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Progress Report: Improving value-based care with Florida Blue Medicare

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To successfully transition from paying for volume to paying for value, Medicare Advantage plans must take a more innovative approach to provider engagement. Providers need the proper tools and data to understand what comprises high-value care and succeed in value-based incentive programs.

In 2021, senior medical directors from Florida Blue Medicare joined us to explain how their organization has aligned with primary care providers on education and referral efficiency through data sharing and collaboration. Dr. Paul Kaplan outlined three main priorities for the year, including: evaluating PCPs and their referral patterns, working with specialists, and collaborating with physicians to review and track opportunities for improvement.

Now, Dr. Kaplan is back with us to highlight successes, share potential roadblocks, and outline plans for further provider group interaction and education which support paying for value.

In this on-demand webinar, Dr Kaplan discusses:

  • Best practices for membership growth and retention
  • Collaboration strategies to increase market opportunity
  • Improved methods for value-based care incentives




Dr. Paul Kaplan
Sr. Medical Director, Florida Blue Medicare

Paul Kaplan, M.D. has over 20 years of managed care payer experience. He is a family physician and serves as senior medical director for Florida Blue Medicare. His primary focus is on physician education and engagement.




Mary Srinivas
Sr. Program Manager, Consulting

Mary Srinivas supports Cotiviti’s Performance Analytics and Quality solutions with 20 years of healthcare experience. She is responsible for leading the consulting relationship for clients using the Network Intelligence solution, developing insightful recommendations and solutions to meet client needs for understanding value-based performance. She also works to enhance cross-solution use of Cotiviti products.