Medicare Advantage plans need more than consumer-centric design, payer/provider alignment, and strong connections across the continuum of care to drive value. The high-value performance also depends on their ability to use data to make a meaningful difference in members’ health.
With 11,000 people aging into Medicare daily, proficiency in managing Medicare Advantage populations is critical for demonstrating value in a competitive market. Enrollment in these plans is growing significantly, projected to reach 24 million in 2020.
The Congressional Budget Office predicts that by 2029, 47 percent of Medicare beneficiaries will be enrolled in Medicare Advantage plans. Today, average penetration by the state is 34 percent. But the capacity to demonstrate high-quality care is critical: More than two-thirds of Medicare Advantage enrollees (72 percent) are in plans rated four stars or higher.
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Source: Hit Consultant
