Enhancing the patient experience with Medicare Advantage plans that embrace coordinated care

Huge Two-Day Clean Sweep Auction July 24-25th. Click Here to Bid!

advertisement
Posição atual:
>
> This Story


Início de uma sessão ou Registo to rate this News Story
Forward Printable StoryPrint Comment

 

advertisement

 

U.S. Healthcare Homepage

CMS proposes alternative payment model for radiation oncology Uses prospective, episode-based payments; ensures value-based care

Siemens forms $113 million alliance with UM System and MU Health Care The 10-year partnership will focus on improved care delivery and research

Misdiagnosis behind a third of malpractice cases Researchers from Johns Hopkins look at 55,000 malpractice claims

Rising workloads and technology are main causes of clinician burnout Called a 'public health crisis' by 92 percent of survey respondents

Providers in need of more specialists, fewer primary care physicians, says report Facing projected shortage in a number of specialties

Claims data will power new research initiative developing predictive models to fight opioid crisis Understanding risk factors and addressing them

Consumer experience is top priority for 69 percent of US hospitals: survey Trend reflects growing patient burden in paying for services

SIIM spotlights gender parity challenges in imaging informatics Leveling the playing field and fighting Imposter Syndrome

Hahnemann hospital ownership files for bankruptcy protection 'Safety net' hospital faces closure that could highly impact lower income patients

Admittance for radiology residencies based on looks, says study Discriminates against obese or unattractive candidates

Enhancing the patient experience with Medicare Advantage plans that embrace coordinated care

By Debbie Zimmerman

By emphasizing better-coordinated preventive care, Medicare Advantage (MA) plans pave the way to a more patient-centric future health system that prioritizes and rewards quality and cost-effective care.

Today’s highest-rated Medicare Advantage plans have succeeded by properly aligning financial incentives among key players, leveraging data and analytics to find opportunity for clinical improvement and using new technologies to improve the convenience of care delivery.
Story Continues Below Advertisement

THE (LEADER) IN MEDICAL IMAGING TECHNOLOGY SINCE 1982. SALES-SERVICE-REPAIR

Special-Pricing Available on Medical Displays, Patient Monitors, Recorders, Printers, Media, Ultrasound Machines, and Cameras.This includes Top Brands such as SONY, BARCO, NDS, NEC, LG, EDAN, EIZO, ELO, FSN, PANASONIC, MITSUBISHI, OLYMPUS, & WIDE.


The rapid growth of MA plans has been one of the major healthcare stories over the last decade or so. Between 2004 and 2017, the number of beneficiaries enrolled in MA plans more than tripled to 19 million, growing from 13% to 33% of all Medicare beneficiaries.

Along with this surge in demand from seniors came an expansion in supply, with large, incumbent health insurers, provider organizations and well-funded startups sponsoring MA plans. In 2019, a total of 3,700 plans are available nationwide, a year-over-year increase of 19%, according to the U.S. Centers for Medicare and Medicaid Services (CMS).

What’s behind MA’s popularity
MA plans offer several advantages to seniors, largely stemming from plans’ incentives in how they’re reimbursed by CMS. Unlike traditional fee-for-service (FFS) Medicare, MA plans are reimbursed with a per-member, per-month amount based on that member’s assessed health risks, meaning that MA plans have the opportunity to more efficiently manage medical expenses by keeping members healthy and avoiding expensive inpatient care at hospitals.

For seniors, this has translated to MA becoming an increasingly appealing and affordable option. In 2019, MA premiums are estimated to have reached their lowest level in three years, down 6% year-over-year to $28 per month, according to CMS. Nearly 83% of MA enrollees who remained in their existing plans had the same or lower premiums in 2019, and approximately 46% of enrollees in their existing plan have a zero premium.

In addition, MA plans provide financial certainty for an increasingly cost-conscious generation of seniors. Since 2011, all MA plans have been required to limit beneficiaries’ out-of-pocket spending for services covered under Medicare Parts A and B to no more than $6,700, according to the Kaiser Family Foundation.

Further, comparison shopping among MA plans is made easier for seniors through the program’s Star Ratings, which provide an overall assessment of a plan’s quality and performance. A plan that includes health services and prescription drug coverage, for example, is given a star rating that grades its quality in multiple areas, including screening tests and vaccines, managing chronic conditions, member experience with the health and drug plans, member complaints about changes in health and drug plan performance, health and drug plan customer service, and drug safety and pricing accuracy. Though imperfect, MA star ratings are among the best-quality assessment tools available to U.S. health consumers.
  Pages: 1 - 2 - 3 >>

U.S. Healthcare Homepage


You Must Be Logged In To Post A Comment