Muse Health™ and our partners assist our clients in measuring achievement relative to healthcare engagement

Unlike traditional Medicare, nearly all Medicare Advantage plans (99 percent) offer coverage of supplemental benefits such as vision, dental, hearing, telehealth, and/or wellness. In recent years Medicare Advantage plans have expanded their supplemental benefit coverage to include programs designed to address social determinants of health. These elements of Medicare Advantage may be particularly supportive for underrepresented beneficiaries.

They provide:

1. Additional cost-saving mechanisms

2. Mitigate higher rates of cost deferment of medical care

3. More comprehensive services

4. More social determinants of health programs

5. The creation of Special Needs Plans

In addition to Special Needs Plans, Medicare Advantage offers services and programs to coordinate care which is an especially important benefit for underrepresented beneficiaries who often face disproportionate barriers to care and are more likely to be managing one or more chronic conditions. Medicare Advantage outperforms traditional Medicare across a range of health outcome categories and metrics.

For example, Medicare Advantage was found to have a 43 percent lower rate of avoidable hospitalizations compared to traditional Medicare—among groups with complex chronic conditions, the gap is even greater at 57 percent. As Medicare Advantage continues to be the preferred coverage choice for underrepresented beneficiaries, it’s critical that beneficiaries and decision makers alike have a comprehensive understanding of the role Medicare Advantage plans play in supporting these marginalized groups.

Muse Health™ and our partners assists our clients in treating different groups with strategies, tools, and services specifically designed for each market segment:

Five key areas where our clients can make a significant impact:

1.  Optimizing Plan Selection for Patients: Our clients specialize in assisting individuals in selecting the most suitable Medicare plans based on their unique needs and preferences. By partnering with our clients, we can provide personalized guidance to patients, ensuring they have access to comprehensive healthcare coverage that aligns with their specific requirements. This collaborative approach aims to optimize plan selection and ultimately improve patient satisfaction.
2. Fee-for-Service to Medicare Advantage Transition: As the healthcare landscape evolves many healthcare systems, are exploring the transition from traditional fee-for-service models to Medicare Advantage plans. Our clients have extensive experience in supporting healthcare providers through this transition process. We can help our clients navigate the complexities of plan education, enrollment, and retention. This partnership would facilitate a smooth transition while maximizing the benefits of Medicare Advantage for both the system and its patients.
3. Technology Platform: Our clients boast a robust technology platform that integrates seamlessly with healthcare systems, allowing for efficient data exchange and streamlined workflows. Our platform offers a range of tools and features designed to simplify plan selection, enrollment, and ongoing management. By integrating our technology with our client’s existing systems, we can enhance operational efficiency and provide real-time insights into patients’ Medicare coverage, ensuring a smooth and seamless experience for all stakeholders.
4. Service and Retention: With our clients, we prioritize exceptional service and long-term customer satisfaction. We understand the importance of ongoing support and guidance, especially when it comes to Medicare beneficiaries. Our dedicated team of knowledgeable professionals will provide ongoing support to our client’s patients, assisting them with any questions, concerns, or changes in their Medicare coverage. Our goal is to enhance the overall patient experience and improve retention rates for our clients.
5. White Label Platform: We recognize that brand consistency is vital to healthcare organizations like our clients. Our clients offer a white-label platform option that allows the seamless integration of our technology and services into our client’s existing systems, ensuring a consistent and cohesive patient experience. This approach enables our clients to maintain its brand identity while leveraging the expertise and resources of our clients to deliver comprehensive Medicare solutions.