Online registration is closed.

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