Do you understand the complex medicare & medicare advantage markets?

As someone who’s worked in healthcare for 12+ years, in varying roles with each of the stakeholder categories (payer, patient, policy maker, and provider), I understand that the healthcare insurance market itself is very complex. The medicare & medicare advantage market provides its own unique complexity that makes it a challenge for patients, providers, and even healthcare technology companies to navigate.

So, this week, I sit down with Marvin Musick from Medicare School to talk about the ins and outs of the medicare insurance market, to include supplements, advantage plans, and the original red, white, and blue cards.

 

What we cover in this Episode:

• The differences between medicare & medicare advantage plans
  
• How medicare advantage plans manage care for patients
  
• Varying incentives and priorities that drive many advantage plans & networks
  
• Understanding the value drivers for various stakeholders in this market
  
• I give a few thoughts on value propositions for healthcare technology companies looking to break into this market
  
• Achieving Better Outcomes by understanding the intricacies of the medicare market
  

 

We post videos of certain podcast episodes, including this episode, which can find on the YouTube Channel.

 

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Connect with Medicare School

• Medicare School Website
  

 
For More:

If you enjoyed this episode: Join Rafael E. Salazar II, MHS, OTR/L (Rafi), principal of Rehab U Practice Solutions and host of The Better Outcomes Show as he explores the possibilities of a new healthcare. Guests range from clinicians trying new techniques and treatments to executives and entrepreneurs exploring new service delivery methods, business models, and organizational structures. You can sign-up to receive new episodes delivered directly to your inbox by filling out the form below.  Learn more about Rehab U Practice Solutions by reading The Manifesto for a New Healthcare, or listen to Episode 000. Or, grab a copy of the book: Better Outcomes: A Guide to Humanizing Healthcare.

 

Are You Ready to Humanize Healthcare?

If you run an innovative healthcare company and are looking to develop a strategy that leverages best practices, new technology, and marketing/messaging in a way that returns the focus of healthcare to people, please reach out. I’d love to talk with you about how Rehab U Practice Solutions can help help you craft an business development strategy that leverages positioning, market research, UVP stakeholder alignment to drive business development strategy for specific healthcare stakeholders.

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Rafael E. Salazar II, MHS, OTR/L (Rafi) is the Principal Owner of Rehab U Practice Solutions and the host of The Better Outcomes Show and the author of Better Outcomes: A Guide to Humanizing Healthcare. His career trajectory includes 12+ years of experience in healthcare management, clinical operations, programmatic development, marketing & business development. He even spent some time as an Assistant Professor in a Graduate Program of Occupational Therapy and has served on numerous boards and regulatory committees. He has worked on projects ranging from patient engagement initiatives to marketing communication campaigns to a multi million dollar project assisting the State of Georgia’s Department of Behavioral Health and Developmental Disabilities transition individuals out of state institutions to community residences. His work on Telehealth has been discussed in Forbes.

Today, Rafi helps innovative healthcare companies like technology startups, platforms, SaaS companies & innovative healthcare organizations develop effective positioning strategy and business development plans through his consulting work. He also leverages his experience as a professor and academic to speak and train on the topics around humanizing the healthcare experience & healthcare innovation. In addition, Rafi also owns and operates ProActive Rehabilitation & Wellness, a multidisciplinary outpatient clinic treating patients with musculoskeletal pain.

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Work With Me

If you are an innovative healthcare company looking to humanize healthcare through direct service delivery, technology, a device, or software, then reach out. We’d love to talk with you about how Rehab U Practice Solutions can help.

What we can help you do:

✅ Clarify your product, service, or organization’s positioning strategy…

✅ Identify what is most valuable and least valuable to your targeted healthcare stakeholder…

✅ Develop a Market Penetration Roadmap to align your company’s value proposition with your targeted healthcare stakeholder to develop a bottom up marketing strategy…

We help you not only craft your healthcare positioning strategy, we help you identify your highest value offer for your target audience, align that value with your market, and help you develop a business development system that leverages insights from market data & industry-specific resources to enable your business development team to effectively drive business for your organization.

I also speak and train at healthcare conferences, events, and organizations on topics related to technology-enabled care, healthcare innovation, healthcare positioning, and humanizing the healthcare experience. 

 

Learn More Here!

 

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The post 117: The Complex World of Medicare & Medicare Advantage appeared first on Rehab U Practice Solutions.