Beaumont Texas Form 13909 2023-2025

Beaumont Texas Form 13909: What You Should Know

We do not target patients who are currently insured on  Medicare, Medicaid or other government programs. Our business relies on high gross revenue/cost per insured patient that we generate  from our private managed care plans, private/public insurance and managed care Medicare Advantage plans, which together cover an estimated  200,000-230,000 Medicare Advantage enrolled per state in 2017. This business has evolved over the last 10 years from a self-managed pharmacy plan into a company with a number of  individual and business managed care plans, many of which are  operated for the benefit of a specific company employee. Due to the nature of this business, our business  strategies to grow it has been impacted by  the recent changes in Medicare and Medicaid financing. The new approach to payment by  Medicare and Medicaid has resulted in a lower reimbursement rate for certain benefits and increased  out-of-pocket cost for our Medicare Advantage plans. We have already seen the effects of these changes in our  business and are concerned that we will face additional problems as a result of the changes in Medicare and Medicaid. Some of the issues we faced while providing our Medicare Advantage plans to Medicare beneficiaries will not  have an immediate impact on our businesses growth. We anticipate the following problems might develop:  1. We may not be able to continue providing our Medicare Advantage plans to these Medicare beneficiaries until the  new payment methodology with Medicare continues. Some Medicare beneficiaries may be enrolled in our  Medicare Advantage plans, but we will continue operating these plans for those plans while we continue to  develop new solutions. As a result, we may be unable to continue providing our Medicare Advantage plan to  our Medicare beneficiaries. The new way in which Medicare and Medicaid reimbursement processes work as they were set forth in 2016 could affect our Medicare Advantage revenue. This may also  lead to lower Medicare Advantage revenue with the resulting issues for our Medicare Advantage plan revenue. We anticipate that these issues will have a negative impact on our bottom line as we rely on Medicare Advantage plan revenue. 2. We expect that we will continue to struggle to maintain our cash flow into 2025 as we incur a number of costs associated  with the restructuring and consolidation projects we are undertaking to continue growing our business.

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