Revamp operations in an era of reduced benefits, tighter budgets, an evolving yet more competitive landscape, lawsuits, retroactive regulatory changes, an industry wide Star Rating result recalculation, and multiple pending program specification changes
Build a strong foundation that will grow into a program that doesn’t succumb to the unpredictable changes, but rather embraces them and rises to the occasion to ensure creativity and innovation keeps your plan on top
Examine the new 2025 Math Path with new measures and the Health Equity Index – Plan, prioritize, implement
Manage member expectations and engage providers to support them to boost CAHPs & HOS scores
Harness the power of Medicare Advantage incentives and rewards to enhance stars ratings
Address unmet social care needs with a multi-modal screening ecosystem built to reach wide into the Medicare population
Get real-life implementation tools and strategies to address the health equity index – move beyond collecting data? How to prepare for the future even if your plan doesn’t currently qualify
Get in front of chart review to improve Transitions of Care
Create cross functional workgroups -- Communicating Inter-departmentally and with Leadership
Effectively manage multiple vendors to negotiate, integrate, and navigate the inevitable “hiccups,” and reset expectations for new needs of MA/Stars including heightened compliance and new and evolving regulations
Collaborate with peers to brainstorm and prioritize solutions for critical challenges and emerging needs during small group, topic-specific interactive round tables