Provider engagement
Give clinical and payer participants a common scenario to discuss, with room for different interpretations of the evidence.
Lucentin / Insurers
Make the value conversation meaningful to payers and providers.
Lucentin’s outcome-payment focus brings clinical work, care goals, and payment evaluation into a shared discussion. The aim is to help payer and provider teams examine what value means in a defined care program before considering operational use.
Your priorities
Start with care goals. Examine the payment implications.
A productive payer-provider discussion needs more than a financial target. It needs a shared understanding of the care program, the evidence available, and the questions that must be resolved before drawing conclusions.
Member-centered value
Consider quality, access, and patient goals alongside financial implications when examining a proposed program.
Program readiness
Clarify what additional evidence and institutional review would be needed to move from a simulated example to an operational proposal.
Illustrative evaluation · Fictional scenario
A care-program discussion before a payment commitment.
Illustrative scenario: a payer team and a provider group are considering an outcome-linked arrangement for a defined care program. Synthetic examples frame a discussion of goals, evidence gaps, and whether a further evaluation is warranted.
What a scoped evaluation would address
Shared understanding
A record of where clinical and payer interpretations align and where questions remain.
Evidence priorities
The information each party would need before assessing an operational proposal.
Program decision
An agreed next step for further evaluation, with named organizational responsibilities.
Discuss your priorities
Bring a payer-provider program question.
Explore a private, simulated example and discuss the evidence your clinical and payment teams would need.
Private Demonstration30 minutes via Google Meet. Please do not submit patient information.