CMS Bid Boot Camp

Jan 21, 2021 ‐ Jan 22, 2021


Standard: $500.00

Sessions

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

Preview Available

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

Speaker(s):
  • Deana Bell, FSA, MAAA, Principal and Consulting Actuary, Milliman
  • Kathryn Qin, FSA, MAAA, Vice President of Pricing, Blue Shield of California
A Bird’s Eye View of the Bid Cycle and Requisite Project Management iconA Bird’s Eye View of the Bid Cycle and Requisite Project Management

Preview Available

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

Speaker(s):
Expanding Medicare Advantage Market Share iconExpanding Medicare Advantage Market Share

Preview Available

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

Speaker(s):
Master Plan Revenue: Part 1 - CMS Bid Variables 101 iconMaster Plan Revenue: Part 1 - CMS Bid Variables 101

Preview Available

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

Speaker(s):
Master Plan Revenue: Part 2 - Risk Score Mechanics for Accurate Modeling iconMaster 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

Speaker(s):
Competitive Analysis: Define Your Strategy for Your Most Impactful Bid and Day One Summary Remarks iconCompetitive Analysis: Define Your Strategy for Your Most Impactful Bid and Day One Summary Remarks

Preview Available

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

Processes for Completing the ANOC and EOC Submission iconProcesses for Completing the ANOC and EOC Submission

Preview Available

Processes for Completing the ANOC and EOC Submission

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

Identification: THUR09RT3

Speaker(s):
  • Monica Pagels, Senior Product Manager Medicare Product Oversight, Health Alliance Plan
Tactics to Financially Manage a Product After It’s Released iconTactics to Financially Manage a Product After It’s Released

Preview Available

Tactics to Financially Manage a Product After It’s Released

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

Identification: THUR09RT4

  • Learn what key member-level data to collect after your Medicare Advantage product is launched
  • Understand which cross-functional departments need to be involved in managing the financial impact
  • Discuss tactics to engage other departments to help build dashboards, analyze the data, and develop action plans to financially manage your Medicare Advantage product

Speaker(s):
  • Lisa Franklin, Market Portfolio Manager, CareFirst BlueCross BlueShield
Trends to consider for 2022 In Supplemental Benefits iconTrends to consider for 2022 In Supplemental Benefits

Preview Available

Trends to consider for 2022 In Supplemental Benefits

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

Identification: THUR09RT5

Speaker(s):
  • Tom Pelegrin, Senior Vice President & Chief Revenue Officer, Convey Health Solutions
  • Brian Goetsch, Managing Director, HealthScape Advisors
Part D – Point of Service Rebates and How to Use Them for Your Formulary Strategy iconPart D – Point of Service Rebates and How to Use Them for Your Formulary Strategy

Preview Available

Part D – Point of Service Rebates and How to Use Them for Your Formulary Strategy

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

Identification: THUR09RT6

  • Explore and understand potential impacts of Point-of-Sale rebates on the Part D marketplace.
  • Discover how health plans can take advantage of the opportunities this policy change would present.

Speaker(s):
  • Casey Gardner, ASA, MAAA, Consulting Actuary, Wakely Consulting Group, LLC