What MA Plans and Conveners Mean for Home-Based Care in 2022 and How to Use Them to Your Advantage
First things first, what is a convener? A convener is a group or individual responsible for bringing people and resources together to address an issue, problem or, opportunity. In this case, we're addressing the high cost and accessibility of health care for businesses of all shapes and size, using bundled benefits via telehealth for overall care improvement.
Home-based companies looking to enter Medicare Advantage (MA) in their markets should have a strategy. That planning must take into consideration what payers and referrers will be looking for to win their business. More specific details here.
More than 26 million individuals are now enrolled in MA, meaning the program has almost half of all Medicare beneficiaries. There will also be an 18 percent increase in plans available in rural counties.
Because the overwhelming majority of seniors will have Medicare coverage and take advantage whenever possible, home-based companies should consider them as a "percentage of payer mix". Keep in mind, these beneficiaries could become private pay for other services not covered by MA.
In any case, forming a relationship with a network convener now is a practical first step in planning for the future. One of the better strategies may be offering telehealth care benefits for the retainment and recruitment of employees during the present shortage.
Having the support of board certified physicians, both nights and weekends during the pandemic, would alleviate stress for everyone. Add the same for therapists and you have a winning formula. Not only can we reduce costs, as a strategic partner, we can show you how to monetize our services going forward. We're available anytime for questions and/or quotes.
Best, Rob Gillespie - Founder Telethink a telehealth care company.
telethink.net/homehealth
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