Case study: Why Presbyterian Health Plan’s DSNP has been so wildly successful

Event Date: 6/16/2021

Event Overview

Wednesday, 6/16/2021
1:30 PM CT – 3:00 PM CT (90 minutes)
Hosted by: Presbyterian Health Plan

In 2017, Presbyterian Health Plan quietly launched its first DSNP plan, a hedge the executive leadership predicted would be critical to its role as the lead Medicaid payer in New Mexico. Sure enough, in August of that year, the state of New Mexico’s Medicaid RFP included a requirement that the payer also offer a DSNP plan alongside the Medicaid program. In 2019, PHP purposely redesigned its DSNP program, and today, Dual Plus serves nearly 12,000 New Mexicans, and the health plan boasts a Model of Care that scored a full 100 from CMS and won a 3-year approval (which is very rare).

In this comprehensive case study and Q&A presentation, Alliance members gain a unique and valuable opportunity to learn from the roadmap drawn by the Presbyterian DSNP strategic leaders. Join Dr. Gray Clarke, the Senior Medical Director for Government Programs; Nicole Chavez-Lucero, Director, DSNP Outreach and Sales; and Mary Eden, the SVP of Government Programs. This expert team walks attendees through their experience building a DSNP from the ground up, and shares lessons learned and cautionary tales that will help your team use their roadmap to accelerate your own efforts.

Attendees can look forward to a discussion on these topics:

The big picture: How the DSNP fits into Presbyterian’s government program strategy
How Presbyterian leveraged data and analytics to identify their target populations through an approach known as micro-segmentation
The development of the Model of Care (MOC) that was clinically informed and aligned with Medicaid program requirements
The structure and approach used to implement the new DSNP program
Building a sales and outreach strategy that is very different from their MA approach – and which has proven to be very successful

Audience

Government Programs leaders looking to launch a DSNP plan or who want to grow the one they have
Clinical and quality leaders who want to learn more about what it takes to develop a solid Model of Care
Informatics and Data intelligence teams who wish to support member insights development to inform care management, risk adjustment, and sales and marketing efforts
Product developers who wish to understand how a DSNP fits into your product portfolio strategically

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Documents

6/22/2021

Recording: Why Presbyterian Health Plan’s DSNP has been so wildly successful
In this comprehensive case study and Q&A presentation, Alliance members gain a unique and valuable opportunity to learn from the roadmap drawn by the Presbyterian DSNP strategic leaders. This expert team walks attendees through their experience building a DSNP from the ground up, and shares lessons learned and cautionary tales that will help your team use their roadmap to accelerate your organization's efforts.

6/16/2021

Presentation: Case study: Why Presbyterian Health Plan's DSNP has been so wildly successful
In this comprehensive case study and Q&A presentation, Alliance members gain a unique and valuable opportunity to learn from the roadmap drawn by the Presbyterian DSNP strategic leaders. This expert team walks attendees through their experience building a DSNP from the ground up, and shares lessons learned and cautionary tales that will help your team use their roadmap to accelerate your organization's efforts.