While some organizations may be exploring whether there is a viable pathway to launch co-branded MA products with health plans or third-party administrators, given The Center for Medicare and Medicaid Services’ (CMS) relatively strict network adequacy requirements, it will be difficult for many systems to successfully execute against this strategy. Still, health systems can improve their financial and operational performance on MA payor products if they focus on four key strategies described in this paper.
Tej Shah is a Principal with The Chartis Group and a leader for the Payor segment. He has more than 16 years of experience as a healthcare executive and in management consulting. Mr. Shah advises regional and national...