In this episode we are joined by Kimberly Hartsfield, Executive Vice President of Growth Enablement at VisiQuate, to discuss the impact of Medicare Advantage on providers, the role of Congress in mandating electronic prior authorizations for MA plans, and the ways providers can prepare for the increasing MA membership rolls. This episode is sponsored by VisiQuate.
Summary
The impact of Medicare Advantage on providers
Medicare Advantage (MA) is becoming increasingly popular among patients, but it poses a challenge for healthcare providers due to the additional administrative burden associated with managing these patients. Kimberly Hartsfield, executive vice president of growth enablement at VisiQuate, joins us in this episode to discuss the impact of MA on providers and how they can prepare for the increasing membership rolls.
Congress and electronic prior authorizations
Congress is trying to streamline some of the administrative burden associated with MA by mandating electronic prior authorizations for MA plans. This has the potential to save $15 billion over 10 years. However, reports show that MA has never generated savings and the administrative burden associated with reporting quality metrics is another issue providers face. As a result, healthcare leaders are leaning into technology to cope with the growing MA population.
Preparing for the increasing popularity of MA
Healthcare systems need to be proactive in preparing for the increasing popularity of MA and the resulting cost increase. To reduce the burden of prior authorization, healthcare systems should have technology tools in place to help manage the process. This will not only help providers manage the added administrative burden, but it will also improve patient care by reducing delays in treatment.
Sponsored by VisiQuate
This episode is sponsored by VisiQuate, a healthcare analytics company that helps healthcare providers manage their financial and clinical performance. With VisiQuate's technology tools, providers can easily manage the administrative burden associated with MA and improve patient care.
Note: This is an AI generated transcript, not edited by a staff writer and is solely intended for educational purposes. If you have any questions/concerns, reach out to podcasts@beckershealthcare.com
This episode aired on 03/08/2023 and can be listened here.
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