Medicare Advantage Premiums - Cms
We are looking to speak with multiple experts on medicare advantage premiums. We want to understand how the rate notifications by cms are determined and if it has an impact on revenue and medical cost ratios at the individual company level.
This would be for a 1-hour paid phone consult. Please respond with a few brief statements of your background and relevance to this space with you short answers to the questions below:
1.Can you share your insights on how the rate notifications are release by cms and the variables affecting the revenue and medical cost on the individual company level?
2.Are you able to discuss base rate determination, bidding, risk adjustment, rebates, and enrollment & payments to plans?+undefined Other Responses
We are a private equity-backed startup seeking advice regarding the legal hurdles to starting a healthcare mso (managed service organization) from scratch (i.E. Which states are friendly to msos, which are not). We are also seeking advice surrounding corporate practice of medicine laws and friendly-pc managed service agreements. Please respond if you are a c-level executive within an mso, a physician working under a friendly-pc agreement, or a lawyer specializing in mso agreements and cpom regulations.
Healthcare managed service organizations (msos). In short, we hope to start a new mso in the primary care space, and are seeking expert advice surrounding this potential investment.
Essentially, we are seeking to learn:
1.) what states are the friendliest and least-friendly to new msos
2.) how do mso's set up friendly-pc structures in those states
3.) any differences between state laws concerning msos in primary care (as opposed to speciality care, dentistry, pediatrics, or any related fields)
4.) any legal concerns or pitfalls to avoid when starting an mso+undefined Other Responses