How do Medicare Advantage insurers craft population-specific health plans?

Health Payer Intelligence April 30, 2024
Victoria Bailey

Medicare Advantage insurers should prioritize data collection and provider collaboration when establishing population-specific health plans.

As the healthcare industry strives to be more equitable, stakeholders should prioritize population health management. Population health initiatives focus on improving the health status and outcomes within a group rather than considering one person at a time.

While providers can advance population health through direct care initiatives and care coordination, health insurance companies can also play a crucial role by establishing population-specific health plans. Private payers often take this route for their Medicare Advantage plan offerings.

In the following article, HealthPayerIntelligence explores the kinds of health plans targeted to specific populations, how plans identify the populations to feature in these plans, and how plans choose...

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