Market Overview

Advantmed Publishes Value-Based Strategies to Improve Clinical Outcomes for Medicare Advantage Plans Amid U.S. Healthcare System Financial Crisis


, an integrated risk-adjustment optimization and quality
improvement company, today releases its white paper, "Federal
Policy and Medicare's Impact on the Economy
," the first in a
three-part series, "High Priorities for the U.S. Healthcare System:
Powerful End-to-End Solution to Integrate Patient Care." Developed to
support Medicare Advantage (MA) plans in their quest for innovative
approaches to improve patient care, this document cites opportunities
for differentiation and financial success in a healthcare environment
facing looming crises.

"Aging baby boomers have created a significant shift from enrollment in
private health insurance to Medicare and are driving an unsustainably
high rate of healthcare spending," says Jay Baker, senior vice
president, quality and risk adjustment solutions, Advantmed. "If further
cuts to Medicare entitlements occur in 2018, then deductibles and
cost-sharing for seniors in original Medicare will likely increase.
These circumstances will make MA plans that much more attractive for the
nation's aging population and should prompt MA plans to not only look at
the full spectrum of the patient, but to also apply an end-to-end

Medicare spending
was 15 percent of total federal spending in 2017, and is projected to
rise to 18 percent by 2028. In 2017, 33
percent of Medicare beneficiaries
 were enrolled in Medicare
Advantage plans, up from 19 percent in 2007. To remain sustainable, MA
plans must adopt innovative quality and risk adjustment programs to meet
the growing demand for effective care strategies.

"Advantmed's powerful end-to-end solution integrates with patient care
to help managed care organizations improve outcomes by delivering the
optimal combination of capabilities designed to meet key objectives,"
adds Baker. "When implemented effectively and efficiently—and aligned
with payment reform—it's possible to enhance care coordination using
analytics, in-home care, retrospective solutions and care management to
significantly improve outcomes."

About Advantmed, LLC

Advantmed, LLC is a healthcare solutions company dedicated to partnering
with health plans, provider groups and risk-bearing entities to optimize
risk adjustment and quality improvement programs. Our integrated and
technology-enabled solutions improve health plan financial results and
offer insights on health plan members. For more information on
Advantmed's solutions visit

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