Read the Harvard Business Publishing case on the CareMore Health System and the article by Susan Jaffe on recent changes to Medicare Advantage.
In no more than 2 pages double-spaced, respond to the following questions. Your submission should be in question-and-answer format. But it should read like a memo, within sections that separately address the questions below. Go light on citations or quotes, if you use any.
Questions:
1. As CareMore expands into the Medicaid market, what challenges might they face in adapting their model to the Medicaid population (i.e., lower-income, non-elderly adults and children) versus the Medicare population (adults 65 years and older)?
2. What strategies would you recommend to increase the likelihood that expansion into the Medicaid market provides a positive financial return? Be specific about how these strategies are linked to the different characteristics and needs of the population you identified in Question 1.
3. Imagine you are considering implementing a driving service to seniors in a Medicare Advantage program. What would make this a good financial investment? What information (and data) would you want to gather to do a preliminary assessment of whether this investment might be good for your company’s profitability? In other words, what would you need to know to determine if this could have a positive return-on-investment (ROI)?