--- title: Leading a Managed Care Performance Transformation for an Academic Health System description: An academic health system was concerned about the performance of its managed care organization. image: https://www.ridgelinehealthgroup.com/hubfs/default-img.jpg --- [![whitelogo](https://www.ridgelinehealthgroup.com/hs-fs/hubfs/whitelogo.png?width=266&name=whitelogo.png "whitelogo")](https://www.ridgelinehealthgroup.com/) [![coloredlogo](https://www.ridgelinehealthgroup.com/hs-fs/hubfs/coloredlogo.png?width=267&name=coloredlogo.png "coloredlogo")](https://www.ridgelinehealthgroup.com/) - Services - [Insights](https://www.ridgelinehealthgroup.com/insights) - [Clients](https://www.ridgelinehealthgroup.com/insights/tag/case-studies) - [Careers](https://www.ridgelinehealthgroup.com/careers) - [About](https://www.ridgelinehealthgroup.com/about) - [About Us](https://www.ridgelinehealthgroup.com/about) - [Our Team](https://www.ridgelinehealthgroup.com/our-team) [Meet with the Ridgeline Team](https://www.ridgelinehealthgroup.com/meet-with-advisor) #### Provider Services Enterprise Strategy Pricing Strategy Development Payer Strategy Development Payer Negotiation Strategy & Analytical Support Innovative Payer Partnership Development Managed Care Performance Transformation Value-Based Strategy & Contracting Support #### Payer Services Provider Network Development & Management Innovative Provider Partnership Development Value-Based Program Strategy Insurance Product Development # Leading a Managed Care Performance Transformation for an Academic Health System ![feature image](https://www.ridgelinehealthgroup.com/hubfs/default-img.jpg) [Case Studies](https://www.ridgelinehealthgroup.com/insights/tag/case-studies) - - - ## Context: An academic health system was concerned about the performance of its managed care organization.  The new leader of the managed care team was looking to optimize its organization's performance including overall outcomes achieved, effective stakeholder management and efficient decision-making processes.  The organization asked for support in leading a performance transformation for the managed care organization. ## Approach: To understand the current situation, Ridgeline conducted interviews with executive leadership and the managed care team.  Informed by these interviews and a review of documents and processes, we completed a managed care performance diagnostic to assess core capabilities across a variety of domains.  After socializing our findings with the organization’s leadership, we facilitated a process to refine which initiatives should be prioritized for improvement efforts.  Partnering the managed care organization at all levels, we helped to implement new processes and tools to develop capabilities to drive stronger performance.  ## Results: As a result of this effort, the organization achieved a higher level of overall performance including increased efficiency.  The organization implemented a best-in-class contracting process to optimize negotiation preparation and outcomes.  Through collaboration with the legal team, a prioritized ‘PARU’ contracting framework was developed to ensure an efficient contract redlining process.  Further, streamlined communication forums and decision-making processes were implemented which enabled the team to focus their attention on negotiation efforts and achieving better results quickly. ## These other resources may also interest you ###### [Case Studies](https://www.ridgelinehealthgroup.com/insights/tag/case-studies) ## [Developing a Payer Strategy and Innovative Payer Partnerships for a Community Health System](https://www.ridgelinehealthgroup.com/insights/developing-payer-strategy-innovative-payer-partnerships-for-community-health-system) ###### [Case Studies](https://www.ridgelinehealthgroup.com/insights/tag/case-studies) ## [Executing Significant Network Expansion for National Health Plan](https://www.ridgelinehealthgroup.com/insights/executing-significant-network-expansion-for-national-health-plan) ### Subscribe to our newsletter Creating Successful Provider Payer Relationships ## Forging your path. 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All Rights Reserved. - [Privacy Policy](https://www.ridgelinehealthgroup.com/privacy) ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Hubspot", "url" : "https://www.ridgelinehealthgroup.com/insights/author/hubspot" }, "dateModified" : "2023-06-14T19:46:18.290Z", "datePublished" : "2023-04-27T20:15:10.000Z", "headline" : "Leading a Managed Care Performance Transformation for an Academic Health System", "image" : [ "https://www.ridgelinehealthgroup.com/hubfs/default-img.jpg" ], "mainEntityOfPage" : { "@id" : "https://www.ridgelinehealthgroup.com/insights/leading-a-managed-care-performance-transformation-for-an-academic-health-system", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "https://www.ridgelinehealthgroup.com/hubfs/ridgelinelogo.png" }, "name" : "Ridgeline Health Group" } } ```