(Choose One): What Gets Funded: payer strategy, outcomes, and proof
45 min
Tuesday, December 15, 2026
4:00 PM - 4:45 PM
TCIV has organized roundtables to facilitate executive connections and idea sharing. Choose one of the below.
Option A (Treatment/Healthcare CEO Only | By Invitation)
The Payer Hard Truths Table: What We’ll Stop Doing in 2027
A candid CEO-only discussion focused on the decisions leaders are making as payer pressure increases—what to double down on, what to exit, and where to draw lines. Topics include service line strategy, payer mix, network participation (in vs. out), and risk tolerance, with an emphasis on protecting margin and referral durability.
Option B
Tech-Enabled Contracting & Utilization: Reducing Friction Across Authorizations, Appeals, and Medical Necessity
A practical discussion on how operators are reducing payer friction that slows access and erodes reimbursement. We’ll cover prior auth workflow design, documentation requirements, denial prevention, appeals playbooks, and cleaner handoffs between clinical and revenue cycle—plus where technology can improve speed, compliance, and visibility without disrupting care.
Option C
Proving Value: The Minimum Credible Outcomes Dashboard
A working conversation on the proof points that payers (and capital) actually trust—and how to present them clearly. We’ll focus on the minimum credible outcomes and operational metrics to track, how to report without fluff, and the benchmarks that signal quality, durability, and readiness for payer scrutiny.
Option A (Treatment/Healthcare CEO Only | By Invitation)
The Payer Hard Truths Table: What We’ll Stop Doing in 2027
A candid CEO-only discussion focused on the decisions leaders are making as payer pressure increases—what to double down on, what to exit, and where to draw lines. Topics include service line strategy, payer mix, network participation (in vs. out), and risk tolerance, with an emphasis on protecting margin and referral durability.
Option B
Tech-Enabled Contracting & Utilization: Reducing Friction Across Authorizations, Appeals, and Medical Necessity
A practical discussion on how operators are reducing payer friction that slows access and erodes reimbursement. We’ll cover prior auth workflow design, documentation requirements, denial prevention, appeals playbooks, and cleaner handoffs between clinical and revenue cycle—plus where technology can improve speed, compliance, and visibility without disrupting care.
Option C
Proving Value: The Minimum Credible Outcomes Dashboard
A working conversation on the proof points that payers (and capital) actually trust—and how to present them clearly. We’ll focus on the minimum credible outcomes and operational metrics to track, how to report without fluff, and the benchmarks that signal quality, durability, and readiness for payer scrutiny.
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Moderator
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Ali Beheshti JD
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