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high performance partners

A focus on growth, affordability, and performance.

Predictability with Stability

Overview #1

Health Performance Partners is Creating, expanding, and maintaining the most efficient “Go-To” MA Partnerships for Medicare beneficiaries, providers, and payers; and Empowering selected health system and their physician partners to innovate locally and standardize centrally. The Centers for Medicare and Medicaid Services (CMS) will continue to incentivize all Medicare providers to shift a significant portion of their reimbursement from fee-for-service to pre-paid population management (global capitation) over the next 5 years. With a focus on growth, affordability, and performance,

Overview #2

MA is the fastest growing health insurance product in the US, and is expected to accelerate over the next 5 to 10 years. Sixty million Americans are currently enrolled in Medicare. Of those, 3.8 million are new enrollees. Thirty-Six percent are in the Medicare Advantage program.

Overview #3

Age-Ins (Age 65). Approximately 10,000 are aging into Medicare every calendar day. The average national market share of MA in this segment is currently approaching 35%, with the percentage expecting to increase to 50% by 2025.
Existing MA Lives (HMO, Regional PPO, and PPO). This is a mature and competitive channel, but continues to present major opportunities as the Big 3 healthplans continue to consolidate this burgeoning market.
ACO Attrition or Migration to MA. Medicare FFS beneficiaries that opt out of FFS and Medicare Supplement and enroll in Medicare Part C (MA).
MA Series 800 (Large Group Retiree). Municipalities and States, in particular, are increasingly looking at offloading their retiree health benefit liability to the MA Plans. This alone has the potential increase of MA market share growth by 1 to 2 percentage points each year.

Our Team

Todd Deweese

Fortune 10 payer and broad-based health system and physician practice experience with global capitation strategy, negotiations, organizational design/ governance, and operations leadership

Knox Clark

Led strategy and business development for Tenet’s 20+ markets in the Central and Northeast Regions. Led development activities for Tenet’s National Outpatient Services Division.

Paul Smith

Co-Founder & Principal of AMCREF Community Capital, a specialty finance firm with $600+ million in investments since 2007 to mostly start up and early-stage rural manufacturing businesses providing quality jobs and environmental benefits in their communities