SIDE B: HEALTH PLAN

Participant Role Brief

Health Plan Executive

"HorizonHealth Plan"

Your Role

You are the regional market VP for HorizonHealth Plan, a national insurer.

Context

NorthRiver Health (28% of your regional volume) sent termination notice last week, threatening public announcement tomorrow about patient disruption.

Next week, a major negative news story drops accusing you of unfair treatment of a hospital system in another market (patient access issues, bad press).

Current Offer:

You've offered 250% of Medicare (regional median).

Your budgeted/willing max: 320% to avoid escalation.

Your Situation

Corporate pressure: Get a deal today before tomorrow's PR hit compounds with next week's story.

NorthRiver is "must-have" for network adequacy, and your SVP stressed resolving the rate issue immediately.

Your Goals

1

Close a rate deal today — SVP's directive was clear: settle rates first. (you're willing to go to 320%).

2

Avoid bad press/PR nightmare.

Your Constraints (Non-Negotiables)

Deal must finalize before tomorrow's announcement.

Focus on rates first — operational/VBC details later.

Information Only You Know

Analytics show NorthRiver's potential for readmissions/ED savings if you co-invest in care management.

Your care management team has capacity for a joint pilot program on high-ED utilizers, but needs shared data infrastructure to succeed.

You've budgeted for up to 320% but feel mounting tension from the ticking PR clock — you just want this resolved.

Before You Begin

Think about:

What makes this negotiation personally tense?

Circle 1–2 spots where you feel discomfort/urgency to "just settle on rates and move on."

TIME LIMIT

When You're Ready to Start

8 Minutes

Set a timer for exactly 8 minutes

That's all the time you'll have to negotiate.

⚠️ Be Strict With the Deadline

Do not negotiate past 8 minutes. Stop when time is up.

💬

Choose Your Negotiation Style

💬 Chat:Type your messages in the chat interface

🎤 Voice:Click the microphone button in the text-input window to speak your negotiation

The AI negotiator responds to both text and voice — choose what feels natural to you!

Copyright Kevin Greene, Breakthrough Negotiating 2026.

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