path to strategic growth and a new partnership with the healthcare sector.”
You can read the full Generations Field Guide to Managed Care: A Primer here.