Touchdown ventures healthcare8/17/2023 ![]() ![]() Medicare Advantage plans earn profit or incur loss based on enrollees’ healthcare service utilization. With Medicare Advantage, CMS transfers risk to private insurers, which receive a fixed monthly capitation amount per beneficiary. Medicare Advantage has experienced substantial growth, with more than half of Medicare beneficiaries opting for the private insurance plans over the traditional program, in which CMS acts as the insurer, processing claims and reimbursing most providers directly. Medicare Advantage Plan Enrollment Surpassing Traditional Medicare “Our analysis highlights how Medicare Advantage currently operates and the need to reform how the plans are paid.” “The current Medicare Advantage payment structure results in overpayments markedly higher than previously understood,” says Paul Ginsburg, senior fellow at the USC Schaeffer Center and professor of the practice at the USC Price School of Public Policy. The Centers for Medicare and Medicaid Services (CMS) sets Medicare Advantage payments based on county-level expenditures derived from claims data for those remaining in traditional Medicare, not data from Medicare Advantage expenditures – a payment mechanism that is fueling concern. They report this pattern of favorable selection more than doubles prior overpayment estimates made by the Medicare Payment Advisory Commission (MedPAC), which reflected aggressive coding of enrollee health conditions plus certain easily-achieved bonus payments related to quality – but did not include favorable selection. Researchers with the USC Schaeffer Center for Health Policy & Economics found that the millions of beneficiaries in traditional Medicare who have switched to Medicare Advantage plans have lower spending than those with similar health risks who remain. A new analysis by USC researchers warns that overpayments to Medicare Advantage plans now exceed 20% or $75 billion annually, underscoring the urgent need for reform. Touchdown offers a highly competitive benefits package including medical, dental, 401(k), and paid time off.Enrollment in the Medicare Advantage program – which allows Medicare beneficiaries to get their health care through plans administered by private insurance companies – has been growing so rapidly that it has recently surpassed enrollment in traditional Medicare. Willingness to work in a start-up culture.Enthusiasm for venture capital, start-ups and entrepreneurship.Excellent writing, presentation and verbal communication skills.Critical thinking, including superior research and analytical ability.Note: this position is NOT intended for students graduating with a bachelor's degree in 2023.Ĭandidates Should Have These Other Skills Minimum of a bachelor’s degree with ideally 1-3 years of relevant experience. You must be detail-oriented and self-starter who enjoys working in a collegial workplace. To learn more about what it is like to work as an Analyst at Touchdown Ventures - read our Q&A article.Ĭandidates should be extremely positive and flexible. Track and report on deal flow generated by our team.Meet with entrepreneurs and evaluate their business plans and pitches. ![]()
0 Comments
Leave a Reply.AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |