The ‘Business Of Business’ Is Relationships

For the executive teams of most provider organizations, working with health plans is one of the most strategic and challenging steps to financial sustainability and financial success. Comprehensive managed care organizations (MCOs) enroll 75%;of Medicaid beneficiaries, according to recent data (see;10 Things To Know About Medicaid Managed Care).

On the Medicare side, enrollment in Medicare Advantage and other health plans is currently split 50/50 with traditional Medicare (see Total Number of Medicare Beneficiaries by Type of Coverage). Medicare Advantage markets are highly concentrated in just a couple of insurers—89% of Medicare Advantage enrollees are . . .