Why Show-Me High Value Network
Problems Facing Rural Health Care
Independent provider facilities often struggle with limited scale — affecting recruitment, purchasing power, data capabilities and payer negotiations. The Show-Me High Value Network helps Missouri’s independent providers overcome these challenges while maintaining local independence and care close to home.
Independent Hospital Challenges
- Loss of operational control through health system affiliations
- Limited influence on regulatory and payment policy
- Inadequate leadership training and support
- Isolated physicians lacking peer support
- Outdated “hub-and-spoke" relationships with large systems
- Underdeveloped clinical and financial data systems
- Payer-designed programs that don’t fit local realities
- Limited purchasing power
- Too few covered lives for positive value-based performance
- Insufficient patient volume for value-based contracting
Show-Me High Value Network Solutions
- Maintaining local control through peer-based interdependence
- Serving as a unified, authoritative voice for rural health care
- Offering shared learning through roundtables and competency committees
- Supporting provider-led clinical integration committees
- Building partnerships based on mutual accountability and opportunity
- Implementing a population-health platform with real-time data
- Creating health plan products that recognize and reward independent strengths
- Using shared services to strengthen group-purchasing initiatives
- Aggregating covered lives provides necessary scale
- Combining patients through a clinically integrated network allows single-signature contracting