Empowering Managed Care Organizations

At Principal Benefit Insurance Solutions, we understand the unique risks that managed care organizations face in today's competitive and complex healthcare landscape. Capitation and value-based payment models introduce distinctive challenges in the dynamic landscape of Managed Care Organizations (MCOs). With a focus on Medicare Advantage, Managed Medicaid, and commercial HMO plans, the correlation between financial incentives, reimbursement rates, and patient health outcomes is more critical than ever. Additionally, the Centers for Medicare & Medicaid Services (CMS) is encouraging Accountable Care Organizations (ACOs) to share increased risk linked to outcomes for fee-for-service Medicare beneficiaries.