Provider-sponsored Medicare Advantage plans provide an excellent opportunity for health systems to manage the premium dollar through a value-based contract. However, for every example of a successful provider-led plan, there are many more cautionary tales of providers struggling operationally to obtain positive outcomes. As seen in this infographic:
- Not even half of provider-sponsored MA plans reached 4 or more Stars in 2018
- More provider-sponsored plans were rated below 4 Stars in 2018 compared to last year
Working with an operational partner who has expertise and outcomes in Medicare Advantage is one way to mitigate these execution risks to drive faster time to value.