The Better Outcomes Show

The Better Outcomes Show

117: The Complex World of Medicare & Medicare Advantage

February 28, 2024

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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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.