With the future of the ACA in question, ODs should brace for changes in MVC plans in 2017.
However, ODs must remember they have a choice to accept the MVC plans in their practices.
“Nearly 180 million lives are covered by MVC plans,” Dr. Spear says. “In our strategic planning, we encourage offices to make a decision to accept the plans or not.”
Both scenarios can work as long as the practitioner actively makes the decision about accepting plans.
“In either case, we work to build a business model around that decision,” Dr. Spear says. “For those choosing not to take MVC, we develop a strategy around sub-specialty practice and high-end customer service. For those practices that do accept managed care, we focus on pricing strategy and product selection to maximize profitability.”
Consolidation in the insurance market along with changes in reimbursement may play a major role in MVC plans this year.
“ODs should expect to see changes with reimbursements from both medical and vision insurances,” Dr. Rogoff says. “They may see shifts on how services are covered. It is extremely important for optometrists to maintain a healthy mix of services and products when shifts in reimbursement change.”