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

Speakers:

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