Optimize Plan Design Leveraging Advanced Analytics
Sep 22, 2020 9:10am ‐ Sep 22, 2020 9:55am
Identification: TUES02
- Ask the right questions and understand the strengths of quantitative analysis to align on anticipated outcomes
- Predict market shifts using plan design & enrollment trend analysis to stay ahead of the competition
- Utilize advanced analytics, including machine learning, to determine which plan features & cost ranges offer the most appeal in each market
Competitive Intelligence and Data Analysis of Member Population
Sep 22, 2020 10:10am ‐ Sep 22, 2020 10:55am
Identification: TUES03
- Maximize data and trends to compare your offerings with competitors in the market to improve your position
- Analyze demographics and population to discover high utilizers and adapt to their needs to reduce overall burden including the use of remote patient monitoring (RPM)
- Calculate ways to improve the value of your product mix including HMO, PPO, and SNPs to compete with the national plans
Strategies to Calculate ROI for your Supplemental Benefit Offerings
Sep 22, 2020 11:10am ‐ Sep 22, 2020 11:55am
Identification: TUES04
- Examine which data points can be analyzed when calculating the value of your benefit offerings
- Conduct consumer surveys to analyze the perceived response to offerings from your membership
- Reflect on previous offerings to assess their impact on your membership to determine their value
Utilize Pharmacy Benefit Design as a Tool to Improve Adherence, MTM, and Opioid Measures
Sep 22, 2020 12:30pm ‐ Sep 22, 2020 1:15pm
Identification: TUES05
- Apply medical and pharmacy claims data to enable the health plan pharmacist to target higher risk MTM qualified members for specific interventions
- Collaborate with the case or disease management nurse to improve medication adherence and member understanding of prescribed medications
- Combine the MTM pharmacist and quality improvement team to enhance Part C measures
- Collect valuable Information on MTM calls and utilize to impact pharmacy design
Optimize your Provider Network to Ensure Competitiveness Within your Market
Sep 22, 2020 1:30pm ‐ Sep 22, 2020 2:15pm
Identification: TUES06
- Evaluate your current network and out of network offerings to identify potential for improvement
- Calculate network coverage for ESRD members including dialysis centers, to ensure that you are meeting CMS regulations without exceeding them
- Examine your out of network coverage to identify if you can reduce your current offerings to invest that money elsewhere
- Estimate the value of narrowing your network including specialty practices
Strategies to Improve your Marketing Efforts During A Chaotic 2020
Sep 22, 2020 2:30pm ‐ Sep 22, 2020 3:15pm
Identification: TUES07
- Analyze changes in consumer behavior during COVID-19 and the election year to identify the best marketing approach, and post COVID consumerism changes
- Identify which communication tool works best for your membership through data analytics to ensure that tried and tested best practices are utilized
- Adapt your marketing strategy to target the two different generations, Baby Boomers and Silent Generation, to increase effectiveness with your communication
