We are constantly striving to provide the most comprehensive solutions for our clients, health plans administering government sponsored healthcare programs.
We are constantly striving to provide the most comprehensive solutions for our clients, health plans administering government sponsored healthcare programs.
As these models gain popularity, MA plans that work with their provider network to encourage adoption will have the opportunity to devote more resources to innovative benefit design, improve collaboration with providers and provide a higher quality of care to their members.
Primary reasons for contracting with an MA plan for retiree benefits include lower costs for retirees, flexibility for enrollees, lower costs for the company, better coverage and ease of administration.
Despite serving high-need populations, MA plans collectively have lower spending than FFS plans, enrollees in MA plans are more likely to receive preventive services and care, and MA enrollees with certain chronic conditions have lower rates of hospital inpatient and emergency department utilization.
As the program continues to gain popularity, MA plans will have a growing opportunity to improve member care and outcomes by promoting preventive care and care management.
Plans that aim to provide the best care and experience for immigrants will take steps now to provide inclusive enrollment materials, patient education materials and benefits that address the unique needs of this growing population.
We value the relationships we have developed with our California clients, and look forward to continuing to support them, as our industry and state specific programs continue to evolve.
By providing these additional benefits and services, they can continue to provide the best and most affordable care possible to a growing number of beneficiaries.
Plans that continue to ensure compliance and improvements in these four areas will be on track for successful partnerships with OIG during periods of increased oversight and beyond.
Lawmakers are looking for ways to make more MA plans available that are tailored to dual-eligibles, although that could result in coverage disruption due to care transitions and network restrictions.