expanding medicare advantage to rural minnesota challenges and opportunities
Download
Skip this Video
Download Presentation
Expanding Medicare Advantage to Rural Minnesota: Challenges and Opportunities

Loading in 2 Seconds...

play fullscreen
1 / 17

Expanding Medicare Advantage to Rural Minnesota: Challenges and Opportunities - PowerPoint PPT Presentation


  • 184 Views
  • Uploaded on

Expanding Medicare Advantage to Rural Minnesota: Challenges and Opportunities. Nancy Feldman, CEO, UCare Minnesota Minnesota Rural Health Conference 2005 Duluth, Minnesota July 19, 2005. UCare Minnesota. One of Minnesota’s leading HMOs.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Expanding Medicare Advantage to Rural Minnesota: Challenges and Opportunities' - neva


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
expanding medicare advantage to rural minnesota challenges and opportunities

Expanding Medicare Advantage to Rural Minnesota: Challenges and Opportunities

Nancy Feldman, CEO, UCare Minnesota

Minnesota Rural Health Conference 2005

Duluth, Minnesota

July 19, 2005

ucare minnesota
UCare Minnesota
  • One of Minnesota’s leading HMOs.
  • Over 20 years experience improving and maintaining the health of Minnesotans.
  • Minnesota-based.
  • Provides coverage and services for 130,000+ Minnesotans.
ucare rural minnesota and medicare
UCare, Rural Minnesota and Medicare
  • Operating in rural Minnesota since 1996.
  • In Medicare managed care since 1998.
  • As of 7/1/05, UCare offering Medicare Advantage in 64 counties.
  • As of 1/1/06 UCare expanding Minnesota Senior Health Options.
health challenges in rural areas
Health challenges in rural areas
  • General rural challenges include:
    • Higher prevalence of chronic disease – related to aging of population.
    • Lower incomes.
    • More risky behaviors like smoking.
    • Clinical and social supports may be less accessible.
medicare managed care and rural minnesota
Medicare managed care and rural Minnesota
  • Rural Medicare managed care has a mixed history.
  • Medicare Plus Choice did not work for rural Minnesota.
  • 2003 Medicare Modernization Act made it feasible and affordable.
  • Creating great Medicare products for rural seniors is a UCare priority.
opportunities for consumers
Opportunities for consumers
  • More comprehensive, more affordable coverage and care = better value.
  • Emphasis on prevention and wellness.
  • For those with chronic illness, the program offers care coordination and disease management.
  • Less paperwork.
opportunities for consumers value equation
Opportunities for Consumers: Value Equation

“Medicare Advantage managed care plans represent a better value for most Medicare beneficiaries than Medigap supplemental insurance…Most Medicare beneficiaries can expect a 50% savings or more in their annual out-of-pocket costs…”

--HealthMetrix Research Inc.

  • Visit www.hmos4seniors.com for cost/value comparisons
opportunities for consumers value equation13
Opportunities for Consumers: Value Equation
  • Incentives for healthy behavior
    • Mammography outreach
    • Healthy lifestyle and fitness
  • Programming targeted at chronic disease
    • Talking scales
    • Falls prevention
opportunities for providers
Opportunities for providers
  • Access to quality improvement programs and incentives.
  • Coordination with case management and disease management programs.
  • Support for training.
  • Working (in UCare’s case) with a small, rural-friendly organization.
medicare advantage financial challenges
Medicare Advantage: Financial Challenges
  • Payment mechanism for Critical Access Hospitals: prospective vs. cost-based.
  • UCare is working closely with CAHs to develop payment mechanism that works for them.
  • UCare is committed to making the financial end of Medicare Advantage work, for consumers and providers.
medicare advantage challenges for consumers
Medicare Advantage: Challenges for Consumers
  • New Medicare Advantage options + Medicare prescription drug options + information overload = consumer confusion.
  • Simplify process
  • UCare offering community information sessions on Medicare reform (to date over 4,000 individuals reached).
  • Easy as possible
medicare advantage is a plus for rural seniors
Medicare Advantage is a plus for rural seniors.
  • Local plans like UCare recognize that health care is local.
  • Metro-only products with high value now available to rural eligibles.
  • Medicare Advantage is about keeping seniors healthy. Rural seniors deserve it!
  • Medicare Advantage is here to stay.
ad