Spring fever must have settled in early around here. You may notice two baseball references in our magazine and another in our online blog. The thought of baseball can warm the heart on a cold, snowy day. The blog item refers to a new forum where clinical executives can gather, kind of like the bar depicted in the TV show Cheers, where Sam Malone, a former Red Sox pitcher, served up various spirits to Boston patrons.
The first mention of baseball in this issue appears in our cover story. Contributing Editor Joseph Burns refers to the movie Moneyball in discussing why health plans are increasingly contracting with narrow networks of providers. Health care is like baseball, says Brett Morris of Health Net of Arizona, because officials like Morris are always trying to put together the best teams of providers, the “free agent” physicians and hospitals who can deliver high-value, low-cost care.
Not every provider can or should make the cut. Not in an era where the emphasis is on accountable care and patient-centeredness. As the consultant Paul H. Keckley, the subject of our Q&A, points out, clinical executives at health plans now have the hardest jobs, and are often the only voice with clinical training and experience in the room. They’re managers in every way.
The online forum is a place where medical directors can talk with peers about many medical management topics. It’s also a source of governmental and many private companies’ guidelines that clinical executives sometimes have to consult to do their jobs. It’s somewhere they can go to get the encouragement and pick up a few pointers on matters of mutual interest.
Did you hear? Pitchers and catchers are going to be reporting any day now.