BayCare Medicare Advantage contract is here and Redbird has partnered with them to stand up this new and amazing Medicare Advantage plan in Tampa.
We believe you should consider becoming a BayCare broker or agent and getting contracted to sell, and here’s why.
- Medicare brokers in Tampa all know the strength of the BayCare Health System
- BayCare is the strongest household brand in healthcare in Pinellas, Polk, Pasco, and Hillsborough counties…and now they are getting into the Medicare game.
- BayCare is entering the Medicare Advantage market and it’s going to be extremely disruptive in a good way
- BayCare’s Medicare plan is a value based health plan
- Strong commissions and residuals
- Excellent opportunity for established P&C agents and agencies to better serve their clients
We are confident the plan is going to be more competitive and will create a “land grab” opportunity over the next 3-5 years.
Here’s why selling BayCare Medicare Advantage is different and better.
BayCare partnered with Lumeris, a company with a strong history of standing up and managing some of the best regional Medicare Advantage plans that stand on the foundation of value based health care. Lumeris partners with local health systems (like BayCare) to better control the patient / physician experience (value based health care).
Better control means better cost containment, and better cost containment often results in lower costs to policy holders.
Lower costs translates to competitive benefits which ultimately means it’s easier to sell, especially when it’s coming from an established, local brand (BayCare).
Value Based Health Care has History of Success
Based on their track record in Missouri and Illinois (our back yard), we anticipate the expansion into Tampa with BayCare will be a grand slam!
Lumeris stood up two other regional plans over the last 13 years and both plans have captured the market share in their respective regions ad achieved 4.5 and 5 stars.
In their most recent plan, they captured over 14% of the market share in their first year! They are doing it again in Tampa and you have a 3-4 year window to establish an extremely strong book of business and residual income. With a market of nearly 800,000 eligible Medicare prospects in Tampa, it’s going to be a big deal.
Consumers are more likely to buy new or change when it comes from a trusted local brand.
We have seen first hand how regional Medicare markets have been disrupted by local health systems offering their own Medicare Advantage plan. It’s a huge opportunity and I know we will see more agents and brokers looking to get a Baycare Medicare Advantage contract.
Lumeris continues to have a heavy focus on long-term personal relationships which means they will be looking for agents and agencies who believe in those same values. If that matches what you’re looking for and you answer yes to any of the following questions, we would love to connect and tell you more.
Are you a Medicare Advantage FMO and want a BayCare contract?
Are you interested in becoming a BayCare agent and selling Medicare Advantage?
Are you a Medicare Advantage MGA and want a BayCare contract?
Are you a Medicare broker and want a BayCare Medicare Advantage contract?
Are you interested in selling Medicare Advantage over the phone?
- Are you interested in selling the strongest value based Medicare plan in Tampa?
Below is the press release that was issued on march 27th, 2018 announcing the new BayCare Medicare Advantage Plan that will be available in the upcoming AEP for 2019.
BayCare Contract: Medicare Advantage Press Release
ST. LOUIS and CLEARWATER, Fla., March 27, 2018 /PRNewswire/ — Lumeris, the industry leader in value-based care solutions, today announced a new strategic partnership with BayCare Health System, the largest not-for-profit health care provider in the Tampa Bay area. Lumeris will manage the day-to-day operations for BayCare Plus, BayCare’s new Medicare Advantage (MA) plan launching in January 2019.
BayCare Health System, which is located in one of the nation’s fastest growing Medicare markets, selected Lumeris based on the company’s extensive experience working with providers to develop, operationalize and execute on value-based care managed services strategies, including MA plans. Lumeris has a proven track record of improving outcomes, engaging physicians and increasing patient satisfaction.
“Lumeris impressed us with their depth of Medicare Advantage expertise and their strong knowledge of how to implement these strategies effectively to improve the health of populations,” said Jim Beermann, president of BayCare Select Health Plans, Inc. “Adding insurance will encourage our providers to focus on wellness and caring for patients, not just when they are sick but 365 days a year. This partnership will enable us to do just that and find optimal patient outcomes with the most efficient use of resources.”
Lumeris has more than 10 years of experience working with Medicare Advantage plans and providers and has developed a Best in KLAS® care delivery model that emphasizes patient wellness and the pursuit of the Triple Aim Plus One, defined as better health outcomes, lower costs and improved patient experience, plus physician satisfaction. Lumeris’ data-driven, collaborative care delivery model consistently improves clinical outcomes and financial results.
“We are delighted to partner with a leading healthcare organization like BayCare Health System in such an important Medicare Advantage market,” commented Mike Long, chairman and CEO of Lumeris. “We will build on BayCare’s strong relationships with its physicians and its ties to the community to help the health system and other providers in its integrated network make the transition to value-based care, while improving the health of seniors across the Tampa Bayarea.”
BayCare has obtained a state insurance license to offer its health plan in four Florida counties, and it has submitted a Medicare Advantage plan application to the Centers for Medicare and Medicaid Services. Meanwhile, Lumeris is helping the organization to build a broader network that includes physicians and hospitals outside the BayCare system to ensure additional access for future Medicare Advantage plan members.
Ross Armstrong, Lumeris’ senior vice president for the region, said, “BayCare selected Lumeris as its partner because of our proven methodology and our understanding of how to align provider and payer incentives. We will help BayCare create and operate a fully integrated delivery network that not only takes responsibility for improving the health of patients but also for reducing the cost of care and increasing efficiency. That is where healthcare is heading—and BayCare will be leading the way.”
ABOUT BAYCARE HEALTH SYSTEM
BayCare is a leading not-for-profit health care system that connects individuals and families to a wide range of services at 15 hospitals and hundreds of other convenient locations throughout the Tampa Bay and central Florida regions. The health system’s inpatient and outpatient services include acute care, primary care, imaging, laboratory, behavioral health, home care, and wellness. BayCare’s mission is to improve the health of all the patients it serves through community-owned, health care services that set the standard for high-quality, compassionate care. For more information, visit here.
Lumeris serves as a long-term operating partner for organizations that are committed to the transition from volume-to value-based care and delivering extraordinary clinical and financial outcomes. We guide health systems and providers through seamless transitions from volume to value, enabling them to deliver improved and more affordable care across populations—with better outcomes. And, we work collaboratively with payers to align contracts and engage physicians in programs that drive high-quality, cost-effective care with satisfied consumers—and engaged physicians.
An industry recognized leader, Lumeris won the 2018 Best in KLAS award for value-based care managed services for helping clients deliver improved clinical and financial outcomes. This was the third year it received this distinguished award. For the past seven years, Essence Healthcare, Lumeris’ inaugural client with more than 65,000 members in Missouri and Illinois, has received 4.5 to 5 Stars from the Centers for Medicare and Medicaid Services. Lumeris is committed to delivering these same results with its multi-payer/multi-population clients to meet their goals and missions.
Frequently Asked Questions about BayCare Medicare Advantage Contracting (FAQ)
We are getting tons of questions from agents who have an interest in contracting with BayCare Plus Medicare Advantage plan.
How do I get contracted to sell BayCare Medicare Advantage Plan?
In order to become a broker with Baycare, your need to get contracted with a BayCare FMO.
Can I get a direct contract with BayCare?
Yes, agents can contract directly with BayCare through a BayCare FMO or a BayCare MGA. In most cases you’ll be paid directly by BayCare, but some agencies do have captive models.
Does BayCare have salaried Medicare Advantage sales positions?
From what we have been told, BayCare is planning on having a captive sales force which they will support with a variety of leads and local relationships such as physicians offices and pharmacies. They have not disclosed any compensation at this point, but have confirmed they will be hiring direct agents to sell BayCare Medicare Advantage exclusively.
What are the BayCare Medicare Advantage override commission levels?
As of 5/24/2018, BayCare has not released override commission information. As soon as they do we will be notifying the agencies selling with BayCare.
Can I partner with local BayCare doctor’s offices?
Yes, there will be opportunities to partner with BayCare physicians, but those details have not yet been released. We’re assuming BayCare will likely offer those positions with their captive BayCare agents first before opening it up to BayCare brokers.
How do I find a BayCare FMO?
We are your resource to getting contracted with BayCare and can either help you with a BayCare contract or connect with you a local MGA to get contracted to sell. Either way, independent agents will need to go through one of the few BayCare FMOs available.
If you would like to contract with BayCare, please complete this form and we’ll get you added to the pre-contracting list.
What is BayCare’s street level Medicare commission?
At this point they have not released the details, but we have heard discussions that street level commissions with BayCare will be similar to other Medicare Advantage plans. If that is the case, you should expect new to medicare paying roughly $455 and replacements paying roughly $225.
Will BayCare offer agents leads or broker leads?
BayCare will aid in connecting agents with physicians and pharmacies, but they will not likely supply leads to brokers. However, Baycare has said they will have a captive agent program. If you become a captive agent, then you should assume there will be a level of lead support.
Redbird will be helping agents connect with consumers actively looking for BayCare Plus Medicare Advantage information. If you would like more information on how we are generating BayCare Medicare leads, please contact us and we can share those details and help get you plugged into the program.
Can I sell BayCare Medicare Advantage over the phone?
Like most Medicare Advantage companies, BayCare will have very strict guidelines for call center sales. If you are interested in selling BayCare over the phone, I would suggest calling Redbird and speaking with Drew Gurley about qualifications to sell BayCare over the phone.
Can I build a team with BayCare?
Yes, BayCare has the structure to allow agents to build a hierarchy. If you want to become a broker with BayCare and build a team, it’s absolutely doable as long as your partnering with an agency that has the BayCare contract to sustain the type of hierarchy you need. Make sure you understand your BayCare upline can sustain the contract level you need for you and your brokers if you plan on building a team.
What is the name of the BayCare Medicare Advantage plan?
BayCare’s Medicare Advantage plan is called BayCare Plus Medicare Advantage.
Does BayCare require AHIP certification in order to sell?
We have to assume they will require AHIP unless they have an internal certification. Internal Medicare certifications are usually used for agents that are only selling one Medicare plan or are captive to the company.
Where can I sign up for BayCare face-to-face agent certification?
The certification schedule hasn’t been released. We anticipate they will have certification events throughout Tampa, St. Pete, and Clearwater. We’ll publish those details once they are available.