CMS Bid Boot Camp 2022

Jan 13, 2022 ‐ Jan 14, 2022


Standard: $500.00

Sessions

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

Speaker(s):

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

Speaker(s):

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

Speaker(s):

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

Speaker(s):
  • 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

Speaker(s):
  • 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

Speaker(s):

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

Speaker(s):
  • 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

Speaker(s):

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

Speaker(s):

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