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Medicare Advantage Product Design & Implementation

Event Date: 2/10/2020 - 2/11/2020

Event Overview


  

The initial excitement of flexible benefit options is behind us now.  Results of the CMMI demos are now available, and the implementation challenges of non-clinical interventions, micro-segmentation and products designed to change behavior are front and center.  Medicare Advantage (MA) leaders from Alliance plans across the country convene to share lessons learned and get Alliance colleagues’ feedback on their latest MA challenges and ideas. Hear how Alliance members are differentiating themselves in their markets, driving MA growth, and supporting the organization’s goals for quality, advanced payment models, and population health.

 


 

Event Highlights

  • HOT OFF THE PRESS
    Deft Research shares their 2020 AEP Study Results with Alliance members.  Special focus is given to benefit design and how supplemental benefits offered influenced shopping and switching behavior among seniors.

  • WHERE THE RUBBER MEETS THE ROAD
    How can your plan clearly communicate these benefits when you go to market? At every step of the enrollment process, you risk confusing your potential members and creating dissatisfaction. In this session, we focus on how these “smart” benefits can be thoughtfully translated to intelligent sales and marketing strategies.

  • SMALL GROUP BREAK OUTS – CHOOSE YOUR OWN ADVENTURE!
    Whether you need a deeper dive into DSNPs or DSNP-look alikes, want to compare notes on benefit administration mine fields, or are seriously exploring VBID and want to hear from others doing the same thing, these focused, facilitated discussion groups give you an opportunity to get the 411 on the hot button issue your team is focused on most.

 



Consider joining this MA benefit design study

Alliance friends Mike Adelberg (former director of Medicare Advantage Operations at CMS, now at Faegre Baker Daniels) and Tim Murray (a senior Medicare Advantage actuary at Wakely Consulting), are again putting together a coalition of health plans interested in innovating their products and embracing the new Medicare Advantage benefit flexibilities.
 
In 2019, the Alliance sponsored a coalition of 23 member health plans to form the MASBC project. This year, Mike and Tim are assembling a smaller and more participatory coalition that will offer plans a variety of new services, including:

  • Each participating plan will select one or more benefit scenario that it wishes have actuarially modeled and supported with compliance/implementation tips

  • Wakely will draft a memo, in consultation with the plan’s actuary (if willing/interested), that will evaluate and project, assuming sufficient data availability (and/or academic studies), utilization savings that the benefit can potentially deliver – potentially permitting utilization savings to be built into the plan’s bids (potentially offsetting the cost of these additional benefits)

  • Participating plans will also have access to:      
    • a rapidly growing database of benefit innovation publications (nearly 200 publications as of today) for identifying best practices and informing decision making
    • a list of vendors currently providing innovative benefits and services to MA plans
    • a customized report on MA plan use of requested benefits (plans offering the benefit, use of cost sharing and utilization controls, linkages to chronic conditions, etc.)

If interested in learning more, contact Kristin Rodriguez for an introduction to the project leads. 

 



Who should attend

This meeting is only for Health Plan Alliance members or by invitation only.
MA health plan leaders responsible for product design and strategy
MA product owners and leaders responsible for your bid preparation and submission
Marketing and sales leaders with responsibility for your organization's growth strategy 
Health plans launching a Medicare Advantage product in 2021 or beyond
Stars and quality leaders working with product design teams to support your plan's quality goals


Alliance member health system and/or provider groups are also invited attend.



 

Thank you to our event sponsors


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Thank you to our event sponsors


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Thank you to our event sponsors


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Agenda

For a printable, detailed agenda go to the Documents tab above (coming soon)

AGENDA AT A GLANCE (updated January 15, 2020)

 

MON, FEB 10

1:00

 

Attendees check in and badge pick up

 

1:20

Welcome!

1:45

State of play: MA benefit trends from health plans big and small

2:45

Health plan perspective: Lessons learned in 2019 and new trials in 2020

3:45

Break

4:15

Survey says! Consumer reactions and buying behavior during 2020 AEP

4:30

Vendor fair participants check in, badge pick up, and table set up

6:00

Networking reception and strolling dinner at the Vendor Fair

TUES, FEB 11

7:00

Breakfast: hosted at the Aloft hotel

8:00

Welcome back!

8:30

CMS draft call letter: Analysis, expectations and implications

9:45

Break

10:15

Don’t Forget Your Provider Network: The Other Side of Product Innovation

11:30

Lunch

12:30

Where, oh, where will my rebate dollars go?

1:30

What Sun Tzu can teach us about MA Plan Design: Combining art, science and data to win in your market

2:30

Wrap up and Adjourn

Venue

Las Colinas, TX

Meeting is being held at the Health Plan Alliance Headquarters

290 E. John Carpenter Freeway, Bldg 1
Irving, TX 75062


Hotel information

Aloft Las Colinas

122 E John Carpenter Fwy
Irving, TX 75062
972.717.6100
Website

Our group rate is $149 call or go online to make your reservation by January 20th.  If you have trouble booking a room contact Denise Venegas at 972.819.1217 or dvenegas@quorumhotels.com  and she will be happy to assist you.

 

 

Attire

Business casual attire is appropriate for the meeting.  Remember that the hotel meeting room temperatures vary, so we recommend that you layer clothing to be comfortable in case the room becomes either hot or cold.


Ground transportation

Taxi from the Dallas/Ft Worth International airport and Love Field airport is approximately $25 one-way.  UberX is $17-20.  The hotels above provide a shuttle to the Alliance office at 290 E John Carpenter Fwy, Bldg 1, which is where the meeting will be held.



Dallas weather

View the latest weather forecast.
Documents
3/16/2020

Overview of Wakely Medicare Advantage Competitive Analysis Tool
Wakely provides information about their Medicare Advantage Competitive Analysis tool showing what plans are offering at a market, county, plan design and plan type level.

3/16/2020

Wakely Medicare Advantage Competitve Analysis Dashboard
Wakely provides a features summary of their Medicare Advantage Competitive Analysis Tool showing supplemental benefits offered in 2020 by market, county, plan design and plan type.

3/16/2020

Grid of Alliance Member Supplemental Benefits 2020
Wakely provides a summary of 2020 Medicare Advantage supplemental benefits offered by Health Plan Alliance members.

3/1/2020

Video: How does Provider-Sponsored Plan Performance Compare to the Industry?
Pareto Intelligence analyzed the initial data released post-Annual Enrollment Period (AEP) for Medicare Advantage (MA) plans and found significant growth, as well as areas of opportunity, for Health Plan Alliance (Alliance) member health plans.

2/11/2020

MA Plan Design: Combining art, science and data to win in your market
Care 'N Care Insurance and Carrot Health share a case study on MA product design that incorporates art, science and data. Presented at the MA Product Design and Implementation Fly-In in February 2020.

2/11/2020

Where will my rebate dollars go?
Implications of landmark benefit flexibilities (rebate-neutral) are explored by Wakely during the MA Product Design and Implementation Fly-In in February 2020.

2/11/2020

CMS draft call letter: Analysis, expectations and implications
Sheppard Mullin shares an analysis and implications of the CMS draft call letter during the MA Product Design and Implementation Fly-in held in February 2020.

2/10/2020

Medicare Advantage AEP Infographic 2020
Post-annual enrollment period stats for Medicare Advantage from Pareto Intelligence. Shared at the MA Product Design and Implementation Fly-In in February 2020.

2/10/2020

MA Benefits Trends from Health Plans Big and Small-Gorman
Gorman Health Group provides an overview of key trends in Medicare Advantage during the MA Product Deisgn and Implementation Fly-In i nFebruary 2020.

2/7/2020

MA benefit trends from health plans big and small
Gorman Health Group and Pareto provide an overiew of MA trends and differentiated product strategies from 2020 AEP and highlight what plans can expect from competitors heading into 202. Presented at the MA Product Strategy Fly-In in February 2020.

Attendees

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

  • Stephanie Belue
  • ALLIANCE MEMBER
  • Manager of Quality Assurance, Risk Management, and Training at Alliant Health Plans
  • Elizabeth Benz
  • ALLIANCE MEMBER
  • Vice President Government Relations and Product Development at Network Health
  • Scott Hancock
  • ALLIANCE MEMBER
  • VP of Sales and Operations at Care N' Care Insurance Company, Inc.
  • Erin Heckethorn
  • ALLIANCE MEMBER
  • Director of Compliance and Product Management at FirstCarolinaCare Insurance Company
  • Susan Herbert
  • ALLIANCE MEMBER
  • Director, Health Plan Integration & Development at AdventHealth (FHHS)
  • Kristen Just
  • ALLIANCE MEMBER
  • Manager of Strategy at Health First Health Plans
  • Wendy Karsten
  • ALLIANCE MEMBER
  • CEO at Care N' Care Insurance Company, Inc.
  • Joleen Katula
  • ALLIANCE MEMBER
  • Vice President of Operations at HealthTeam Advantage
  • Michele Lehuta
  • ALLIANCE MEMBER
  • Government Programs Director at Western Health Advantage
  • Erin Malone
  • ALLIANCE MEMBER
  • Director - Customer Care at Alliant Health Plans
  • Kelly McEver
  • ALLIANCE MEMBER
  • Manager, Medicare & Individual Marketing at CommunityCare
  • Javier Mendoza
  • ALLIANCE MEMBER
  • Vice President, Product Mgmt. & Regulatory Affairs at AvMed
  • Debra Nuckols
  • ALLIANCE MEMBER
  • Medicare Compliance Director at Western Health Advantage
  • Kate Parker
  • ALLIANCE MEMBER
  • Director, Consumer & Government Products at Avera Health Plans (DAKOTACARE)
  • Bridgett Quest
  • ALLIANCE MEMBER
  • Manager Product Development at Samaritan Health Plans
  • Jenny Reed
  • ALLIANCE MEMBER
  • VP of Comprehensive Care Management at Baylor Scott & White Health
  • Victor Richey
  • ALLIANCE MEMBER
  • SVP IT Operations at Scott & White Health Plan
  • Stephanie Rogers
  • ALLIANCE MEMBER
  • VP, Government Programs at Scott & White Health Plan
  • David Sand
  • ALLIANCE MEMBER
  • Chief Medical Officer at Care N' Care Insurance Company, Inc.
  • Steve Selinsky
  • ALLIANCE MEMBER
  • VP Product Strategy, Marketing and Community Outreach at Health Alliance Plan (HAP)
  • Denise Severson
  • ALLIANCE MEMBER
  • Compliance Manager / Compliance Officer at Samaritan Health Plans
  • Paul Sherman
  • ALLIANCE MEMBER
  • Chief Medical Officer at Community Health Plan of Washington
  • Josiah Sutton
  • ALLIANCE MEMBER
  • Vice President, Marketing and Business Development at CommunityCare
  • April Walters
  • ALLIANCE MEMBER
  • Plan Development Specialist at Alliant Health Plans
  • Monica Wetzel
  • ALLIANCE MEMBER
  • Director, Product Development and Market Intelligence at Health Alliance Medical Plans
  • Sam Wu
  • ALLIANCE MEMBER
  • Actuary Medicare at Health Alliance Medical Plans
  • Jessi Aakre
  • SPEAKER
  • Customer Solutions Manager at Carrot Health, Inc.
  • Mike Adelberg
  • SPEAKER
  • Principal and Healthcare Strategy Practice Leader at Faegre Drinker Biddle & Reath LLP
  • Jeff De Los Reyes
  • SPEAKER
  • SVP, Risk Adjustment and Analytics Solutions at Gorman Health Group
  • George Dippel
  • SPEAKER
  • Senior Vice President, Client Services at Deft Research
  • Ivy Dong
  • SPEAKER
  • Senior Consulting Actuary at Wakely Consulting Group
  • Brian Dwyer
  • SPEAKER
  • Business Development Executive at Carrot Health, Inc.
  • Jeff Fox
  • SPEAKER
  • President at Gorman Health Group
  • Tim Murray
  • SPEAKER
  • Director & Senior Consulting Actuary at Wakely Consulting Group
  • John Steele
  • SPEAKER
  • Managing Partner at HealthScape Advisors, LLC
  • Shelley Stevenson
  • SPEAKER
  • Director, Government Programs Practice at Change Healthcare Consulting
  • Gail Winslow
  • SPONSOR
  • Director of Marketing Communications at HealthEdge
Speakers