SPOTLIGHT: Five areas where provider management needs to evolve

The world of insurance is changing. Reform is spurring on innovation in new products, new types of incentive models and new types of care models. But what might that mean for payers? FierceHealthPayer recently checked in with Sam Muppalla, executive vice president at Blue Bell, Pa.-based Portico Systems, which offers provider management solutions for health plans, to find out. Here's his take on five areas where payers will need to improve provider management to survive. Tailored networks. When you look at how payers will have to respond to reform, how insurance is sold and purchased is changing dramatically. In the individual marketplace, more of the uninsured will get coverage and products to ensure that coverage via exchange is the big macro change there. FierceHealthPayer