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

Sponsor

Vendor

Thank you to our event sponsors

Sponsor

Vendor

Thank you to our event sponsors

Sponsor

Vendor

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

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

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2/7/2020

Your Provider Network: The Other Side of Product Innovation
Fagre Dinker Consulting outline opportunities to innovate and transform MA provider networks to improve outcomes, reward efficiency, and support enrollment. Shared durign the Medicare Advantage Product Design Fly-In in February, 2020.

2/7/2020

Survey says! Consumer reactions and buying behavior during 2020 AEP
Deft Research provides an overview of the most recent AEP study, with a focus on how MA beneficiaries are shopping and what drives their purchasing decisions. Presented at the Medicare Advantage Product Design Fly-In in February, 2020.

2/7/2020

Health Alliance: MA Provider Partnership Strategies
Health Alliance shares an overview of their MA provider partnership strategies during the February 2020 Medicare Advantage Product Design Fly-In.

2/5/2020

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

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.

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