Moreover, these plans also have buy-in at the top of their organizations and have established a governance model that partners with providers and enables strong clinical leadership. Finally, successful MA plans align all operations, benefits and incentives in a collaborative way to better improve the member experience and enhance the consumer-provider relationship.

Collaborative Medicare Advantage plans represent some of the most innovative examples of new approaches to a more consumer-centric, patient-friendly healthcare system. Assuming MA plans continue to drive better health and superior outcomes, look for emerging health plan options for the under-65 crowd that replicate successful collaborative models.


About the author: Debbie Zimmerman, M.D., is the corporate chief medical officer for Lumeris and Essence Healthcare.

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