Enrollment is growing.

Medicare Advantage enrollment has risen significantly over the last decade—and continues to climb. This growth opens the market opportunity to new organizations able to implement a successful plan.

Partner with Priority Advantage, and find out how easy implementing your own Medicare Advantage plan can be.

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A complex plan to master.

Launching or operating a Medicare Advantage plan can be incredibly complex; requiring years of planning, a future-ready strategy, and an understanding of every subtle nuance across a complex business and regulatory environment. The biggest challenges plans face include the inability to optimize revenue, grow their membership, and navigate CMS regulations.

Running a successful Medicare Advantage plan takes excelling in multiple areas, including:

  • Product design
  • Pricing and actuary
  • Sales distribution
  • CMS oversight
  • Marketing
  • Enrollment
  • Accurate risk adjustment
  • CMS star performance programs
  • Health care management
  • Specialized disease management
  • Provider contracting & performance reporting
  • Claims
  • Customer service
  • RADV compliance

It’s difficult, if not impossible, to excel in all these areas—but we have a solution.

Learn about our solution

MA plans that exit have
issues in 1 or more areas.

PSP in Midwest

Exit year: 2016

Cited reason:
Poor financial performance due to lag in risk adjustment

PSP in South

Exit year: 2016

Cited reason:
Compliance too costly and complex as a small scale health plan

Plan in South

Exit year: 2015

Cited reason:
Achieved 3 Stars on core PPO plan

Success in key areas creates significant value.

Download whitepaper #2

We’re a lot like you. We are a health plan — and we are part of an integrated health system. We understand business and what it takes to deliver a comprehensive program.

Download a whitepaper that details the opportunities that Medicare Advantagepresents to organizations like yours.

Why Medicare Advantage?

Download Whitepaper

Let’s chat

We’d welcome the opportunity for an initial exploratory discussion to better understand your market and how Priority Advantage could be the right partner for you.