WORKSHOP: How to build a DSNP in your own plan

Event Date: 8/27/2021

Event Overview

Friday, 8/27/2021
11:30 AM CT – 3:00 PM CT (3 hours, 30 minutes)
Hosted by: Change Healthcare

If you are a health plan leader looking to launch a DSNP plan -- or if you want to grow the one you already have – don’t miss this deep-dive, virtual workshop led by government programs expert Shelley Stevenson. A “recovering CMS auditor” and operational guru when it comes to MA and DSNPs, Shelley takes Alliance member plans on a tactical journey of what, precisely, you are signing up for when you decide to stand up a DSNP.

Shelley’s hands-on, operational experience shines through in every segment of this workshop’s curriculum, and attendees will walk away with a playbook for their team tasked with making your DSNP venture successful. Just as with any new LOB, a DSNP impacts just about every part of your operations. Join us for this extended session to ensure you don’t miss a step. Shelley is known for her real-world “gold nuggets” … those little anecdotes she mentions from her on-the-ground work with health plans across the country.

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
Operational leaders with responsibility for supporting the implementation of the DSNP LOB
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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Agenda

SCHEDULE

11:30 – 12:15pm CENTRAL TIME

1. Sales – HRA at the point of sale?
2. Enrollment – Check on Medicaid eligibility for newbies and ongoing
3. Customer Service- Community Outreach
4. Network – contracting/recontracting, billing changes, delegation and required training

12:15 – 12:25pm CENTRAL TIME

BREAK

12:25 – 1:15pm CENTRAL TIME

5. Medical Management
a. UM
b. Care and Case Management staffing
6. Claims and Print – no EOBs
7. Benefit Management HIDE, FIDE
8. Three way contract with State Medicaid

1:15 – 1:45pm CENTRAL TIME

BREAK

1:45 – 2:45pm CENTRAL TIME

9. Reporting and Audits
10. ICP. ICT Triaging Risk
11. MOC
12. Software to support required data management

2:45 – 3:00pm CENTRAL TIME

Q&A, OPEN DISCUSSION AND WRAP UP

Documents

9/3/2021

Recording: How to build a DSNP in your own plan
Alliance health plan leaders launching a DSNP plan, or those growing the ones already in place, can't miss this virtual workshop led by government programs expert Shelley Stevenson. Shelley takes Alliance member plans on a tactical journey of what, precisely, you are signing up for when you decide to stand up a DSNP. Join us for this extended session to ensure you don't miss a step.

8/30/2021

Case Management Software Criteria
Change Healthcare provides criteria and processes for CM software selection and planning.