For US health systems, launching a Medicare Advantage health plan is no longer just a strategy for diversification. It’s a path to faster growth, a way to leverage assets that provide a unique competitive advantage, and a key strategy for protecting an organization’s future and relevance in a changing market.
While entering the MA market provides significant opportunities—including new revenue sources and greater leverage with existing payers—reaching those goals can be challenging without the right approach.
See this insightWinning in the Medicare Advantage market is not easy for health care providers. But for provider-sponsored plans that execute effectively, the upside can be enormous. Priority Health, a provider-led health plan in western Michigan, is one such example.
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Using Big Data to Measure Health Care Outcomes
According to BCG's Sanjay Saxena, the opportunity for using big data and analytics in measuring outcomes is huge. But the trick for payers and providers will be understanding the data—and knowing which questions to ask about it.
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