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Sundar Subramanian, Joyjit Saha Choudhury, and Hector Rincon: Seven Choices Medicare Plans Will Need To Make In Order To Survive

Submitted by jryan@mcol.com on Tue, 05/28/2013 - 11:31


  1. Select a “Way to Play” - the market trends are clear—looming reimbursement cuts and increasing linkages between quality and reimbursements will require plans to rethink their value proposition
  2. Determine the Right Mix of Products, Segments, and Geographies - plans must determine the best combination of products, segments, and geographies that will enable profitable long-term growth
  3. Optimize Revenue - plans must look for additional ways to improve revenue
  4. Engage Customers More Effectively - plans can improve the experience of their members by stratifying and personalizing their approach, ultimately leading to better health outcomes
  5. Manage Star Quality Assessments - star quality bonus payments are a critical revenue stream for Medicare health plans
  6. Manage Medical Costs - MA plans must learn to operate on a significantly lower total cost structure
  7. Invest in Capabilities - plans must determine the capabilities needed to support their way to play


Source: Health Affairs Blog
Source URL: http://healthaffairs.org/blog/2013/05/01/seven-choices-medic...



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