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Strategies for Simplifying the Medicare Advantage Market Report Pennsylvania Aoa  Form

Strategies for Simplifying the Medicare Advantage Market Report Pennsylvania Aoa Form

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hello this is dr eric bricker and thank you for watching a healthcare z today we're going to be discussing medicare advantage cost control so medicare advantage is the plan where people that are on medicare can receive their insurance through a commercial insurance company as opposed to through traditional medicare and the government now those insurance carriers receive are paid a capitated monthly dollar amount per member so the government basically says okay for every single enrollee that you have we're going to write you a check each month and then you need to provide insurance for those folks and that dollar amount is about 1 000 per member per month now it can go up and down somewhat a little bit based upon what's referred to as risk adjustment in other words they pay them more for folks that have more diseases like you know let's say bad diabetes and then they also pay the government also pays them more if they achieve certain quality bonuses so just know that it can be somewhat

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