Path to Risk Leadership Retreat

Monique Ruyle, 
EHP Executive Director

The Evergreehealth Partner’s Path to Risk Leadership Retreat brought payer executives together with EHP physician leaders, to educate our leaders on their perspectives, and form a strategic plan in determining what actions EHP needs to take to effectively and sustainably embark on the “Path to Risk”. Risk in this context, refers to EHP contracting with payers to be accountable for the cost, quality, and access for a designated population.

“EHP is well underway with four payer contracts that begin to shift the payment model from volume-based, to value-based. To accomplish this, and to sustain our advances over the coming years, EHP will have to prepare to take risk. Payers will expect this in order to increase the level of financial reward as payment for value when we are capable of bending the cost curve, and providing the best care at the right place and the right time – namely to promote population health and wellness” said Director of Payer, Employer and D2B Initiative, Greg Aoyama. 

Listed below are some of the key principles discussed during the retreat that help guide EHP in its work toward value and risk.

1. Access to the premium dollars will drive the incentives to transform care and decrease the total cost of care
2. Participating in the right networks to ensure employers and individuals have access to EHP allows us to successfully compete in the market
3. Ensuring the right patient receives the right service at the right place at the right price is key to appropriate utilization of care
4. Embedding medication management, behavioral health and care management advances the medical home
5. Leveraging technology will allow us to define best practices.