Sunday Links
Links: Group 1 HHS Secretary Speech Group 2 CMS Administrator’s Speech New Shared-Risk Payment Models Group 3 Going all-in on Medicare Advantage Centene Oscar United Healthcare’s enrollment numbers Subscribe to our newsletter now! Tomism You can’t cure everyone, but you can care for everyone. Medicare Advantage pays you to care. […]
Saturday Q and A
Shallam askes How do I deal with patients who leave my Medicare Advantage panel? The question’s a bit ambiguous but here’s what I do. I’m familiar enough with my panel that I know the ones I want to stay and who I don’t want back. The ones I don’t want […]
A Three-Point Plan for Your Medicare Advantage Success
It’s been a while, so it’s time to review. Grow your panel Meet with your local insurers. Make yourself visible where beneficiaries congregate. Personally connect with your patients as they sign up so they won’t be quick to leave. Submit your codes Get 95% of you panel in to be seen for an […]
Alert Yourself to a Lengthy Encounter
I try to always ask about occupation, especially when fishing around for a justification to prescribe antibiotics. I also try to ask about it early in the encounter—because is they say “I’m an entertainer” it’s going to be a loooooooonnnnnnnggggg encounter unless I take steps immediately.
New Hospice Rules Could Really Limit Your Choices
Medicare Advantage is changing the ways it pays for hospice—and that could dramatically limit your freedom to choose the hospice you want. When you re-enroll in your Medicare Advantage plan, ask your insurance agent about whether or not you get to choose your own hospice if you need. This sounds morbid and […]
A Must Read
It’s behind a paywall, but it’s a must read. Gaslighting. Telling someone that reality is actually untrue in an effort to manipulate their actions. Your employer is doing this all the time. E. g. “We can’t pay you any more than we are because Federal law won’t permit us.” […]
Telemedicine Precautions
An informal survey recently showed that of more than 20 telemedicine services, not one was compliant with the rules established by the medical boards in every state they practiced in. Not one. Don’t take a consultant’s word for it. Internally check with your states’ board of health. The real risk here […]
Sunday Update
Ahead of the curve! Hospice Association Questioning Medicare Advantage “Carve-Ins” Carve-out= Hospice benefits not paid through the Medicare Advantage capitation Carve-in= Hospice benefits paid through the Medicare Advantage capitation Carve-outs allow hospices to compete for business within the Medicare “marketplace Carve-ins force hospice to compete for business from private insurers Thesis: Carve-ins […]
Saturday Question
Dr. Roberta asks: What’s the best way to connect professionally with a new Medicare Advantage patient? Call them personally the first month after they join your patient panel and invite them to come in for a visit. They’ll be shocked. And if you follow through with a good visit, they […]
Include Your Staff for Medicare Advantage Success
Whenever I had to bring on a new front office worker or medical assistant, I’d wait until my manager did their training and then I did mine. I took them aside for blocks of time. Educated them in how my Medicare Advantage contract worked and the pressure points where they could make […]