The 10th Annual Special Needs Plan Leadership Summit

Jun 22, 2021 ‐ Jun 23, 2021

Standard: $500.00


Pre-Conference Workshop: Taking Quality to the Next Level – Boosting Star Ratings for Special Needs Plans and Impacting Member Experience

Jun 22, 2021 9:30am ‐ Jun 22, 2021 11:45am

Identification: TUES02

  • Understand nuances between a SNP plan and the average MA plan’s roadmap to successful ratings and hear how to align quality and MOC goals
  • Examine how to prioritize and operationalize customer experience/CAHPS to increase scores
  • Hear successful engagement strategies for SNPs population to get back to care, explore barriers, and discuss med adherence best practices for this patient population
  • Focus resources on key measures that will move the needle for the SNPs population and discuss a value-based design for DSNPs to thrive cooperatively and increase member satisfaction
  • Examine supplemental benefits and incentive opportunities to address SDoH and impact quality

  • Daniel Weaver, VP Medicare & Medicaid Quality Programs, Gateway Health Plan
  • Christine A. Lynch, Vice President for Medicare and Managed Long-Term Services and Supports, Association for Community Affiliated Plans

Pre-Conference Workshop: SNPs 101: Understanding the Basics for New or Growing SNPs Plans

Jun 22, 2021 9:30am ‐ Jun 22, 2021 11:45am

Identification: TUES01

  • Understand different SNPs types and examine regulatory nuances
  • Obtain a detailed roadmap to forming a new SNP plan
  • Hear benefits and challenges of the SNPs market
  • Dive into the operational and organizational considerations of a SNP
  • Examine basic SNPs models of care regulations and expectations and obtain MOC narrative best practices


Chairperson Welcome Remarks iconChairperson Welcome Remarks

Preview Available

Chairperson Welcome Remarks

Jun 22, 2021 12:00pm ‐ Jun 22, 2021 12:05pm

Identification: TUES03


Regulatory Update Panel: CMS Legislation Changes Coming Down the Pipeline

Jun 22, 2021 12:05pm ‐ Jun 22, 2021 12:50pm

Identification: TUES04

  • Examine CMS’ latest final rule and understand the changes to Model of Care that need to be implemented by 2023
  • Interpret CMS changes and flexibility to supplemental benefits for the SNP population and learn opportunities to expand services
  • Review SNP CMS legislation changes as a result of COVID-19 and prognosticate on new administration’s direction and top of mind issues as it relates to SNPs
  • Examining regulatory shift from DSNPs into FIDE-SNP and HIDE-SNP and reviewing the current landscape


Deep Dive into Medicare & Medicaid Integration for Dual Eligible Enrollees

Jun 22, 2021 1:00pm ‐ Jun 22, 2021 1:45pm

Identification: TUES05

  • Understand how to operationalize Medicare and Medicaid Integration and interpret new CMS guidelines that impact your current alignment efforts including unified appeals and grievances
  • Take a deeper look at the 2021 transition to FIDE-SNP and HIDE-SNP – where are DSNPs now?
  • Examine CMS’ information sharing requirements by dual eligible special needs plans and explore data set needs for optimal efficiency
  • Discuss different payment models to better align incentives
  • Explore MMP protocol used for 2022 and their impact on your operation

  • Sarah Rubin, Policy Director, Dual Eligibles & Special Needs Plans, UnitedHealthcare Community & State

Networking Lunch in Virtual Lobby

Jun 22, 2021 1:45pm ‐ Jun 22, 2021 2:15pm

Identification: TUES06

Don’t Miss Out! Turn on your camera and join us in the Virtual Lobby for that face-to-face networking experience we’ve all been missing. Connecting with your peers and vendors in the SNPs ecosystem has never been easier - click on an open seat, say hello to familiar faces, and take part in timely and lively discussions. We’ll see you in the lobby!

Explore Different Operational Requirements for ISNPs and CSNPs in CY21 and Beyond

Jun 22, 2021 2:15pm ‐ Jun 22, 2021 3:00pm

Identification: TUES07

  • What are C-SNPs and I-SNPs?
  • Overview of C-SNP and I-SNP market and enrollment
  • Application processes and timelines for C-SNPs and I-SNPs

  • William Dede, Health Policy Associate, Special Needs Plans Alliance

SNP Audit Readiness Highlight and Model of Care Overview

Jun 22, 2021 3:15pm ‐ Jun 22, 2021 4:00pm

Identification: TUES08

  • Examine trends and hear best practices for internal and external audit readiness
  • Discuss operational and clinical team effort alignment for optimal SNP oversight compliance
  • Explore new audit protocols in 2021 and Model of Care implications
  •  Obtain model of care recalibration best practices and hear how to shape your MOC narrative to enhance audit readiness

  • Gretchen Wagner, M.A., CIA, CRMA, Director, Home Compliance & Risk Management, Healthcare Services, Humana
  • Michele Schulte, RN, Gero-BC, Associate Director, Healthcare Services- Compliance & Risk Management, Humana

Leveraging Supplemental Benefits to Address Social Determinants of Health in the SNP Population

Jun 22, 2021 4:15pm ‐ Jun 22, 2021 5:00pm

Identification: TUES09

  • Understand diverse needs of the SNP population and identify opportunities to provide support through home and community care services
  • Discuss how to address SDoH through the implementation and expansion of supplemental benefits for SNPs patients
  • Hear different approaches to leveraging flexibility of supplemental benefits to deliver expanded services to create impact. Explore how plans have pivoted their offerings as a result of the pandemi

  • Hank Osowski, Managing Director, Strategic Health Group
  • Lauren Easton, MSW, L.I.C.S.W.,, VP, Integrative Program Development and Clinical Innovation, Commonwealth Care Alliance
  • Christine A. Lynch, Vice President for Medicare and Managed Long-Term Services and Supports, Association for Community Affiliated Plans

Chairperson Closing Remarks iconChairperson Closing Remarks

Preview Available

Chairperson Closing Remarks

Jun 22, 2021 5:00pm ‐ Jun 22, 2021 5:05pm

Identification: TUES10