Strategic Plan

To strategically grow the populations served by SEHP

To develop a plan for Medicaid risk opportunities

Seek opportunities to grow the SEHP footprint across SC

Collaborate with payors and employers in innovative ways to deliver more products to the market

Engage the Upstate business community in an active dialogue regarding value-based care

Develop a Medicare Advantage strategy for optimal performance

Engage Medicaid providers on value-based structures

Determine key strategic areas for expansion

Ensure financial sustainability through performance and management of SEHP value-based contracts (VBC)

To develop services that could be sold as value-based services to employers in the region

To achieve the financial targets of our contracts (PMPM and MLR)

Create scaled services which align with the value-based needs of the provider CINs

Determine services, pricing and scale for value-based services

To improve the value, based upon quality performance and total cost of care, of the healthcare for our members

Create longitudinal member data to the point of care

Establish defined key measures of SEHP performance to be presented systemically across all value-based contracts

SEHP will perform at the ‘Top Decile’ in SEHP quality measures

Exceed the national Milliman loosely managed benchmark for cost and utilization performance

Develop and deploy an infrastructure that drives longitudinal member data to the point of care

To provide opportunities to expand the value-based programs which result in a positive strategic impact for the participating CINs and owner system

To be the CIN (providers) of choice for payors and employers in the Upstate market

Active governance structure that supports a performance culture driving towards change and best practice sharing

Achieving the highest results on the quality programs with payor partners

Improve the understanding and knowledge of SEHP with key provider stakeholders

Leverage the SEHP tools to drive enhanced insights which are made readily available on a recurring bases and integrated with the local CIN

To develop a high performing value-based service company

Create a scaled human capital structure designed to provide direct support to the providers in the delivery of value-based care