Insights

Insights.

HealthScape Advisors helps clients flourish in complexity, offering innovative insights and practical solutions that make the world simple.

Integrated Revenue Cycle: Coordination Between Insurers and Providers to Ensure Revenue Accuracy
Traditional revenue cycle management arrangements that focus solely on billing and collections are no longer. In a world of delegated risk models, providers must take an innovative approach to managing their value-based payments to ensure revenue accuracy.

Is Change Good for the Medicare Advantage Market?
Recent CMS announcements have imposed a lot of change on the Medicare Advantage market. From enhanced benefit flexibility to permanent authorization of SNPs and more, MA plans may be wondering: Is this change good?

Assessing Joint Venture Models for Provider-Sponsored Health Plan Products
Recent market activity seems to indicate that many organizations believe joint venture models for provider-sponsored health plan products to be a key business expansion strategy. Should you be evaluating this approach?

Value-Based Contracting: How to Think Like a Payer
Providers entering into risk arrangements should take a proactive approach and think like a payer in their communication and process for thse contract structures and operating models.

Managing Effectively in Complex Chronic Populations
How the demands of chronic condition management and an aging population are driving transformative care models.

What Does EGWP Stand For? Untapped Potential!
Employer Group Waiver Plans (EGWP) are often an untapped market. Refreshing your group retiree market strategy may yield a significant market opportunity for regional MA plans.

What's Your Medicare Advantage Chronic Care Strategy?
With the chronicaly ill population rapidly growing and becoming more costly to plans and the healthcare industry, now is the time for MA plans to consider how to best deliver and manage care for these beneficiaries.

Industry Perspectives on Value-Based Payment: Survey Results & Key Insights
The state of value-based payment models based on our survey, conducted in partnership with the Health Plan Alliance.

INFOGRAPHIC: Results from Our Survey on Value-Based Payment Models
We engaged 30+ health plans using both an online survey and executive interviews to understand their journey to value-based payment. This infographic is a summary of the results.

Oscar Health & Cleveland Clinic Partner to Engage Consumers
An exploration in effective consumer engagement (or lack thereof) in carrier – provider partnerships, centered on an industry example from Oscar Health & Cleveland Clinic.

Medicare Advantage 2.0: Next Generation Growth Strategies
Healthcare organizations are looking to data-driven growth strategies in order to succeed in Medicare Advantage.

You Can't Spell MACRA Without MA
Provider preparation for MACRA represents a distinct opportunity for organizations to establish an integrated strategy for Senior Markets that includes Medicare Advantage.

The Emerging Lifecare Model
How consumerism is driving industry collaboration toward health and lifecare as a new strategic platform.

Get the Consumer on the Dance Floor
Consumer-focused strategies to unleash the economic value of collaboration models.

Take the Lead: Unlocking the Potential of Carrier-Provider Partnerships.
The essential elements of the Integrated Operating Model required to drive execution and long-term value in carrier-provider partnerships.

It Takes Three to Tango
A unique collaboration framework between carriers, providers and consumers.

Does MACRA Still Matter? 
Out with the sustainable growth rate, in with the MACRA  - preparation is still important under a new Administration.

MACRAnomics: Patient-Level Economics and Strategic Implications for Providers
HealthScape believes it is critical to begin to go beyond these initial considerations and focus on the opportunity to use MACRA.

Translating Risk into Revenue
Health Systems can achieve financial success through accurate documentation and coding of patient care in risk-adjusted markets.

The Siege Continues
The Justice Department is investigating four additional Medicare Advantage plans' approach to risk adjustment.

Medicare Advantage Plans Under Siege
Medicare Advantage Plans' approach to risk adjustment has caught the attention of both the federal government and the qui tam bar.