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Vincent Fedele & Michael Sciacca speaking AHCA / NCAL Convention & Expo
October 11, 2022 at 8:00 am - 9:00 am CDT
Session: Turning the Tables on Managed Care
Unlike FFS Medicare, actionable provider-specific Medicare Advantage data does not exist. Individual facilities have little idea or often no idea at all how they are doing relative to their peer group. These data limitations foster a challenging environment for the provider when negotiating with the plans, who typically hold all the cards when it comes to rate-setting. This session will introduce per diem and episodic revenue benchmarks, with the goal of promoting transparency and leveling the playing field between plan and provider.
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