Value-Based Care Insights New Episode NOW On-Demand
Medicare Advantage enrollment continues to grow, but for many health systems, the administrative burden, prior authorization requirements, delayed care, and financial pressures are prompting leaders to reassess whether these plans continue to support their mission and patients.
On this episode host Dan Marino sits down with Ivan Mitchell, CEO of Great Plains Health, to discuss why his organization made the difficult decision to terminate its Medicare Advantage contracts. Ivan shares the real-world experiences that shaped this decision, including prolonged prior authorization delays, denied rehabilitation services, increased administrative complexity, and the operational and financial challenges that ultimately affected both patients and providers.
Key Takeaways:
- Payer participation should be a strategic decision, with contracts regularly evaluated to ensure they support organizational goals and patient care.
- Administrative complexity affects more than operations as it can reduce efficiency, delay care, and impact the patient experience.
- Successful value-based care requires payer-provider partnerships built on aligned incentives, shared accountability, and a commitment to better outcomes.
About The Show
Value-Based Care Insights is a radio show on Healthcare NOW Radio, that explores how to optimize the performance of programs to meet the demands of an increasing value-based care payment environment. It is hosted by Dan Marino (@DjmarinoHD) and highlights recognized experts in the field and within Lumina Health Partners (@LuminaHP).
Tune in weekdays at 5:00am, 1:00pm and 9:00pm ET.
Follow the Social Hashtag at #VBCInsights.