Trends to consider for 2022 In Supplemental Benefits iconTrends to consider for 2022 In Supplemental Benefits

Trends to consider for 2022 In Supplemental Benefits

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

Identification: THUR09RT5

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

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.
Design Benefits for Our Changing Times iconDesign Benefits for Our Changing Times

Design Benefits for Our Changing Times

Jan 22, 2021 10:10am ‐ Jan 22, 2021 11:00am

Identification: FRI02

  • Understand the important drivers of change within the healthcare ecosystem
  • Respond to CMS Star Rating shifts in experience and access measure importance by adapting your benefits and your bid
  • Include the right stakeholders at your benefit design table
  • Leverage vendors and providers to deliver value in benefit design, implementation and final delivery
  • Design data collection and reports to measure performance and evolve your new benefit offerings year over year
Effectively Forecast Star Measures for Your Plan iconEffectively Forecast Star Measures for Your Plan

Effectively Forecast Star Measures for Your Plan

Jan 22, 2021 11:15am ‐ Jan 22, 2021 12:00pm

Identification: FRI03


•    Manage real time operations for better long-term outcomes
•    Understand the future financial impact of health plan operations on the Medicare Star Program
•    Discuss bid strategies that support and improve Star ratings
COVID-19-Driven MA Benefit Innovations iconCOVID-19-Driven MA Benefit Innovations

COVID-19-Driven MA Benefit Innovations

Jan 22, 2021 12:15pm ‐ Jan 22, 2021 12:45pm

Identification: FRI04

•    Special Supplemental Benefits for the Chronically Ill (SSBCI) two cycles in: delve into plans’ quality of care and cost results from introducing health-related supplemental benefits and what constitutes an SSBCI benefit
•    Discuss what telemedicine will look like in 2021 and how cost share will factor in
•    Assess whether and how the uniformity requirements flexibility impacted quality of care, members’ plan selection, and plan revenue
Part D: Financing and Design Considerations That Draw a Crowd iconPart D: Financing and Design Considerations That Draw a Crowd

Part D: Financing and Design Considerations That Draw a Crowd

Jan 22, 2021 1:45pm ‐ Jan 22, 2021 2:45pm

Identification: FRI05

• MLR considerations: assess the pandemic’s impact on drug spend, and whether these trends will continue in a post-COVID-19 world
• Analyze CMMI’s Part D Senior Savings Model and potential strategies for plan revenue
•    Understand the levers that optimize your formulary tier structure to boost member retention and star ratings

Desk Review, Audits and Required Changes After Bid Submission iconDesk Review, Audits and Required Changes After Bid Submission

Desk Review, Audits and Required Changes After Bid Submission

Jan 22, 2021 3:00pm ‐ Jan 22, 2021 4:00pm

Identification: FRI07

• Gain best practices to analyze your performance post-bid: measure attractiveness to beneficiaries; assess competitiveness; and compare your performance against your bid submitted to explain the differences
• Survey recent health plans’ experiences with bid audits, RADV, data validation and other audits that keep us up at night
• Gain best practices to limit mistakes and bid reuploads
• To avoid road bumps in the bid process, get advance knowledge on what bid auditors scrutinize 

  • Leverage your supplemental benefit vendors to support your bid submission and your post bid performance