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Don’t Underestimate Medicare Advantage Risk
With the continued growth and expansion of Medicare Advantage (MA) plans, many health systems are considering the pros and cons of accepting financial risk for these patients. This is a […]
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Case Study: Developing a Clinically-Integrated PHO to Align an Employed Physician Network and Independent Community Physicians
Background A large multi-specialty physician group (wholly owned and operated by a four-hospital health system) took a 25-percent upside/downside risk as a percent of premium on 6,000 Medicare Advantage (MA) […]