Medicare Product Design

Sep 21, 2020 ‐ Sep 22, 2020


Standard: $500.00

Sessions

Chairperson Welcome Remarks iconChairperson Welcome Remarks

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Chairperson Welcome Remarks

Sep 21, 2020 10:00am ‐ Sep 21, 2020 10:10am

Identification: MON01

Speaker(s):
  • Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance, Brown & Toland Physicians

Pre-Conference Workshop-Examine the Critical Connections Between Product Design, Quality Measures, and Risk Adjustment

Sep 21, 2020 10:10am ‐ Sep 21, 2020 11:45am

Identification: MON02

  • Comprehend the importance of member engagement, social influence, and member satisfaction in relation to product design and improving quality measures
  • Assess how to improve your current operations to abide by new CMS guidelines related to Stars ratings, specifically in a virtual environment, including CMS’s shift away from clinical outcomes as a main criterion
  • Identify the impact of CMS’s hold on Stars data and utilizing last year’s data on your plans revenue
  • Calculate how behavioral health during time of isolation can impact member health, satisfaction, and quality measures and how to overcome this issue
  • Examine how risk adjustment coding will change due to the necessity for the majority of member interactions being virtual
  • Discuss new CMS guidelines on virtual healthcare and supplemental benefits and how they could manipulate your future product offerings
  • Interpret the impact of SDoH on quality measures and how they will be determined

Speaker(s):
  • Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance, Brown & Toland Physicians
  • Bill Jonakin, MD, Medical Director, Medicare Advantage and Risk Adjustment, St. Luke's Health Partners

Chairperson Welcome Remarks iconChairperson Welcome Remarks

Preview Available

Chairperson Welcome Remarks

Sep 21, 2020 11:55am ‐ Sep 21, 2020 12:05pm

Identification: MON03

Speaker(s):
  • Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance, Brown & Toland Physicians

Deep Dive into CMS CY 2021 Final Rule for Part C and Part D

Sep 21, 2020 12:05pm ‐ Sep 21, 2020 12:50pm

Identification: MON04

  • Discuss CMS Policy regulation revisions related in response to COVID-19 and how it can a catalyst for future changes to MA
  • Examine changes to Stars, HEDIS, CAHPs and HOS regulations that may influence product design
  • Analyze relaxed regulations for providing hospital services outside of the hospital itself and adaptations to the CMS requirements for telehealth
  • · Evaluate the likely impact of the CY 2021 and 2022 MA and Part D Proposed Rule on product design and member benefits
  • Assess potential influence of 2021 MA Capitation Rates and Part C and Part D Payment Policies

Speaker(s):

Star Ratings Considerations for Plan Design

Sep 21, 2020 1:00pm ‐ Sep 21, 2020 1:45pm

Identification: MON05

    • Get Star Rating updates from the interim final rule
    • Understand the quality measures that impact a contract’s Star Rating
    • Leverage benefit design to improve challenging Stars measures
    • Maximize provider engagement to improve measure performance

Speaker(s):

Panel Discussion: The Impact of COVID-19- Adaptation of Product Design

Sep 21, 2020 2:15pm ‐ Sep 21, 2020 3:00pm

Identification: MON06

  • Examine the changes in delivery of healthcare that need to be accounted for in future product design
  • Re-imagine the way that you market to members, and service your current members in this new era with remote monitoring and virtual healthcare
  • Assess how others have adapted successfully to borrow from their success and remain competitive within your market
  • Overcome fear of change with your members and providers by implementing support and education exercises

Speaker(s):
  • Ryan Conran, Associate Director of Insurance Product, Medicare Advantage, Oscar
  • Jamie Benedict, Chief Strategic Growth Officer, MediGold

Differentiate your Organization Through Advanced Supplemental Benefit Selection

Sep 21, 2020 3:15pm ‐ Sep 21, 2020 4:00pm

Identification: MON07

  • Utilize data and trends to identify what your benefits are mast valuable to your membership and potential members
  • Calculate what zero-dollar co pay offerings will increase enrollment and identify what competitor plans are offering to stay ahead of the game
  • Tailor your benefits to meet the needs of low-income membership to improve healthcare outcomes and reduce cost of care

Speaker(s):

Strategies to Maximize Flexible Benefits while Targeting the Right Customers with the Most Relevant Benefits

Sep 21, 2020 4:15pm ‐ Sep 21, 2020 5:00pm

Identification: MON08

  • Customize and optimize SDoH benefits based on certain member population needs to improve healthcare outcomes
  • Analyze the impact of the benefits offered to drive shopping decisions
  • Gather feedback from membership on what the most essential benefits are to them to improve product offering for future years

Speaker(s):

Chairperson Closing Remarks iconChairperson Closing Remarks

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Chairperson Closing Remarks

Sep 21, 2020 5:00pm ‐ Sep 21, 2020 5:15pm

Identification: MON09

Speaker(s):
  • Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance, Brown & Toland Physicians

Chairperson Welcome Remarks iconChairperson Welcome Remarks

Preview Available

Chairperson Welcome Remarks

Sep 22, 2020 10:00am ‐ Sep 22, 2020 10:10am

Identification: TUES01

Speaker(s):
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