Managed Care: Opportunities & Challenges as a Senior Care Provider

The statistics on managed care tell the story. Medicare Advantage programs now have 17.6 million enrollees, a 50% jump over the last 10 years. About 22 million enrollees are expected by 2020. And Medicare Advantage already has a 40 percent penetration rate in four states.

“Managed care is full steam ahead,” said consultant Melanie Bella, former director of the Medicare-Medicaid Coordination Office, CMS. She added that now is the time for providers to address managed care.

Bella spoke at the 2017 NIC Spring Investment Forum at a session titled: Managed Care: Opportunities & Challenges as a Senior Care Provider. She was joined by a panel of experts: Jason Feuerman, senior vice president, strategic development & managed care, Genesis HealthCare; Kurt Hubler, chief network officer, Inland Empire Health Plan; and Will Saunders, CEO, AllyAlign Health. The session was moderated by Michael Torgan, executive, business development & Strategy, First Quality Healthcare Group.

A video recording of the session is embedded here. Key takeaways include:

• Opportunities for providers to move to pay-for-performance plans
• How providers can leverage their relationships with patients for success
• What providers should do now to begin to coordinate care