A Body of Knowledge

    Looking for insights on how to succeed as a Medicare Advantage Prime? Everything you need to know is right here.   How about succeeding as an organization with your Medicare Advantage contract? This is where you need to go.   Are you patient looking for unbiased Medicare Advantage information? Here’s everything you need to know.   Looking for deeper insights in real-time? Subscribe to Value-Based Transformations and get them sent to you in-box....

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Buying Studies in Bulk

  If you’re a single speciality primary care group or even a multi-speciality group without your own imaging center, consider buying your imaging studies in bulk from an outside vendor and then using them on the patients in your panel as the need arises.       Check your Medicare Advantage contract, but many will allow you to service your patient outside your contract without charge.       If yours does not, ask your...

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Sunday Links

    Come and get it!     Most of the MA links across the web this week are consumer advocacy pieces written in local publications. They would all do better to simply refer patients here. –yet one more example of how Medicare Advantage has gone mainstream. The ACA was supposed to be funded by dramatic cuts to the program. If you made a bet in 2009 (as I did) that it would be the...

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Saturday Q and A

  Dr. Cathy wrote me to ask:   “Thank you for all your writings. My comp formula is being changed so that I can lose or gain up to 20% of my RBV revenue based on how much my money my Medicare Advantage patients cost.  What should I do?”       Cathy, You don’t say how many Medicare Advantage patients you have, but suddenly those folks have become very valuable too you.    ...

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Know Your Financials

    The financial reports you get from your employer and your insurance partners are the key to your happiness.       Understand them, and you’ll understand where your can capture the greatest value for your labor.       Fail to do so, and you’ll simply push yourself to create more billable encounters as you seek to generate more revenue. That’s a recipe for burnout, depression, and worse.       I’m a...

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