Positioning your organization to thrive financially within value-based care
Succeeding in alternative payment models requires different thinking and priorities. Let us help you evaluate the impact of value-based care on your organization and develop winning strategies.
Related resources
- Podcast: Taking Value-Based Care Strategy to the Next Level
- Blog: Will 2023 Be the Year That You Fully Embrace Value-Based Care?
- Blog: Care at Home Provides Value Beyond Cost Savings
- Blog: Taking an All-Patient Approach to Advancing Health Equity
- Blog: Value-based care is more compatible with fee-for-service models than you realize
- Blog: It’s Time for Providers to Reevaluate Clinical and Economic Models for Value-Based Care
- Podcast: What Does the Risant Health Collaboration Signal for the Health Care Industry?
Define your strategy to prepare for Medicare Advantage growth
Medicare Advantage has grown by 51% in the last six years alone. With enrollment projected to continue to increase 17% from 2023-2032, providers must consider how to prepare for an aging population. In our report, Sg2 intelligence experts share strategies to support long-term sustainability.
Combine data analytics, clinical expertise and organizational governance to improve patient outcomes and reimbursement
Participation in value-based reimbursement models requires visibility into the performance measures driving patient care quality and outcomes. In addition, some teams may benefit from integrating case management into their clinical care teams and realigning physician governance structures to better support clinicians and frontline staff. The following resources can help Vizient members overcome barriers to enterprise success.
The Medicare Advantage landscape is rapidly evolving
The Medicare Advantage landscape is rapidly evolving in terms of beneficiary interest, plan sponsor participation, and regulatory oversight, all of which have big implications for providers.
Trends in Medicare Advantage ripple through the healthcare industry, impacting all types of stakeholders differently having a direct impact to your healthcare financing and care delivery models. Regardless of what type of Medicare Advantage (MA) stakeholder you are, knowing these trends and how they are playing out in your own market is paramount to building successful strategies in such a complex landscape.
That is why we have developed our Medicare Advantage Insights Tool, which provides updated trends and insights using MA plan and enrollment data. Understanding the MA trends occurring in your service area can help you begin to formulate a strategic response.
Our team of experts use industry-leading data to identify trends that can help you develop a comprehensive Payer Strategy that is considerate of MA, tailored to your local market dynamics, and anticipates future trends – setting your organization up for success. Connect with us.
Medicare Advantage Insights Tool
For tips on how to best use our MA Insights Tool click on the Insights Tool FAQ below. To learn more about our analytic methodology please check out our overview on these topics at the bottom of the page.
Analytic methodology
The Medicare Advantage Penetration Map and Medicare Advantage Adoption Over Time and Medicare Advantage Enrollment Over Time tiles include all Medicare Advantage plan enrollment types and are limited to Local Coordinated Care Plan (CCPs) plan types.
The Top Medicare Advantage Plans, Medicare Advantage Plan Type Distribution, and Medicare Advantage Market Concentration tiles can be filtered by enrollment types of Individual, Special Needs Plans (SNP), and Employer Group Health Plans (EGHP) and are limited to Local Coordinated Care Plan (CCPs) plan types.
The following regions have been excluded from the data:
- American Samoa
- Guam
- Northern Mariana Islands
- Northern Mariana
- Puerto Rico
- Pending State Designation
- Virgin Islands
Medicare Advantage Plans with zero enrollees are excluded.
Unique number of plans are defined by the number of unique plan IDs.
Top 5 parent organizations are displayed in the pie chart, remaining organizations are categorized by "others".
All data will be updated by the end of each month based on the latest published data by CMS.
Data Sources
Connect with us to learn more about how we can help you succeed in value-based care.