Sunday, October 22, Intensives Overview
For the Fall Forum 2023, the SNP Alliance is offering a new educational opportunity for meeting participants. On Sunday, October 22, 1:00PM -- 4:00PM, two intensives are being offered. Registration for these intensives is separate from full meeting registration with an additional registration fee. To ensure participants' additional resources are well invested, registration lists will be checked on site to ensure only registered participants participate in the intensive. Onsite registration for the intensives is not available. Two intensives are offered:
Intensive Option 1: Special Needs Plan 101 - Plan Development & Bid Submission Overview
Special Needs Plan experts will provide an in-depth overview of Special Needs Plans including differences among the types of plans and options to form a special needs plan including standalone development and partnership development. Speakers also will discuss the financial resources, organizational infrastructure, culture change decisions, and business strategic information collection and accompanying analysis including market study approaches. An overview of plan bid submission will be provided including product and services, model of care development, care management, network development and other key components needed for the submission to CMS. Additionally, speakers will go into detail on the actuarial analysis needed for Special Needs Plan viability assessment as well as bid submission to CMS.
Learning Objectives:
- Understand SNP Basics
- Learn About SNP Product Design
- Understand the Basics of Bid Development
Speakers:
Mike Cheek, SNP Alliance President and CEO, Facilitator
Jill Sumner, Plan Design Development Designs
Nicholas Johson, FSA, MAAA, Principal & Consulting Actuary, Milliman
David Koenig, FSA, MAAA, Principal & Consulting Actuary, Milliman
SNP Alliance Board Members -- Lessons Learned
SNP Alliance Member - $100
SNP Alliance Non-Member - $200
Intensive Option 2: The Art & Science of Engaging & Evaluating Solutions to Complex Social Risk Issues for Duals -- Experienced Plan Insights and Discussion
SNPs and MMPs have been working with partner organizations for many years to address social risk issues such as food insecurity, housing instability, transportation difficulties, and social isolation for their dual members. Areas of continued work are: engaging the individual, aligning efforts with providers/CBOs, and evaluating results through multi-source data analytics. As plans collaborate and partner with providers, CBOs, and communities, they learn what works and what doesn’t and modify their approaches. This intensive will provide a framework and foundation to understanding the issues, and feature industry and health plan experts sharing expertise. Through a combination of presentation, facilitated discussion, and Q&A, everyone attending will participate.
Learning Objectives:
- Understand current status around screening and addressing social risk issues for dual plans
- Learn barriers and strategies for engaging dual members (beneficiaries)
- Describe approaches for evaluating results and recommendations for using data analytics to assess impact
Speakers:
Deborah Paone, DrPH, MHSA, Performance Evaluation Lead & Policy Consultant, SNP Alliance
Ellen Breslin, MPA, Principal, Health Management Associates – Boston office
Jorie Epstein-Mares, Senior Director Community Health and Clinical Partnerships, Commonwealth Care Alliance
Catylyn Finlay, SDOH Strategy & Development Director, Commonwealth Care Alliance
Marisa Scala-Foley, Director, Aging and Disability Business Institute, US Aging
SNP Alliance Member - $100
SNP Alliance Non-Member - $200
SNP Alliance Member - $100
SNP Alliance Non-Member - $200