2023 Medicare Advantage Congress

May 4-5, 2023 * JW Marriott Orlando Bonnet Creek * Orlando, FL

2023 Medicare Advantage Congress

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About the Conference:

Medicare Advantage (MA) has steadily grown. In 2022, more than 28 million enrolled in a Medicare Advantage plan, accounting for nearly half or 48 percent of the eligible Medicare population, and $427 billion (or 55%) of total federal Medicare spending.

Below the surface, though, lie difficult dynamics and increasingly tough competition. Large incumbents, along with powerful regional players, have built strong defenses. New entrants must develop a compelling value case to gain a foothold, much less seize significant share. There’s plenty to attract payers to Medicare Advantage. But playing the game at a winning level requires a defined strategy that is consistent with the organization’s core competencies, and a substantial degree of commitment. In this competitive arena, management teams must carefully assess their opportunities. This conference will explore what health plans need to know to get into the market or increase their current share, as well as how to prepare for a Medicare Advantage boom.

 

 

Who Should Attend?

From Health Plans/Health Systems/ Managed Care Organizations:

 

  • Chief Executive Officers
  • Chief Operating Officers
  • Chief Financial Officers
  • Chief Marketing Officers
  • Chief Medical Officers
  • Chief Strategy Officers
  • Chief Pharmacy Officers
  • Chief Information Officers

Also Presidents, Vice Presidents, Directors and Managers of:

  • Star Ratings
  • Medicare
  • Managed Care
  • Senior Products
  • Quality Improvement
  • Marketing
  • Compliance
  • Care Management
  • Operations
  • Strategy
  • Business Development
  • Regulatory Affairs
  • Risk Management
  • Utilization Management
  • Business Development
  • Medicare Stars
  • Medicare Advantage
  • Government Programs
  • Data & Analytics
  • Sales
  • Medical
  • Product Development
  • Finance
  • Quality
  • Value-Based Care
  • Disease Management
  • Community Health
  • Network Management
  • Pharmacy

Also of interest to Pharmacy Benefit Managers; Solution Providers; Healthcare Consultants; Vendors

 

Conference Agenda

Day One - Thursday, May 4, 2023

7:15am – 8:00am

Conference Registration and Networking Breakfast

 

8:00am – 8:15am

Chairperson’s Opening Remarks

 

8:15am – 9:00am

The Future of Medicare Advantage

With enrollment continuing to climb and plans offering more benefits than ever, Medicare Advantage has changed dramatically recently. Medicare Advantage will likely enroll the majority of beneficiaries by 2030, making it the dominant delivery system used in Medicare. This session will explore some key changes to MA plans, program updates, and how to navigate common billing and reimbursement concerns.

 

9:00am – 9:45am

How Medicare Advantage Plans are Reducing Readmissions

Savvy Medicare Advantage plans have stayed ahead of the curve and have found innovative ways to reduce hospital readmissions. Many have done so for all the right reasons – not because reducing readmission saves MA plans money but because readmissions reduction programs focus on taking better care of patients. This session will explore best practices for an integrated approach and how MA plans are spearheading this change in the healthcare delivery system.

 

9:45am – 10:15am

Networking and Refreshments Break

 

10:15am – 11:00am

What Clinicians Need to Know for Medicare Advantage Success

Medicare Advantage is quickly becoming the only government healthcare insurance game in town. And traditional Medicare is mutating into a non-pay for non-provable performance model. On multiple levels, traditional Medicare is a certain loser for clinicians. Fortunately, the clinical compensation possible through the Medicare Advantage program holds out the promise of being able to serve the patients who have no choice but to rely on government-sponsored healthcare while, at the same time, actually generating an equitable return on the clinician’s efforts. This session will explore what clinicians need to know for Medicare Advantage success. We’ll discuss how the program works and how it is applied to individual insurance contracts.

 

11:00am – 11:45am

Paving the Way to Equity

Disparities in health and healthcare persist despite decades of research and widespread efforts to improve health in the U.S. Certain populations – including racial and ethnic minorities, sexual and gender minorities, people with disabilities, and individuals living in rural areas – are more likely to experience worse health outcomes, limited access to healthcare services, and lower quality of care than the general population. These disparities are reflected among vulnerable Medicare beneficiaries. These individuals typically have lower preventive care utilization, limited access to chronic disease management, lower patient experience scores, and higher rates of hospital readmissions and chronic disease compared to their non-minority counterparts. Topics to be discussed in this session will include:

  • Increasing understanding and awareness of disparities
  • Developing and disseminating solutions to achieve health equity
  • Implementing sustainable actions to achieve health equity

 

11:45am – 12:30pm

Leveraging Analytics to Support Key Outcomes

Medicare Advantage plans are growing at a steady pace and enrollment has doubled over the last decade. And while the popularity of Medicare Advantage plans grows, the competition between plans is heating up. If your organization wants to succeed, you’ll need to find ways to drive higher Star Ratings. This session will explore advanced analytics capabilities that are helping plans expand market share, increase reimbursement rates, and address population health. Topics to be discussed will include:

  • How to leverage data to understand behaviors, preferences and lifestyles to help inform decisions around benefit design, health equity and member engagement
  • How artificial intelligence can support proactive care interventions and risk identification
  • How to optimize care efficiency and reduce avoidable costs

 

12:30pm – 1:30pm

Lunch Break

 

1:30pm – 2:15pm

Innovative Approaches to Addressing Social Determinants of Health for Medicare Advantage Beneficiaries

Medicare Advantage have increasingly turned their attention to addressing their beneficiaries' social determinants of health (SDOH), the non-medical factors that influence health outcomes. The focus on SDOH reflects broader trends in the U.S. healthcare system, including growing recognition that SDOH may have a more significant influence on health outcomes than clinical care and the increasing levels of social need within the Medicare population. Increased activity around SDOH also coincides with recent policy changes within Medicare Advantage, such as the opportunity to offer supplemental benefits that are not primarily health-related and new business and technology innovations from startups and companies focusing on the health sector. This session will assess the current landscape of SDOH services within Medicare Advantage; highlight best practices within the rapidly evolving operational environment; and identified policy recommendations to further enable health plans, providers and their community-based organization partners to address beneficiary social needs.

 

2:15pm – 3:15pm

Panel: Medicare Advantage and the Future of Value-Based Care

Approximately one-third of all beneficiaries choose Medicare Advantage insurance coverage. Since several private insurers offer MA coverage, resulting in an increasingly competitive marketplace for consumers. With competition comes lower costs. There has been broad support of the effort to align the incentives of the payer and provider by rewarding better value and outcomes rather than volume. This session will explore the role that Medicare Advantage is playing in delivering improved health outcomes, greater quality, and lower costs.

 

3:15pm – 3:45pm

Networking and Refreshments Break

 

3:45pm – 4:30pm

Benefit Design and Cost Sharing in Medicare Advantage Plans

Medicare Advantage plans compete for enrollees on the basis of the benefits they offer, their networks, the quality of their providers, and the premiums they charge. A plan’s cost sharing can be an important tool for managing care when applied to services that are discretionary in nature—in other words, when enrollees play more of a role in initiating care and determining how much to use. This session will explore how cost sharing can be one mechanism for steering plan members toward appropriate types and levels of care and help to constrain growth in premiums.

 

4:30pm – 5:15pm

The Role and Value of Supplemental Benefits in Medicare Advantage

The Medicare Advantage program launched in the 1980s as a means to expand access to coordinated care and comprehensive benefits, and to bring efficiencies and cost savings to Medicare by leveraging private-sector managed care. While important debate continues on the value of managed care generally, beneficiaries are overwhelmingly satisfied with Medicare Advantage, enrollment in the program is increasing year over year, and participating managed care plans are offering a rapidly growing array of new and innovative benefits. These innovative benefits are a key feature of the Medicare Advantage program that differentiates it from traditional Medicare and a key reason for the program’s popularity among Medicare beneficiaries. This session will explore current innovations and supplemental benefits MA plans should take into consideration.

 

5:15pm

End of Day One

Day Two – Tuesday, May 5, 2023

7:15am – 8:00am

Networking Breakfast

 

8:00am – 8:15am

Chairperson’s Recap

 

8:15am – 9:00am

The Impact of Star Ratings on Medicare Advantage

CMS has calculated and disseminated various quality measures for Medicare Advantage contracts. The rating system evolved over the time, culminating in an overall contract star rating system (from one to five stars). But the validity of these ratings remains unknown. Higher rated contracts tend to enroll healthier, and less socio-demographically disadvantaged beneficiaries and enrollees with worse health status disproportionately disenroll. It’s unknown whether contract performance ratings reflect a better quality of care, or if they are driven by favorable selection. This session will examine the effect of CMS-reported contract star ratings on MA plan enrollment and assess the association between publicly reported Medicare Advantage plan quality ratings and enrollment.

 

9:00am – 9:45am

Improving Patient-Centered Care

By 2030, one in five Americans will be at or above 65 years old, thus eligible for the country’s chief health insurance program, Medicare. This demographic shift has been a decades-long rallying cry of gerontologists, with experts arguing that the healthcare system needs to prepare for an aging population currently serving more than 50 million older Medicare beneficiaries. In a healthcare system fraught with burden, shortages and burnout, recent research shows Medicare Advantage may lead to better outcomes for older adults. This session will explore how to enhance health outcomes for older patients and for those who are aging into the demographic shift.

 

9:45am – 10:15am

Networking and Refreshments Break

 

10:15am – 11:00am

Medicare’s Mental Health Coverage: How COVID-19 Highlighted Gaps and Opportunities for Improvement

The COVID-19 pandemic increased psychological distress among U.S. adults and increased the need for mental health services among Medicare beneficiaries. This session will examine the burden of mental illness in the Medicare population and issues with mental health provider availability and payment. We’ll also explore evidence surrounding Medicare’s benefits and recent financing and delivery initiatives as they pertain to mental health. Finally, we will discuss Medicare’s mental healthcare successes in the context of COVID-19 and make recommendations for policy improvements and additional future research.

 

11:00am – 11:45am

Addressing Loneliness and Social Isolation in the Medicare Population

The health effects of social isolation and loneliness are costly and harmful. Social isolation results in $6.7 billion of additional healthcare costs each year among Medicare beneficiaries. This increased spending is driven by higher levels of hospitalization, emergency department visits, and nursing home placements. This session will explore initiatives to address social isolation among members and patients and improve health outcomes.

 

11:45am – 12:30pm

Leveraging the Power of Special Needs Plans to Support Growth and Profitability

This workshop will explore the opportunities available to Medicare Advantage plans to use the power and flexibility of MA Special Needs Plans (SNPs) to target special populations and grow membership. During the session, we’ll discuss strategic options for developing SNPs, how to build a state of art Model of Care and how, if managed appropriately, a SNP can contribute to an organization’s top line margin.

 

12:30pm

Conference Concludes

 

Workshop - Friday, May 5, 2023

12:45pm – 2:45pm

Workshop

Planning and Operational Considerations

This session will explore planning and operational considerations to address before initiating a successful Medicare Advantage plan. Hear about regulatory and compliance concerns, benefit structure, operational readiness, risk management, marketing and other key considerations. Other topics to be discussed will include:

  • Assessment of member opportunity, financial feasibility, operational capabilities, and capital requirements
  • Federal application requirements
  • Special Needs Plans

 

Venue

JW Marriott Orlando Grand Lakes
4040 Central Florida Pkwy
Orlando, FL 32837
407-206-2300

*Mention BRI Network to get discounted rate of $279/night

Sponsors and Exhibitors

 

FAQ

Are there group discounts available?

  • Yes – Register a group of 3 or more at the same time and receive an additional 10% off the registration fee

Are there discounts for Non-Profit/Government Organizations?

  • Yes – please call us at 800-743-8490 for special pricing

What is the cancellation policy?

  • Cancellations received 4 weeks prior to the event will receive a refund minus the administration fee of $225. Cancellation received less than 4 weeks prior to the event will receive a credit to a future event valid for one year.

Can the registration be transferred to a colleague?

  • Yes – please email us in writing at info@brinetwork.com with the colleague’s name and title

Where can I find information on the venue/accommodations?

  • Along with your registration receipt you will receive information on how to make your hotel reservations. You can also visit individual event page for specific hotel information. The conference fee does not include the cost of accommodations.

What is the suggested dress code?

  • Business casual. Meeting rooms can sometimes be cold so we recommend a sweater or light jacket
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