Special Needs Plan-H681

Oct 27, 2020 ‐ Oct 28, 2020

Standard: $500.00

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Sessions

Preview Available

Chairperson Welcome Remarks & Pre-Conference Workshop

Oct 27, 2020 10:00am ‐ Oct 27, 2020 11:45am

Identification: TUES-001

Preview Available

Chairperson Welcome Remarks

Oct 27, 2020 10:00am ‐ Oct 27, 2020 10:10am

Identification: TUES01

Speaker(s):

Susan Hogue, Area VP of Business Development, TabulaRasa Healthcare

Preview Available

Pre-Conference Workshop: Special Needs Plans 101: Crucial Information for New or Growing SNPs Plans

Oct 27, 2020 10:10am ‐ Oct 27, 2020 11:45am

Identification: TUES02

• Best practices to avoid pitfalls and common mistakes when building your Model of Care including meeting all CMS requirements, successful processes of creation, and CMS submission process to avoid costly mistakes
• Create a fully functional Interdisciplinary Care Team to complete member outreach, conduct in home health assessments to generate member data, and build a complete ICT Care Plan
• Proven strategies to complete Health Risk Assessment for all members, including the hard to reach population to improve Stars measures

Speaker(s):

Melodie Farmer, Population Health Quality Manager, Care Oregon
John Lovelace, President, UPMC

Preview Available

Chairperson Welcome Remarks & Regulation and Legislation Updates

Oct 27, 2020 11:55am ‐ Oct 27, 2020 12:50pm

Identification: TUES-002

Preview Available

Chairperson Welcome Remarks

Oct 27, 2020 11:55am ‐ Oct 27, 2020 12:05pm

Identification: TUES03

Speaker(s):

Susan Hogue, Area VP of Business Development, TabulaRasa Healthcare

Preview Available

Regulation and Legislation Updates: Examine the Impact on SNPs Plans of CMS Legislation Changes Including Audit Protocols 2021

Oct 27, 2020 12:05pm ‐ Oct 27, 2020 12:50pm

Identification: TUES04

• Interpret the CMS changes to the supplemental benefits for the chronically ill population and how it will change how you provide service to your members
• Analyze the CMS changes to the audit process including model of care and specific C-SNP legislation
• Prepare for changes on CMS reporting requirements for 2021 including the CMS specifications and state specific requirements that may impact how you currently report
• Examine the 2020 MMP protocols and their impact on your organization so far

Speaker(s):

Hank Osowski, Managing Director, Strategic Health Group

Preview Available

No food, No Care: Why a Food as Medicine Program should be an integral part of your Model of Care

Oct 27, 2020 1:00pm ‐ Oct 27, 2020 1:45pm

Identification: TUES05

Utilize nutrition as a Social Determinant of Health Care, including food, desserts, and post hospital care
Capitalize on meals as intervention for chronic conditions, and view food as a Medicine Diabetes Program
Integrate meals into the member care plan, not just a provider service but woven into member care coordination activities, and use it as an opportunity to close care gaps

Speaker(s):

James Henderson, Chief Innovation Officer, Independent Living Systems, LLC
Hilda Perea, VP Care Management, Independent Living Systems, LLC

Preview Available

Regulation and Legislation Updates: Meeting the Integration Requirements for D-SNPs in CY21 and Beyond

Oct 27, 2020 2:15pm ‐ Oct 27, 2020 3:00pm

Identification: TUES07

• Examine why integration matters to states, plans, and beneficiaries to address potential complications
• Review of CY21 integration requirements for FIDE-, HIDE-, and D-SNPs to confirm you are covering all bases
• Deep Dive: Integration requirements in 2020 CMS Medicare Advantage Final Rule to obtain a complete understanding

Speaker(s):

William Dede, Health Policy Associate, Special Needs Plans Alliance

Preview Available

Regulation and Legislation Updates: Developing Relationships and Contracting Best Practices with State Officials

Oct 27, 2020 3:15pm ‐ Oct 27, 2020 4:00pm

Identification: TUES08

• Examine current trends with state contracting to identify areas of improvement in your current process
• Calculate which critical information is needed when creating a contract to avoid costly errors
• Advance your communication methods to improve quality of relationship with state officials and improve response time when needed

Speaker(s):

Suzanne Gore, Founder and CEO, State Health Partners

Preview Available

Regulation and Legislation Updates: Valuable Insight into Statewide, Part C + D Data Validation, and CMS Recently Audited Plans in 2019/2021

Oct 27, 2020 4:15pm ‐ Oct 27, 2020 5:00pm

Identification: TUES09

• Hear from the experts on what they learned during their recent audit to borrow best practices from their experience
• Examine which suggested changes to current workflow could help your plan if implemented NOW rather than after an audit
• Initiate changes within your current operation based on background knowledge of changes to external audit procedures including educational training for all team members

Speaker(s):

Gretchen Wagner, M.A., CIA, CRMA, Director, Home Compliance & Risk Management, Healthcare Services, Humana
Carol Smolij, Director Special Needs Plan, Horizon NJ Health
Caroline McDonald, Principal, Prizm Health Advisory, LLC

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