Health systems generally recognize Medicare Advantage (MA) as being an important market segment, but many lack effective growth strategies and tactics for engaging and retaining consumers in this dynamic growth market. Successful strategies are predicated on the use of data-driven, consumer segmentation methods to tailor offerings and approaches to specific consumer profiles and, in turn, to create a more sustainable path to growing market share in MA.

As healthcare organizations develop growth strategies for MA, they should take the following steps:

  1. Develop a Medicare strategic planning process to approach the senior markets
  2. Engage in data-driven segmentation to profile consumer segments
  3. Assess the organization’s mix of products and contracts to ensure alignment with segments
  4. Deploy consumer outreach and navigation strategies to execute on the plan A patient-centric, tailored model of care

 

 

 

Patient economics represents one key method of data-driven segmentation that offers a more nuanced picture of prospective and existing MA members. This and other next generation strategies enables health systems to more effectively target prospective members and serve existing ones.

 

 

 

 

MA is not simply a volume and market-share play; it is a laboratory of innovation for value-based care and population health management, and many health systems use this government payer segment as the entryway into managing financial risk. Each point of market share provides a learning opportunity around high-intensity care management models, telehealth, group visits, and expanded care teams.

However, the MA market is not easily won. HealthScape is an expert in the Senior Markets and has completed 85+ MA-specific engagements and 130+ Medicare-related engagements. Read more to understand our perspective on data-driven growth strategies in MA.

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HEALTHSCAPE CAN HELP.

Does your organizations recognize the importance of being an active participant in the Medicare Advantage market? Many health systems lack effective growth strategies and tactics for engaging and retaining consumers in this dynamic growth market. Contact Cary Badger at (312) 256-8662 or cbadger@healthscape.com to learn how we can help you capture the MA opportunity.