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Emerging Idea

3 VBC tools to help control MA specialist spend

As the Medicare Advantage (MA) market matures, MA organizations are shifting their focus to value-based care (VBC) as a way to control costs and improve patient outcomes. This toolbox provides an overview of the most effective VBC tools for managing specialist spend and shows how different VBC approaches are better suited to certain situations.


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INTENDED AUDIENCE
  • Health plans
  • Hospitals and health systems
  • Physicians and medical groups

AFTER YOU READ THIS
  • You will learn about what VBC tools have proven most effective at bringing healthcare value to Medicare Advantage specialist encounters.

  • You will understand what services will be most responsible for the growing specialist spend and utilization in Medicare Advantage over the next decade.

  • You should begin to shift your Medicare Advantage growth strategy from one focused on increasing enrollment to one that balances enrollment growth and healthcare value.

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