CMS Bid Boot Camp

Jan 21, 2021 ‐ Jan 22, 2021

Changes and Unknowns in 2022: Regulatory and Legislative Actions to the Medicare Program During a Pandemic

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Changes and Unknowns in 2022: Regulatory and Legislative Actions to the Medicare Program During a Pandemic

Jan 21, 2021 10:10am ‐ Jan 21, 2021 11:00am

Identification: THUR02

• Understand the impact of COVID-19 fallout on bids and how it can inform bid strategy for 2022
• Prepare for rulemaking changes and their downstream impacts on 2022 bids
• Get up to speed on legislative proposals to reform Medicare Advantage and Part D and the new Administration goals

• Kathryn Qin, FSA, MAAA, Vice President of Pricing, Blue Shield of California
• Deana Bell, FSA, MAAA, Principal and Consulting Actuary, Milliman

A Bird’s Eye View of the Bid Cycle and Requisite Project Management

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A Bird’s Eye View of the Bid Cycle and Requisite Project Management

Jan 21, 2021 11:15am ‐ Jan 21, 2021 12:00pm

Identification: THUR03

•    Discover how various health plans construct their timelines to coordinate inputs from a multitude of functional areas for optimal bid build
•    Create a successful project management structure with C-suite buy-in, a multi-disciplinary review, and a CMS deadline-driven project schedule for a smooth annual bid process

• Sara Wedlock, Senior Product Manager, Harvard Pilgrim Health Care
• Ana Handshuh, Principal, CAT5 Strategies
• Monica Pagels, Senior Product Manager Medicare Product Oversight, Health Alliance Plan
• Donna Doebler, AVP Medicare Product & Analytics, UPMC

Expanding Medicare Advantage Market Share

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Expanding Medicare Advantage Market Share

Jan 21, 2021 12:15pm ‐ Jan 21, 2021 1:00pm

Identification: THUR04

• Understand marketing and operational requirements for successful implementation in a new-to-you region
• Assess models that optimize the creation of a Medicare Advantage plan with financial and operational efficiency
•    Review startup experiences with product, price, channels, advertising and how these wove into the bid planning process

• Pamela Getsie, President, Vermont Blue Advantage
• Patrick Coulson, Chief Growth Officer, Advantasure

Master Plan Revenue: Part 1 - CMS Bid Variables 101

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Master Plan Revenue: Part 1 - CMS Bid Variables 101

Jan 21, 2021 1:45pm ‐ Jan 21, 2021 2:30pm

Identification: THUR05

• Discover how base bids, benchmark rates, risk scores and other bid variables in CMS bid calculation affect health plan revenue
•    Compare CMS tools and tests – and their dependencies – that determine pricing
•    Optimize the financial mechanics behind lower rebates and higher provider group payouts, rebates versus adjusting your product offering, base bids and benchmarks, and other bid relationships
•    Understand the importance of risk scores on your plan revenue

• Lucretia Hydell, Principal, Growth & Partner Analytics, CityBlock
• Ryan Swenson, FSA, MAAA, Principal and Consulting Actuary, Milliman

Master Plan Revenue: Part 2 - Risk Score Mechanics for Accurate Modeling

Preview Available

Master Plan Revenue: Part 2 - Risk Score Mechanics for Accurate Modeling

Jan 21, 2021 2:45pm ‐ Jan 21, 2021 3:30pm

Identification: THUR06

•    Gain best practices for building up a risk profile for your bid, based on current members
•    Learn how risk adjustment assumptions dial into your revenue modeling for the CMS bid
•    Discover how ongoing retrospective and prospective risk adjustment activities contribute to revenue projections
•    Understand the calendar of CMS mid-year adjustments, “sweeps” activities, and assumptions that factor into your bid cycle milestones

• Benjamin Nadler, Director, Actuarial Services, Independent Health

Competitive Analysis: Define Your Strategy for Your Most Impactful Bid and Day One Summary Remarks

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Competitive Analysis: Define Your Strategy for Your Most Impactful Bid and Day One Summary Remarks

Jan 21, 2021 3:45pm ‐ Jan 21, 2021 4:45pm

Identification: THUR007

Avoid the NOID

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Avoid the NOID

Jan 21, 2021 4:45pm ‐ Jan 21, 2021 5:30pm

Identification: THUR09RT2

• Sara Wedlock, Senior Product Manager, Harvard Pilgrim Health Care

Improvements and Challenges to Medicare-Medicaid Coordination

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Improvements and Challenges to Medicare-Medicaid Coordination

Jan 21, 2021 4:45pm ‐ Jan 21, 2021 5:30pm

Identification: THUR09RT1

·    Learn how various states are managing integration requirements
·    Understand what’s driving recent CMS updates
·    Discuss the opportunities and considerations with regards to your plan and CMS bid submission

• Bill Jensen, Independent Care Health Plan (iCare)

Processes for Completing the ANOC and EOC Submission

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Processes for Completing the ANOC and EOC Submission

Jan 21, 2021 4:45pm ‐ Jan 21, 2021 5:30pm

Identification: THUR09RT3

• Monica Pagels, Senior Product Manager Medicare Product Oversight, Health Alliance Plan

Trends to consider for 2022 In Supplemental Benefits

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Trends to consider for 2022 In Supplemental Benefits

Jan 21, 2021 4:45pm ‐ Jan 21, 2021 5:30pm

Identification: THUR09RT5

• Tom Pelegrin, Senior Vice President & Chief Revenue Officer, Convey Health Solutions
• Brian Goetsch, Managing Director, HealthScape Advisors