LeadingCare Network Texas
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LeadingCare Network Texas
[Previously: Managed Care Network]


TO PARTICIPATE:

 

Questions? Steve Wermuth, Partner, Strategic Health Care (614) 255-0322 or Barbara Sears, Partner, Strategic Health Care (614) 255-0301


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 UPCOMING MEETINGS

LeadingCare Network Texas:  Inaugural Meeting of the Members
Tuesday, October 8 • 10:00 am - 1:00 pm CT • New Braunfels

LeadingCare Network Texas: Board Meeting
Tuesday, October 8 • 1:00 - 2:00 pm CT • New Braunfels

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What is LeadingCare Network Texas?

Members of LeadingAge Texas are developing an organization whose mission will be to maximize the health and well-being of seniors in its member communities through innovative, cost-effective care management practices and quality improvement activities through contracting relationships with managed care plans. LeadingAge Texas members participating in the network will have opportunities to secure value-based and pay-for performance contracts enhancing their reimbursement through these quality-based programs. The network is governed by a board elected by its members and is only available to LeadingAge Texas members.      


WHY SHOULD I JOIN?

Download a one-pager to share with your team

Frequently Asked Questions & Return on Investment

  • 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. 

HOW MUCH WILL I PAY?

LeadingAge members in four other states who have formed a network on average pay between $5,000 - $7,000 per year.

QUESTIONS?

More Details, Contact our Consultants:

Steve Wermuth, Partner
Strategic Health Care
614-255-0322
Steve.Wermuth@shcare.net

Barbara Sears, Partner
Strategic Health Care
614-255-0301
barbara.sears@shcare.net


MEETING MATERIALS - August 20, 2019

Bylaws of the Board of Directors

Code of Ethics for Board Members

Conflict of Interest Disclosure

FAQs

Membership Fee Structure Calculator

Network Development Workplan

Operating - Participation Agreement

Presentation - Driving Outcomes for Managed Care

Proposed Budget


SHARED DOCUMENTS

VIEW THE MANAGED CARE NETWORK DEVELOPMENT PRESENTATION

RECORDED WEBINAR - April 9, 2019 

Frequently Asked Questions & Return on Investment

Map: % of MA Participation by Region

Medicare Advantage Market Penetration and Payors by County

OASN Dashboard Sample