CMS Bid Boot Camp 2022

Jan 13, 2022 ‐ Jan 14, 2022

Standard: $500.00


Welcome and Chairpersons Opening Remarks & Orientation to the Bid Part 1: Building the Bid Up in the Model & Part 2: Financial Impacts of Changing CMS Bid Variables

Jan 13, 2022 9:00am ‐ Jan 13, 2022 10:20am

Identification: THURS001

Welcome and Chairpersons Opening Remarks & The Bid Calendar: Project Management and Year-Round Process Design Strategies

Jan 13, 2022 12:30pm ‐ Jan 13, 2022 1:05pm

Identification: THURS002

Competitive Intelligence and Variables That Drive Shopping Decisions

Jan 13, 2022 1:15pm ‐ Jan 13, 2022 2:00pm

Identification: THURS06

•Explore the key factors you should know about your market and where to find the data to strategically gain an edge on your competition
•    Learn which key variables drive shopping decisions and how to weigh each in the bid strategy
•    Consider the cons and maximize the pros of offering virtual options to your members
•    Project your success rate in a limited budget reality: evaluating strengths, weaknesses, and what brings the most value to your target market


Leverage the Bid to Improve Star Ratings

Jan 13, 2022 2:10pm ‐ Jan 13, 2022 2:55pm

Identification: THURS07

•    Discuss bid strategies that support and improve Star ratings
•    Use the bid to improve the member experience, which is now 58% of Star measures
•    Dive into the new cut-point methodology changes for Stars measures and the significance of CMS implementing guard rails for this first time
•    Analyze the two new HEDIS measures coming to Stars
•    Dissect the impact Covid will have and what to expect for the next Star ratings


Understand How Risk Adjustment Drives Revenue Projections

Jan 13, 2022 3:05pm ‐ Jan 13, 2022 3:50pm

Identification: THURS08

•    Survey how various plans structure the risk adjustment piece of the CMS bid, and with what combination of finance, actuarial, and analytics work
•    Discuss who drives the risk score assumptions and how assumptions figure into revenue modeling for the bid
•    Learn how to build up a risk profile based on current members
•    Understand how ongoing retrospective and prospective risk adjustment activities contribute to revenue projections


Second Day Opening Remarks & Member Retention Through Part D: Optimize Your Formulary Design

Jan 14, 2022 9:00am ‐ Jan 14, 2022 9:50am

Identification: FRI001

Managing the Part B Professionally Administered Drugs Effectively  

Jan 14, 2022 10:00am ‐ Jan 14, 2022 10:40am

Identification: FRI03

•    Capitalize on Part B drug rebates and select the right vendor
•    Discover strategies to manage your drug expenditure while maintaining outcomes
•    Drug trends and how to prepare for the future
•    CMS guidance on Part B step therapy programs

  • Omar Daoud, Director of Pharmacy, Community Health Plan of Washington

Deep Dive into Flex, Special Supplemental Benefits for the Chronically Ill (SSBCI), and Value Based Insurance Design (VBID): Analysis and Benchmarking

Jan 14, 2022 10:50am ‐ Jan 14, 2022 11:35am

Identification: FRI04

•Get a clear roadmap and framework to the seemingly endless benefit possibilities, from companion providers to pet sitting to transportation
•    Learn what plans are offering and where in the bid benefits were placed
•    Compare what was filed and what CMS accepted
•    Discuss how COVID impacted benefit selection and financials

  • Tom Pelegrin, Senior Vice President & Chief Revenue Officer, Convey Health Solutions
  • Mike Spicer, Director, Product Innovation & Research, Capital District Physicians' Health Plan

Case Study Learnings to Clear the Confusion Around Fresh Grocery and Healthy Meal Benefits

Jan 14, 2022 11:45am ‐ Jan 14, 2022 12:30pm

Identification: FRI05

•Get the step by step, how one plan successfully incorporated fresh grocery benefits for better member outcomes
•    Parse the options, from fresh produce, prepared frozen meals to nonperishable pantry essentials to best serve the communities within your membership
•    Gain assessment frameworks to determine the best food benefit application, whether OTC dollars, SSBCI, or other options


Optimize Vendor Selection, Timing and Strategies to Ensure You Delight Your Members

Jan 14, 2022 1:00pm ‐ Jan 14, 2022 1:45pm

Identification: FRI06

•    Gain methodologies and best practices for researching and vetting benefit providers to ensure you partner with the best choice
•    Discuss timetables for vendor research, selection, and involvement relative to bid development and submission
•    Get a blueprint of essentials to assess and of what to avoid, to make selections efficiently and confidently

  • Daniel Weaver, VP Medicare & Medicaid Quality Programs, Gateway Health Plan
  • Hannah Neylon, Manager, Government Products and Relations, Network Health

Differentiate Your Plan Through Competitive Benefit Design for Vulnerable Populations

Jan 14, 2022 1:55pm ‐ Jan 14, 2022 2:40pm

Identification: FRI07

•    Discuss challenges of the CHRONIC Care Act and how health plans are responding through innovative benefit offerings
•    Create frameworks for determining the special needs to address with an appropriate SNP
•    Learn how to build product designs, case management, pick benefits, and select and onboard the best providers for the SNP


Desk Review, Audits and Required Changes After Bid Submission

Jan 14, 2022 2:50pm ‐ Jan 14, 2022 3:35pm

Identification: FRI08

•    Survey recent health plans’ experiences with bid desk review and audits, to get advance knowledge on what bid reviewers scrutinize
•    Learn how best to analyze your performance post-bid to measure attractiveness to beneficiaries, to assess competitiveness, and to evaluate the accuracy of bid pricing assumptions
•    Gain best practices to limit mistakes and bid reuploads
•    Prepare for CMS’ announcement on Part D National Average Bid Amount (NABA) and its impact to your bid planning


Build Back Better: How the Reconciliation Bill Would Impact MCOs & Closing Remarks and Conference Concludes

Jan 14, 2022 3:45pm ‐ Jan 14, 2022 4:30pm

Identification: FRI002