Medicare Advantage Plans
My firm is working on a project looking into the use of 3rd party prospective risk assessment providers for medicare advantage plans and we are looking to speak with experts responsible for decision making surrounding medicare advantage plans and any choosing any outsourced vendors used for prospective or retrospective risk assessment in relation to medicare advantage members and plans. Please only respond to this inquiry if you can answer the following questions:
• what is the current size of the market for risk scoring assessment services for medicare advantage members? Is there an optimal plan size for these types of services? How are these services are currently priced?
• are there any emerging business models or regulatory changes that would change the current way that these services are provided?
• how important do decision makers view these assessments? Who are the decision makers for vendor selection, what are the selection criteria, and what are retention dynamics in the marketplace? How likely are non-adopters to use prospective risk assessments in the future?
• what is the competitive landscape like for risk scoring assessment providers? What plans are using what vendors? Is it possible to differentiate on any dimension other than price?
Thank you.+25 Other Responses
I am in need a consultant to complete the medicare idtf enrollment process for a mri, ct facility. We meet all the medicare requirements including accred, techs, supervising, interpreting physicians, etc.
Please advise of total cost and your experience.+5 Other Responses
We are defending a medical malpractice case with future medical expenses. The plaintiff is in her 70s so we believe most of her future medical expenses should be covered by medicare. In addition, she requires a leg and finger prostheses as well as a motorized wheelchair. We need an expert who will go through the lifecare plan and identify the expenses that will be covered by medicare. This person will likely need to testify as an expert in boise, idaho. Thanks.+8 Other Responses