Rethinking the Traditional Health Plan Provider Network (W6039)

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Zoom

Sep 17, 2026 12:00 PM - 1:00 PM ET

Cost

$0.00

Credit Offered

1 ACHE Qualifying Education Hours Credit

1 Certificate of Participation Credit

1 Nursing Home Administrator Credit

Thursday, Sept. 17
noon-1 p.m.

Douglas Lynch

Sidecar Health CFO and Chief Actuary

Doug Lynch leads the financial, actuarial, and underwriting functions at Sidecar Health and is responsible for pricing, reserving, and analytics. Doug came to Sidecar Health from HCSC where he served as chief actuary, leading their actuarial and underwriting teams. Doug is a Fellow of the Society of Actuaries and is a member of the American Academy of Actuaries. He received his B.S. in actuarial science from the New Jersey Institute of Technology.

This speaker has no real or perceived conflicts of interest that relate to this presentation

For decades, health plans have competed on the size of their provider network. Sidecar Health CEO Patrick Quigley argues that this era is ending and that network-based healthcare has run its course. The market of the future will not reward the biggest network; it will reward the model that delivers real access, clarity, and economic sense.

Join this webinar to hear speaker Doug Lynch, CFO at Sidecar Health, who will build on that thesis and will walk through how it works in practice: Members get a transparent benefit amount to shop for care anywhere, providers get paid in full without network negotiations, and members earn cash back for choosing high-value care.

This type of model rewrites core assumptions about network design, utilization management and provider relations. Attendees will leave with a clear picture of what a model built around access and transparency, rather than network size, could mean.

At the conclusion of this session, participants should be able to:

Describe emerging trends and challenges in traditional participating provider network models and their impact on health plan design.
Explain how transparent benefit models can improve access to care, provider payment, and member decision-making.
Evaluate the potential implications of alternative provider network models for network design, utilization management, and provider relations.

The Georgia Hospital Association Research & Education Foundation is an approved provider of nursing home administrator credits as a professional trade association in long term care under Ga. Comp. R. & Regs. 393-13-.02, (1) (a). Approved for 1 contact hours.

By attending Rethinking the Traditional Health Plan Provider Network Webinar offered by Georgia Hospital Association, participants may earn up to 1 ACHE Qualifying Education Hours toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation. Attendees who wish to have the hours applied toward ACHE Qualifying Education credit must self-report their participation by logging into their MyACHE account and selecting ACHE Qualifying Education Credit.

If you need assistance with registration, please contact the education department at education@gha.org or 770-249-4529.