Cost-Containment Expert Discusses Benefits ROI, PA Policies, Provider Friction

Amid concerns about utilization trends, a disappointing final rate notice and ongoing regulatory changes, “headwinds” has been the dominant buzz word in Medicare Advantage for months. To gain a better understanding of the cost-containment levers MAOs can pull in the face of cost pressures, AIS Health, a division of MMIT, spoke with AArete Managing Director Paul Schuhmacher. In his work with the global management and technology consulting firm, Schuhmacher co-leads the payer practice, which supports approximately 120 plans across the U.S.

Editor’s note: This interview has been edited for length and clarity.

© 2024 MMIT
Lauren Flynn Kelly

Lauren Flynn Kelly Managing Editor, Radar on Medicare Advantage

Lauren has been covering health business issues since the early 2000s and specializes in in-depth reporting on Medicare Advantage, managed Medicaid and Medicare Part D. She also possesses a deep understanding of the complex world of pharmacy benefit management, having written AIS Health’s Radar on Drug Benefits from 2004 to 2005 and again from 2011 to 2016. In addition to her role as managing editor of Radar on Medicare Advantage, she oversees AIS Health’s publications and manages the health editorial staff. She graduated from Vassar College with a B.A. in English.

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