Geographical Factors in Medicare Advantage Adoption Strategy

Value-Based Care Insights New Episode NOW On-Demand

The challenges posed by Medicare Advantage adoption have led numerous healthcare providers to exit the space altogether, despite the fact that 34 million Medicare patients are enrolled in Medicare Advantage plans. On this episode Dan is joined by Cliff Frank, a national expert on payer contracting, to delve into the complexities and hurdles healthcare providers face with Medicare Advantage plans, and explore how their responses impact both staff and patients. Gain insight into how geography and legislation influence the short- and long-term implementation of Medicare Advantage, and discover strategies for healthcare providers to safeguard patients from confusing plans and hidden costs.

Key Takeaways:

  • Geography provides healthcare providers a significant advantage in negotiating coverage with Medicare Advantage plans, especially if they are the sole healthcare providers in a region.
  • To ensure alignment with patient care priorities, providers find it advantageous to participate in selected Medicare Advantage plans rather than opting out entirely.
  • Until long-term solutions, such as the Improving Seniors’ Timely Care Act, are implemented, healthcare providers must adopt a strategic approach in navigating Medicare Advantage plans to safeguard staff, patients, and themselves from unexpected financial burdens and administrative challenges.

About The Show
Value-Based Care Insights is a radio show on Healthcare NOW Radio, that explores how to optimize the performance of programs to meet the demands of an increasing value-based care payment environment. It is hosted by Dan Marino (@DjmarinoHD) and highlights recognized experts in the field and within Lumina Health Partners (@LuminaHP).

Tune in weekdays at 5:00am, 1:00pm and 9:00pm ET.

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