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Advanced Notice and Draft Call Letter: Changes, Proposals & Priorities

Event Date: 2/28/2017

Event Overview

Webinar event: 1PM CT - 2:30PM CT

Session description: 

CMS recently released the Advance Notice and Draft Call Letter for the 2018 contract year, which announced the proposed and final policies in the areas of payment, risk adjustment, benefit requirements, star ratings, enforcement, and others areas. This webinar will focus on and discuss the changes, proposals, and priorities most relevant to compliance personnel, provider contracting staff, and others with responsibility for payment, risk adjustment, and network development.

 

Topics will include:

  • Planned changes to the MA capitation rate risk adjustment methodologies
  • Proposed changes to the Part D payment methodology and benefit parameters
  • Proposed changes to star ratings measures and methodologies, including adjusting star ratings for audits and enforcement priorities
  • Proposed changes to requirements for Medicare-Medicaid plans, including with respect to network adequacy

 

This event is designed for:

Leaders with responsibility for the Medicare Advantage health plan.  In addition, individual stakeholders who lead Stars, product design, and the Medicare bid process will find this event helpful.  

This event is hosted on our Readytalk platform.

You must register for this event in order to receive the dial-in/log-in information. Click on the Registration tab on the event page.


Documents
2/28/2017

Presentation: Advanced Notice and Draft Call Letter: Changes, Proposals & Priorities
CMS recently released the Advance Notice and Draft Call Letter for the 2018 contract year, which announced the proposed and final policies in the areas of payment, risk adjustment, benefit requirements, star ratings, enforcement, and others areas. This webinar will focus on and discuss the changes, proposals, and priorities most relevant to compliance personnel, provider contracting staff, and others with responsibility for payment, risk adjustment, and network development.

2/28/2017

Recording: Advanced Notice and Draft Call Letter: Changes, Proposals & Priorities
CMS recently released the Advance Notice and Draft Call Letter for the 2018 contract year, which announced the proposed and final policies in the areas of payment, risk adjustment, benefit requirements, star ratings, enforcement, and others areas. This webinar will focus on and discuss the changes, proposals, and priorities most relevant to compliance personnel, provider contracting staff, and others with responsibility for payment, risk adjustment, and network development.

Attendees

Below is a list of all delegates registered to date for this event

  • Rick Alexsonshk
  • ALLIANCE MEMBER
  • Director ACA Risk Adjustment at SummaCare
  • Tina Ballamis
  • ALLIANCE MEMBER
  • Products Development Partner at SelectHealth
  • Joseph Barrows
  • ALLIANCE MEMBER
  • Medicare Sales Director at Rocky Mountain Health Plans
  • Kelly Barta
  • ALLIANCE MEMBER
  • Part D Formulary Manager at Health Alliance Plan (HAP)
  • Nicole Beadle
  • ALLIANCE MEMBER
  • Manager, Medicare Compliance at Paramount Health Care
  • Trent Began
  • ALLIANCE MEMBER
  • AVP Finance at Samaritan Health Plans
  • Pamela Bower
  • ALLIANCE MEMBER
  • Program Manager, Risk Adjustment at Presbyterian Health Plan
  • Terri Bowers
  • ALLIANCE MEMBER
  • HCC Risk Adjustment Analyst at Providence Health Plan
  • Danielle Brinkley
  • ALLIANCE MEMBER
  • Director, Population Analytics at Community Health Plan of Washington
  • Ngoc Bui-Tong
  • ALLIANCE MEMBER
  • Chief Health Equity and Strategy Officer at Santa Clara Family Health Plan
  • Andrew Bundy
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment at Presbyterian Health Plan
  • Maura Cameron
  • ALLIANCE MEMBER
  • HEDIS/CAHPS Project Manager at Rocky Mountain Health Plans
  • Jacqueline Crews
  • ALLIANCE MEMBER
  • Director, Public Policy & Benefit Contracts at AvMed
  • JoAnna Destino
  • ALLIANCE MEMBER
  • Government Relations Manager at Fidelis Care New York
  • David DiGiuseppe
  • ALLIANCE MEMBER
  • VP of Healthcare Economics at Community Health Plan of Washington
  • Carol Dornbush
  • ALLIANCE MEMBER
  • Credentialing Coordinator at Medical Associates Health Plans
  • Mike Eaton
  • ALLIANCE MEMBER
  • Director of Pharmacy Government Programs at SelectHealth
  • Molly Eickholt
  • ALLIANCE MEMBER
  • Manager, HFHP Integrity at Health First Health Plans
  • Donna Ferrara
  • ALLIANCE MEMBER
  • Medicare Compliance Manager at Baptist Health Plan
  • Jamie Forrest
  • ALLIANCE MEMBER
  • Chief Operating Officer at Health First Health Plans
  • Julia George
  • ALLIANCE MEMBER
  • Compliance Manager at Sentara Health Plans (Optima)
  • Chrissy Gerdmann
  • ALLIANCE MEMBER
  • Compliance Specialist and Auditor at Network Health
  • Stevi Grega
  • ALLIANCE MEMBER
  • Digital Marketing Coordinator at Community Health Plan of Washington
  • Sara Hansen
  • ALLIANCE MEMBER
  • Senior Director, Population Health & Clinical Operations at Avera Health Plans
  • Anthony Hansen
  • ALLIANCE MEMBER
  • Sr. Medicare Compliance Coordinator at Providence Health Plan
  • Amber Harris
  • ALLIANCE MEMBER
  • Director Risk Adjustment at MediGold
  • Gina Higley
  • ALLIANCE MEMBER
  • Contracting at Providence Health Plan
  • Jane Hoh
  • ALLIANCE MEMBER
  • Program Manager at Providence Health Plan
  • Kaleb Holt
  • ALLIANCE MEMBER
  • Director of Medicare Programs at SelectHealth
  • Mark Huizenga
  • ALLIANCE MEMBER
  • Director, Performance Measurement & Improvement at Health Alliance Plan (HAP)
  • Linda Hunsicker
  • ALLIANCE MEMBER
  • 5 Star Quality Project Manager at SummaCare
  • Jeff Ingrum
  • ALLIANCE MEMBER
  • President and CEO at Baylor Scott & White Health Plan
  • David Israelievitch
  • ALLIANCE MEMBER
  • Senior Analyst, Appeals at Community Health Plan of Washington
  • Reba Karr
  • ALLIANCE MEMBER
  • Health Management Services Coordinator at Health Alliance Medical Plans
  • Susan Kerrigan
  • ALLIANCE MEMBER
  • Manager Integrity Auditing and Monitoring at Health First Health Plans
  • Daniel LaPonsie
  • ALLIANCE MEMBER
  • Director, Program Development at Health Alliance Plan (HAP)
  • Nick Marsee
  • ALLIANCE MEMBER
  • Medicare Compliance Specialist at Baptist Health Plan
  • KEITH MCMASTER
  • ALLIANCE MEMBER
  • Senior Director of Performance Improvement at MetroPlusHealth
  • Javier Mendoza
  • ALLIANCE MEMBER
  • Vice President, Product Mgmt. & Regulatory Affairs at AvMed
  • Kristina Misiaszek
  • ALLIANCE MEMBER
  • Platform Communications Administrator at Health New England
  • Rachel Musacchio
  • ALLIANCE MEMBER
  • Director of Value Capture at Health First Health Plans
  • Sara Neese
  • ALLIANCE MEMBER
  • Former COO for Health Plan Alliance at
  • Tami Otomo
  • ALLIANCE MEMBER
  • Clinical Pharmacist at Santa Clara Family Health Plan
  • Kari Pace
  • ALLIANCE MEMBER
  • Clinical Documentation Improvement Nurse-Risk Adjustment/Quality Management at Medical Associates Health Plans
  • Anish Patel
  • ALLIANCE MEMBER
  • Pharmacist at Fidelis Care New York
  • Bhamini Patel
  • ALLIANCE MEMBER
  • Project Manager at Health Alliance Plan (HAP)
  • Leslie Pels-Beck
  • ALLIANCE MEMBER
  • Chief Operations Officer at Sharp Health Plan
  • Venus Pope
  • ALLIANCE MEMBER
  • Director at Health Alliance Plan (HAP)
  • LeAnn Roberge
  • ALLIANCE MEMBER
  • Medicare Compliance Specialist at Baptist Health Plan
  • Melissa Rusk
  • ALLIANCE MEMBER
  • Vice President Operations at SummaCare
  • Mike Sloan
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment Submissions & Analytics at MediGold
  • Michael Snow
  • ALLIANCE MEMBER
  • Clinical Pharmacist at Sentara Health Plans (Optima)
  • Brenda Stubblefield
  • ALLIANCE MEMBER
  • AVP, Vendor Delegation and Oversight at Fidelis Care New York
  • Jeffrey Taylor
  • ALLIANCE MEMBER
  • Manager, Performance Measurement at Health Alliance Plan (HAP)
  • Laura Watkins
  • ALLIANCE MEMBER
  • Vice President, Marketing and Enrollment at Santa Clara Family Health Plan
  • Nancy Weber
  • ALLIANCE MEMBER
  • Clinical Integration Program Manager at Network Health
  • Cynthia Weiss
  • ALLIANCE MEMBER
  • Director, Quality, Accreditation and Wellness at AvMed
  • Mandy Whitley
  • ALLIANCE MEMBER
  • Point of Service Coding Analyst at Health Alliance Medical Plans
  • Holly Zorz
  • ALLIANCE MEMBER
  • Quality Improvement Team Lead, Medicare at Paramount Health Care
Speakers