Developing a Successful Medicare Road Map

Navigant On Healthcare Podcast Series

This episode of Navigant On Healthcare is taken from an on-demand webinar co-sponsored by Navigant and the Health Plan Alliance. In this episode, Navigant Managing Director Dennis Butts interviews Blake Allison, chief executive officer of Southeastern Health Partners, about his organization’s experiences with Medicare value-based models. Southeastern Health Partners is a joint venture between AnMed Health, Bon Secours St. Francis, and Spartanburg Regional Healthcare System.

As the population ages and more patients qualify for Medicare, there is an increased pressure to move towards risk, enhancing financial pressures due to fee-for-service rates that aren’t sustainable. Butts and Allison discuss the steps Southeastern Health Partners is taking to create a sustainable path moving forward, to include participation in the Medicare Shared Savings Program and consideration of Medicare Advantage plans for 2019 and beyond. 

According to Allison, one lesson he has learned is that traditional medical staff structures will not work in a value-based care environment. “The physicians that have typically had the airtime are not, most likely, the ones that are going to be the leaders going forward,” Allison said. “So, how you find, elevate, and empower the physician leadership to engage in this is going to be mission critical. This has got to happen with engaged, activated, and empowered physician leaders.”

 

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