Managed Care Network - Next Steps & Development
Tell a Friend About This EventTell a Friend
 

Register for the upcoming face-to-face Managed Care Network Development Meeting by August 14!

8/20/2019
When: August 20, 2019
10 am - 3 pm
Where: Buckner Villas - Greenridge
11110 Tom Adams Drive
Austin, Texas  78753
United States
Contact: Dorothy Ferrick
(512) 467-2242


Online registration is closed.
« Go to Upcoming Event List  

Managed Care Network - Next Steps & Development 

August 20 • Buckner Villas • 10 am - 3 pm

 

We are hosting a face-to-face meeting for those who have submitted Letters of Intent to join the development of a Managed Care Network. Interested members are strongly encouraged to participate.

If you haven't already and would like to participate and learn more, submit a Letter of Intent to Crystal Laza as soon as possible. LeadingAge Texas members participating in the Managed Care Network will have opportunities to secure value-based and pay-for-performance contracts enhancing their reimbursement through these quality-based programs.

WHY JOIN?

  • Over 35% of seniors in Texas get their health care through a Medicare Advantage Plan and it continues to grow!
  • A network can get you access to payors you struggle to get previously.
  • Increases in reimbursement with payors you are already under contract with (other LeadingAge networks have experienced increases in contracts from $25/bed day, pay-for-performance contracts, four level contracts with rates higher than RUGS)
  • Reduced administrative burden. Contract negotiation, contract management, claims issues, credentialing, etc. As a member of the network, you focus on serving your residents. Claim payment problems, prior authorization issues, credentialing with payors are all done for you by the network.
  • Greater visibility and attention by government, Medicare Advantage and commercial payors. We are their priority.
  • Ability to identify key quality measures, collect data on those measures, aggregate information and present it in a meaningful way to payors and partners.
  • LeadingAge members in four other states who have formed a managed care network on average pay between $5,000 - $7,000 per year to be in the network. 

Click here to learn more about the Managed Care Network.



Agenda: 

TUESDAY, AUG 20: Buckner Villas | Greenridge

1. Welcome and Introductions

2. Review proposed Operating - Participating Agreement

3. Review proposed by-laws

4. Discuss quality program

5. Review contracting process and timeline

6. Other - new items

7. Next steps

 


Contacts Information

Steve Wermuth, Partner                             Barbara Sears, Partner

Strategic Health Care                                  Strategic Health Care

614-255-0322 (Office)                                 614-255-0301 (Office)

614-623-2845 (Mobile)                                419-460-4600 (Mobile)

Steve.Wermuth@shcare.net                     Barbara.Sears@shcare.net

 

 


Many Thanks to our host,
Buckner Villas