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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


Platinum


Silver

 


 

Thank you to our event sponsors


Platinum


Silver

 



 

Thank you to our event sponsors


Platinum


Silver

 


Registration
ALLIANCE MEMBER
Fee End Date Description Amount
2/7/2020 choose this option if you are an employee of an Alliance member health plan or provider affiliate MEMBER PASS
ALLIANCE GUEST
Fee End Date Description Amount
2/7/2020 choose this option if you're not an Alliance member, but have been invited to attend this meeting GUEST PASS
SPEAKER
Fee End Date Description Amount
2/7/2020 choose this option if you are a member of the event speaking faculty SPEAKER PASS
SPONSOR
Fee End Date Description Amount
2/7/2020 choose this option if you are using a sponsor pass SPONSOR PASS
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
1/15/2020

2020 Medicare Advantage Collaborative Flier
Send your team to this 2020 leadership workshop series to learn from other Medicare Advantage plan leaders, kick the tires on new ideas, and compare notes with new entrants.

1/15/2020

Agenda MA Product Design Feb 2020
Just updated! Download the 2020 MA Product Design Fly-in Agenda and learn about the kick-off event for our 2020 MA programming. We packed in 4 health plan case studies, a fresh study from Deft research, plus expert analysis on the draft call letter, MA benefit landscape -- and what it means for regional health plans. It's the most value you'll ever get from 2 days out of the office. Don't miss it.

1/15/2020

Agenda MA Product Design Feb 2020
Just updated! Download the 2020 MA Product Design Fly-in Agenda and learn about the kick-off event for our 2020 MA programming. We packed in 4 health plan case studies, a fresh study from Deft research, plus expert analysis on the draft call letter, MA benefit landscape -- and what it means for regional health plans. It's the most value you'll ever get from 2 days out of the office. Don't miss it.

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 Programs at Network Health
  • Jim Decker
  • ALLIANCE MEMBER
  • Director, Medicare, Individual and Small Group Sales at Presbyterian Health Plan
  • Jean Detwiler
  • ALLIANCE MEMBER
  • Director Medicare Product Oversight at Health Alliance Plan (HAP)
  • 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 - Government Programs at AdventHealth (FHHS)
  • Mary Ingram
  • ALLIANCE MEMBER
  • Actuarial Services Director at Western Health Advantage
  • 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
  • Mary Millar
  • ALLIANCE MEMBER
  • Vice President, Corporate Services at CHRISTUS Health Plan
  • Mark Mixer
  • ALLIANCE MEMBER
  • Chief Executive Officer at Alliant Health Plans
  • David Mocek
  • ALLIANCE MEMBER
  • Finance Manager at Care N' Care Insurance Company, Inc.
  • Debra Nuckols
  • ALLIANCE MEMBER
  • Medicare Product Director at Western Health Advantage
  • Kate Parker
  • ALLIANCE MEMBER
  • Director, Consumer & Government Products at Avera Health Plans (DAKOTACARE)
  • Joseph Polley
  • ALLIANCE MEMBER
  • Chief Actuary at Indiana University Health Plans
  • Peng Qian
  • ALLIANCE MEMBER
  • Analyst at Health Alliance Plan (HAP)
  • Jenny Reed
  • ALLIANCE MEMBER
  • VP of Comprehensive Care Management at Baylor Scott & White Health
  • 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
  • Director of New business and consumer solutions at Health Alliance Plan (HAP)
  • Kristy Stephens
  • ALLIANCE MEMBER
  • Director of Proposal Development at Fluent Health
  • 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
  • Mike Adelberg
  • SPEAKER
  • Principal and Healthcare Strategy Practice Leader at FaegreBD Consulting
  • 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
  • Liz Logan
  • SPONSOR
  • Director Government Solutions at Cognizant
  • Gail Winslow
  • SPONSOR
  • Director of Marketing Communications at HealthEdge
Speakers