Reimagining Medicare Advantage: The Value-Based Care Challenge (and Opportunity)

Improvement by way of innovation has always been at the philosophical core of Medicare Advantage. Since its debut in the late 1990s, the program has sought to provide beneficiaries access to more comprehensive coverage and coordinated care and turn managed-care efficiencies into significant cost savings. However, reaping this potential is often easier said than done.

This white paper turns a retrospective lens upon Medicare Advantage, considering how value-based care models have changed the way healthcare organizations approach high-risk patient populations — and posed new care delivery challenges and opportunities along the way. This asset will further unpack:

  • Why applying a proactive, value-based care model is a critical cost-savings measure for Medicare's high-risk, high-cost patient population
  • The research: value-based care's impact on patient outcomes, engagement, and expenses
  • The growing popularity — and intrinsic potential — of payvider models and nonmedical service offerings
  • The innovation constraints posed by current operational and technical barriers