Tag: Kim Cuce
Medicare Advantage: Show your value
April 8, 2025Kim Cuce
Q. What are some strategies for providers to become part of narrow payer networks?
A. Over the past decade, provider networks for payers have become increasingly difficult for providers to join or remain a part of. Providers face several challenges in becoming part of these networks, including the need to demonstrate their value to payers and navigate complex contracting processes.
Providers aim to serve as many patients as possible, which requires being a trusted and convenient...
Medicare Advantage: Evaluate, leverage and monitor
February 11, 2025Kim Cuce
Q. Do you have any key strategies to optimize working with Medicare Advantage plans?
A. Here a few recommendations that apply to navigating not only MAP plans but all insurances:
Evaluate your order cycle process: Implement a comprehensive strategy to review the entire order cycle from intake to final payment. Address root causes such as inefficient intake processes, lack of knowledge about payer policies and duplicate processes. Train customer service teams to identify...
Medicare Advantage: Play it smart
January 9, 2025Kim Cuce
Q. How can we strategically plan for the continued growth of Medicare Advantage Plans?
A. The average Medicare beneficiary has 43 MAPs to choose from. More than 54% of beneficiaries participate in a MAP, and this is expected to grow to 61% by 2032. Why? MAPs are using celebrities to entice Medicare beneficiaries. Have you ever bought something after seeing an infomercial, a viral video or a TikTok, only to be disappointed that the “item” wasn’t quite as shiny as they made...