MMHS integrates national trends with local plan activities that impact to your market opportunities.
Building a favorable payer base requires understanding managed care payer differences, plan types, product specifics, participation levels, and trends.
In 2008, the distribution of nationally available commercial products was 58% PPO, 20% HMO, 12% POS, 8% HDHP, and 2% conventional insurance.** Medicare Advantage (MA) plans represented over 10,446,000 of the 45,000,000 Medicare enrollees. The continued 14% average premium paid to MA plans above that paid for traditional Medicare services, will likely drive marketing efforts resulting in 2009 membership increases. Although regional and market specific variation will remain significant throughout 2009, the key to excellent results is accurately assessing your market.