Leavitt Partners Releases ‘Multi-Year Medicare Advantage Plans: A Framework for Action’ White Paper
Today,
The white paper notes how single-year insurance contracts can sometimes incentivize insurers to forego costly up-front investments that can improve beneficiaries' health in the long term. Piloting a program with insurance contracts of three or more years could improve care quality and coordination, improve chronic disease prevention and management, reduce costly care utilization, and yield greater stability for patients, payers, and suppliers alike.
Key takeaways from this proposal include:
* Multi-year Medicare Advantage contracts would help insurers better prevent and manage chronic conditions by allowing up-front interventions in patients' health to bring health benefits over a long-term horizon.
* Medicare Advantage health plans could better address non-clinical contributors to health status such as food insecurity or a lack of reliable transportation when they have longer than one year to realize a return on those investments.
* Multi-year contract design would encourage health care providers and suppliers to engage in greater risk and value-based contracting by incentivizing accelerated data sharing and care coordination.
The paper offers a framework outlining potential issues and design features to consider for a MyMap demonstration, including benefit design, target populations, risk strategies, and value-based contracting arrangements arising from a multi-year insurance contract. The authors outline the potential of CMS adopting a national model implemented through regional alliances of providers, beneficiaries, insurers, and other stakeholders based on the unique characteristics of each region's health sector and patient characteristics. "With such an opportunity to help so many beneficiaries," Governor
The white paper can be viewed here (https://leavittpartners.com/whitepaper/multi-year-medicare-advantage-plans-a-framework-for-action/).
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