The underlying foundation of Value-Based Care (VBC) is not based on limiting care or quality. It’s about aligning optimal patient care with financial benefit – for the patient, for the doctor, and for the unsustainable cost of healthcare to our overall economy.

As a primary care physician in independent practice, you can increase your revenue without seeing more patients while maintaining your independence and control of the way you practice

How is this possible? Our Medicare Advantage Optimization Provider Partner will support you in using Medicare Advantage to your advantage while you remain in the driver’s seat in the way you take care of your patients.

• No Additional Cost
• You Choose Your Level of Risk-Reward
  (ranging from zero risk to a percentage of risk/savings you determine)
• You Remain in Control of the Way You Practice

Our Provider Partner is a Value-Based Care Management Company offering primary care physicians the tools for optimizing their Medicare revenue at no cost and total physician choice of the level of financial risk and reward (including no risk). They support primary care physicians through:

• Negotiating better payment for your Medicare patient population
• Coding and billing management for your Medicare Advantage patients
• Care coordination and related documentation support
• Marketing your Medicare Advantage plans to your Medicare patients during the annual Medicare open enrollment period

Because our Provider Partner works with and is dedicated to helping PCPs remain independent and in control, they’re able to negotiate capitated agreements for physicians at rates they don’t have the leverage to negotiate on their own. They have been able to help clients double their income from Medicare patients within six months through their negotiated rates with a number of Medicare Advantage plans.

They can help you choose and participate in the right plans and set up your support system so your office is successful in increasing your income without disrupting your current operations. They help you optimize your participation with Medicare Advantage Plans while seamlessly integrating protocols that will streamline your entire office.

In addition to negotiating better rates with Medicare Advantage plans, our Provider Partner take on the management of claims filing for these Medicare Advantage patients, removing that burden from the shoulders of your billing staff so you can continue focusing on billing for your fee-for-service patients.

Our Provider Partner also makes it easy for you to provide the documentation associated with the proactive care you provide to your Medicare Advantage patients by doing the heavy lifting so you can focus on your patient care.

During the annual open enrollment period (October 15-December 7), our Provider Partner has the relationships and clout with Medicare Advantage plans to arrange for plan representatives to be in your office at various times during open enrollment to answer your patients’ questions about Medicare Advantage generally as well as about the specific MA plan in which you participate.

As an independent primary care physician in fee-for-service contract arrangements for your Medicare patient population, you are running ever faster (and never catching up) on an unending treadmill, needing to constantly see more patients and file more claims to offset the decreasing reimbursement levels that insurers know they can force on the smaller, independent primary care practices.

This is a losing arrangement, as evidenced by the exodus of independent primary care physicians. Our Provider Partner helps independent PCPs like you achieve a consistent, predictable income from month to month and helps you create an environment where you have more time and energy to focus on providing the optimal level of attention and care for your patients.

What’s more, you don’t have to transition overnight from primarily or entirely fee-for-service to entirely value-based care. No matter where you are in this continuum, they can help smooth your glidepath during this transition.

In addition to their ability to negotiate capitated agreements for their affiliated providers at rates they don’t have the leverage to negotiate on their own, our Provider Partner structures agreements to allow you to choose your desired level of risk-reward — from zero risk to your chosen level of shared risk and shared reward from surplus savings.

If you choose to accept some level of shared risk in exchange for the opportunity to share in the savings, you – and only you – determine the level of risk you want to share and that matches the percentage share you receive of any savings.

There is no cost to you in this arrangement because our Provider Partner has the ability and willingness to accept risk in these agreements in exchange for the potential for them to earn a share of any savings. That’s the upside and you aren’t footing the bill.

You collect the monthly capitated payments for each Medicare Advantage patient in those plans for which you are a credentialed provider (our Provider Partner also helps support the credentialing process for getting you set up as a provider in these plans).

What’s more, you can exit the agreement anytime with only 60 days advance notice if you should ever become dissatisfied with your relationship.

Using Medicare Advantage to your advantage can also help you retain control and stay independent rather than facing a future with no option other than retiring (if you can afford to) or working as an employed physician in a larger organization, which is the unfortunate circumstance of too many primary care physicians today. Or if you do decide to sell your practice, you can do so on your own terms and command the best price.

Primary care physicians like you still have an option to take control of your revenue cycle and your life, whether you go it alone or participate in an ACO, IPA or other affiliations in a way that doesn’t compromise your independence.

All evidence points to value-based care as the future of healthcare in the U.S. Our Provider Partner supports independent primary care physicians in learning how to get ahead of inevitable change trends instead of futilely trying to keep up playing the old game by the old rules and falling further behind – if not out of the race entirely.

Independent physicians like you know that the system has been set up to accelerate your exhaustion and discourage you to the point that you give up. Let our Provider Partner teach you how to use the system to stay independent or sell on your own terms.

In a 30-minute Zoom call, we will talk about how you can use Medicare Advantage to your advantage while you remain in the driver’s seat in the way you take care of your patients.

Take a few moments to complete our NCND and email it to: support@livewellaps.com. Then reserve a Zoom call with us.

1. Click Here to download our Mutual NCND (pdf).
2. Click Here to go to our Calendly page to reserve a Zoom call (complete the required fields and when asked “purpose of call,” click Other, then type: MA Optimization).