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Market Insights

Addressing plan-provider friction: 3 insights from Optum’s Payer-Provider Abrasion survey

Plan-provider friction is a growing concern in healthcare, and addressing it requires collaboration between health plans and providers. Explore three key findings from Optum's Payer-Provider Abrasion Survey and interviews with top executives to gain a comprehensive understanding of the financial impact, the role of prior authorizations, and the need for mutual motivation and alignment.
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The insights

Optum Payer-Provider Abrasion Survey methodology:

The insights in this report are partially derived from Optum’s Payer-Provider Abrasion Survey. As part of that survey a total of n=151 interviews were conducted (across payers and providers). Providers (n=76) represented hospitals, health systems, and ambulatory/outpatient organizations. Payers (n=75) represented national plans, regional plans, and provider-sponsored plans.

SPONSORED BY
INTENDED AUDIENCE
  • Health plans
AFTER YOU READ THIS
  • You will learn the main points of abrasions between plans and providers.
  • You will learn the main barriers to solving plan-provider abrasion.
  • You will learn solutions to key points of abrasions.
AUTHORS

Mallory Kirby

Director, Health plan research

Max Hakanson

Consultant, Health plan research

Kara Wall

Research analyst

Posted on July 24, 2024

Updated on September 25, 2024

TOPICS
Health Plan Health Plan-Provider Collaboration Market Trends
INDUSTRY SECTORS
Health Plans Hospital and Health Systems Pharmacy, Diagnostics, and Lab

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