Mike Scribner and Kelly Mooney recently presented to the Southeast Association of Orthopaedic Executives. They discussed market trends with Medicare and Medicare Advantage, and how to best position your provider organization as part of an overall Manage Care strategy. They also touch on payer performance, new carriers into the market, and negotiation tactics. See the PowerPoint here.
Georgia’s Department of Community Health (DCH) is preparing to reprocure its Medicaid managed care contracts (currently held by Amerigroup, CareSource and Peach State Health Plan). DCH’s selection process will begin later this year/early next year for new contracts to go-live on 7/1/2024. In addition to our existing payers, there are at least six new payors interested in the new Medicaid contract; which you have likely seen in ongoing outreach from those payors.
Since we are going to be working with a minimum of nine potential bidders and multiple moving pieces, SHP is pleased to announce an upcoming Medicaid Reprocurement webinar to discuss the following:
DCH’s Goals for their Next Medicaid Managed Care Cycle
Who are the new payors interested in Georgia?
What are our next steps to managing this reprocurement cycle?
We look forward to talking with you soon. Thank you as always for the opportunity to be of service. Click the button below to register.
To many, managed care is managed care. But with the leverage and bottom-line impact of an ASC to a physician group or hospital system, planning a specific strategy is essential to account for market forces that have significantly changed the landscape in the last twelve months. We will cover such managed care topics as:
How managed care differs for ASC’s to your practice revenue stream.
How does the No Surprises Act impact in- vs. out-of-network strategies?
Contract strategy and negotiation.
How the insurance market has changed; diminishing the big five payers.
New ASC reimbursement methodologies hitting the market
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