Duals kickstart: CMS’s strategic direction for dual eligibles
Event Date: 6/9/2021
Event Overview
Wednesday, 6/9/2021
1:30 PM CT – 3:00 PM CT (90 minutes)
Hosted by: ATI Advisory
Suppose your health plan is working hard on your strategy to successfully meet your dual-eligible population's needs. In that case, understanding CMS's strategic direction with Duals is critical to that success. So, too, is reading the tea leaves on the relationship between the Federal and state governments and how this complicated relationship affects health plans serving dual-eligible populations. Not only that – important policy influencers like MACPAC and MedPac are pushing the dialogue and making sweeping recommendations that could profoundly impact your duals strategy. In this webinar, part of the Alliance's kickstart curriculum on Duals, we dig into the policy and regulatory spheres and connect the dots between these and the decisions you're making right now when it comes to your portfolio of product offerings plan structure and more.
We're delighted to welcome Allison Rizer with ATI Advisory to the Alliance stage for the first time! During this extended virtual meeting, Allison offers her insights on these issues below. Attendees will then have space and time to hear from one another and learn how your Alliance peers are approaching their Duals strategy – and what's influencing their decision-making the most.
Together, we'll dig in to:
- Various duals programs: what they are, where they are, and how they do – and don't – intersect with Medicaid
- What you don't know about MMP vs. FIDE; the role of the SMAC/MIPPA contract, PACE – and more
- The nuanced requirements and opportunities of a DSNP vs. other plan types
- Stress-testing your readiness to do hard things and do them well: data sharing, default enrollment management, coordinating with Medicaid, and integrating your appeals and grievances approach
Audience
Product innovation and development managers and those with oversight of government programs will find this webinar beneficial.
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Documents
Recording: Duals kickstart: CMS’s strategic direction for dual eligibles
As part of the Alliance’s kickstart curriculum on Duals, Allison Rizer from ATI Consulting digs into CMS policy and regulatory spheres and connects the dots between these and the decisions you’re making right now.
Presentation: Duals kickstart: CMS's strategic direction for dual eligibles
As part of the Alliance's kickstart curriculum on Duals, Allison Rizer from ATI Consulting digs into CMS policy and regulatory spheres and connects the dots between these and the decisions you are making right now.
Attendees
Below is a list of all delegates registered to date for this event
- Robyn Anderson
- ALLIANCE MEMBER
- Delegation Oversight Auditor at Health Alliance Plan (HAP)
- Benjamin Aragon
- ALLIANCE MEMBER
- Manager of Product Development at Sharp Health Plan
- Amy Bachhuber
- ALLIANCE MEMBER
- Director, Provider Affairs at Quartz Health Solutions
- Traci Biondi
- ALLIANCE MEMBER
- Chief Medical Officer at Prominence Health Plan
- Marty Cerier
- ALLIANCE MEMBER
- Director Regulatory Audits and Investigations at Health Alliance Plan (HAP)
- Lisa Clark
- ALLIANCE MEMBER
- Regional Manager at Geisinger Health Plan
- Julie Combs Warner
- ALLIANCE MEMBER
- Consultant, Health Services at SelectHealth
- Brittany Coyne
- ALLIANCE MEMBER
- Strategic Planning Specialist at Quartz Health Solutions
- Jacqueline Crews
- ALLIANCE MEMBER
- Director, Public Policy & Benefit Contracts at AvMed
- MiQuelle Dearden
- ALLIANCE MEMBER
- Quality Consultant - Registered Nurse at SelectHealth
- Karla Eskro
- ALLIANCE MEMBER
- Program Manager, Accreditation and Regulatory Management at Community Health Plan of Washington
- Jeremy Fejfar
- ALLIANCE MEMBER
- Pharmacy Director Government Programs at Quartz Health Solutions
- Stephanie Hadcock
- ALLIANCE MEMBER
- Manager, Medicare Operations at Capital District Physicians' Health Plan (CDPHP)
- Jeff Hayes
- ALLIANCE MEMBER
- Manager Compliance, Medicare at Presbyterian Health Plan
- Freddy Hernandez
- ALLIANCE MEMBER
- Project Manager at Johns Hopkins Health Plans
- Tedi Jorgensen
- ALLIANCE MEMBER
- Medicare Advantage Part D Coordination of Benefits at SelectHealth
- Patrick Koltz
- ALLIANCE MEMBER
- Chief Operations Officer at Prominence Health Plan
- Matthew Kruszewski
- ALLIANCE MEMBER
- Manager, RAR at Jefferson Health Plans
- Ed Lee
- ALLIANCE MEMBER
- Product Leader, Health Plans Medicare Advantage at IU Health Plans
- Melissa Legee
- ALLIANCE MEMBER
- Medicare Performance Oversight Program Manager at Samaritan Health Plans
- Cynthia Major
- ALLIANCE MEMBER
- Director, Claims at Cox HealthPlans
- Erin Matteson
- ALLIANCE MEMBER
- Customer Development Consultant, Marketing at Sentara Health Plans (Optima)
- Javier Mendoza
- ALLIANCE MEMBER
- Vice President, Product Mgmt. & Regulatory Affairs at AvMed
- Stephen Muldoon
- ALLIANCE MEMBER
- Manager, Actuary at Sentara Health Plans (Optima)
- Daniel Quan
- ALLIANCE MEMBER
- Compliance Officer at Santa Clara Family Health Plan
- Dean Ratzlaff
- ALLIANCE MEMBER
- Director, Actuary/Revenue Management at Sentara Health Plans (Optima)
- christina salm
- ALLIANCE MEMBER
- Vice President of Medical Management Operations at Quartz Health Solutions
- Janice Sawyer
- ALLIANCE MEMBER
- Senior Regulatory Auditor at Health Alliance Plan (HAP)
- Anthony Serrano
- ALLIANCE MEMBER
- Compliance Officer at Aspire Health Plan
- Irina Shikin
- ALLIANCE MEMBER
- Sr. Regulatory Auditor at Health Alliance Plan (HAP)
- Gwen Teh
- ALLIANCE MEMBER
- IT, Manager of Configuration at Santa Clara Family Health Plan
- Tammy Thomas
- ALLIANCE MEMBER
- Benefits Specialist at AvMed
- Susan Waterman
- ALLIANCE MEMBER
- Director, Risk Adjustment at Baylor Scott & White Health Plan
- Scott Weiner
- ALLIANCE MEMBER
- Director at Sentara Health Plans (Optima)
- Stephanie Wiegman
- ALLIANCE MEMBER
- Customer Experience Coordinator at Samaritan Health Plans
- Holly Zorz
- ALLIANCE MEMBER
- Quality Improvement Team Lead, Medicare at Paramount Health Care
- David Gallegos
- SPONSOR
- SVP Consulting Services at Optum Advisory
- David Lynch
- SPONSOR
- Vice President, Growth at Healthmine
- Brigid Turrittin
- SPONSOR
- Vice President Sales- Payer at Tegria