Creating Provider-Sponsored Medicare Advantage Plans: Opportunities, Risks and Keys to Success

Provider-sponsored plans are increasingly popular with hospitals, health systems and medical groups/independent physician associations (IPAs). Offering a plan can deliver many significant advantages to providers, enabling them to capture a larger share of the premium dollar and enhance care management. There also are many critical front-end considerations, however, related to assuming risk, designing benefits and care-delivery models, and developing provider networks and administrative infrastructure.

In a new webinar, Manatt Health will share insights into the key factors to consider when thinking about implementing a provider-sponsored plan, the necessary steps to take in developing a plan, and the ways to mitigate the operational and compliance risks tied to active plans with enrolled members. Key topics that will be covered include:

  • Reviewing the financial, administrative and operational requirements for startup Medicare Advantage (MA) plans
  • Unpacking the regulatory complexities surrounding licensure, Centers for Medicare & Medicaid Services (CMS) contracting, and operational readiness for provider-sponsored MA plans
  • Identifying critical structure, organizational, governance and management considerations
  • Exploring the evolving regulatory and reimbursement landscape impacting MA plans


Paul Carr-Rollitt, Partner, Manatt Health
Steven Chiu, Partner, Manatt Health
Adam Finkelstein, Partner, Manatt Health

Date and Time:

Thursday, July 20
1:00 – 2:00 p.m. ET


This program has been approved for 1.0 NY CLE Skills (transitional and non-transitional) and is pending for 1.0 CA MCLE General credit.

If you would like to receive an audio transcript of this webinar due to accessibility issues, please email us at

This program does not constitute legal advice, nor does it establish an attorney-client relationship. Views expressed by presenters are strictly their own and should not be construed to be the views of Manatt or attributed to Manatt.



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