THE VITAL ROLE OF POST-ACUTE NETWORK PARTNERS

With the growth in value-based care, we know that payers, including health plans like yours, are beginning to work more closely with post-acute network (PAN) providers to improve care and reduce costs. As an essential part of post-acute management strategy, your provider partners represent a prime opportunity to close the gap on payment and performance, helping you to succeed in value-based care outcomes.

With post-acute care accounting for nearly $60B of Medicare spend (MedPAC 2021), the performance of your network partners is inevitably tied to your outcomes. But are you getting real value out of your PAN providers?

As a trusted health plan leader, Real Time wants to hear from you! Join Real Time for an informal virtual conversation about your PAN partnerships. Moderated by Nancy Cocozza, former head of Medicare for a national payer and esteemed health plan executive, we will discuss:

  • What health plans are looking for in an ideal post-acute partner?
  • What challenges and successes are health plans encountering with their PAN?
  • How are you currently managing your PAN?
  • Are health plans experiencing variation in PAN spend across markets?
  • What member outcomes are most important to health plans?

POST-ACUTE'S IMPACT ON VALUE-BASED CARE

As Medicare enrollment exceeds 90M beneficiaries by 2040 (KFF), the demand for post-acute and long-term care is increasing dramatically and will continue to do so in the decades ahead. Not only does this group have higher rates of hospital and emergency department utilization compared to others, but they also share similarities that will have serious implications for payers serving this demographic:
  • 69% will be enrolled in a MA Plan*
  • 80% have one chronic condition*
  • 77% have two chronic conditions*
  • 75% will require long-term care*
  • 40% will require care in a skilled nursing facility*

*AHA.org

 

ABOUT THE MODERATOR, NANCY COCOZZA

Recognized as a highly esteemed leader within the healthcare industry, Cocozza has over 30 years of extensive payer side experience, through the evolution of Managed Care, quality-based reimbursement systems, risk-bearing payer/provider partnerships and the growth of Government Programs.  With her vast experience within the payer market, she advises Real Time on product enhancements in helping payers work more collaboratively with their post-acute network to achieve value-based initiatives.

Cocozza has held a multitude of leadership positions amongst respected healthcare companies and swiftly rose to executive leadership positions at prominent health plan organizations where she served more than 4 million Medicare members nationwide through a robust portfolio of Medicare Advantage plans, prescription drug plans, and Medicare Supplement plans.

During her most recent role as the Head of Medicare, Senior Vice President with Aetna, she led the business to outperform industry growth trends each year and achieved the highest percentage of members in 4 and 4+ star rated plans in the last 4 of 5 years of her tenure.

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