Two Co-Located Events: Quality and Medicare Value Visit 2017

Event Date: 7/18/2017 - 7/21/2017

Event Overview

Visit the documents tab to access the archived event presentations and podcasts.

People networking at conference

Two events in one, tackling the biggest challenges facing Medicare plans and quality departments

Hosted by Physician's Plus and Quartz Health Solutions

Download the event presentations and podcasts for in-depth information on:

Everything from quality improvement to provider contracting to operational excellence and product stability
How to ensure your organization is in lock-step with NCQA and CMS Stars expectations
Re-energizing your efforts to engage providers in quality, Stars and risk adjustment initiatives
How other health plans are tackling provider directory requirements
Growth strategies and product design approaches that take into account VBID and MACRA

Member Testimonials

What a great week! I learned so much and loved the engaged and interactive format of the meeting.

Amy Sepko
Health New England

Great conference. I hope to return each year. I got some amazing information.

Star Christensen
SelectHealth

Appreciate the opportunity to network with other like professionals on quality. Learned much! Have lots of ideas and contacts!

Mary Alice Brosseau
CommunityCare

I appreciate the Case Studies and practical application shared to move the quality needle. I always walk away with new ideas and motivation to implement.

Lisa Johnston
Alliant Health Plans

ABOUT THE EVENT

Achieving your organization's quality goals
July 18 - 19*

Leaders in health plan Quality management programs came together July 18-19 for education and networking on key issues related to quality management program structure, shifting accreditation requirements and Stars improvement strategies.

Audience:

Leaders in your plans' quality management programs including program directors and managers.
Provider partner representatives, i.e., medical group and/or health system with an interest in quality improvement efforts of the health plan.
Stakeholders involved with NCQA accreditation activities
Individual with responsibility for developing and implementing HEDIS, CAHPS, HOS improvement initiatives
Network management and data analytics teams responsible for provider engagement strategies to drive improved health care quality

Operationalizing your Medicare Advantage strategy
July 19* - 21

Medicare Advantage leaders and stakeholders convened July 19 - 21 to discuss challenges in MA product design, operationalizing growth strategies, and keeping pace with the shifting regulatory environment.

Shared MA marketing materials

Each year, attendees from member health plans across the country bring their Medicare marketing materials samples to the Medicare Advantage value visit. Throughout the year you can continue to share your samples with your Alliance peers by adding your samples to the knowledge center.

Audience:

Leaders of your organization's MA Product Line, including MA program managers and MA program directors
Leaders in MA product design, sales and marketing, provider contracting, and growth strategy development
Financial leaders with responsibility for revenue cycle optimization, including issues related to MSP and risk adjustment
Stakeholders in the member experience, including MA collateral and communications, member surveys, and engagement in Stars
Individuals with responsibility for provider directory management

Thank you to our event sponsors

SILVER SPONSORS

BRONZE SPONSORS

OTHER SPONSORS

Agenda

A detailed draft agenda is available for download via the documents tab noted above

This Agenda at a Glance was last updated May 31, 2017

• Quality Management Value Visit

• Medicare Advantage Value Visit

	TUESDAY, JULY 18^th
•	8:00am	Breakfast
•	8:30 – 9:00am	Welcome and introductions
•	9:00 – 10:30am	Organizational structures for quality activities
•	10:30 – 10:45am	Break
•	10:45 – 12:00pm	Creating a culture of quality improvement and effectively integrating quality initiatives across your plan/system
•	12:00 – 1:00pm	Lunch
•	1:00 – 2:00pm	Review of proposed NCQA health plan accreditation standards for 2018
•	2:00 – 3:00pm	Navigating key NCQA 2017 and 2018 health plan standards changes, part 1
	3:00 – 3:30pm	Break
•	3:30 – 4:15pm	Navigating key NCQA 2017 and 2018 health plan standards changes, part 2
	4:15 – 4:45pm	Tools and resources to manage the NCQA workflow process
•	4:45 – 5:15pm	Review of quality survey results and next steps for quality programming
•	6:00pm	Reception
	WEDNESDAY, JULY 19^th
••	7:30am	Breakfast
••	8:00 – 8:30am	Welcome and Introductions
••	8:30 – 9:30am	Government programs and quality program synergies: Leveraging your investments across product lines
••	9:30 –9:45am	Break
••	9:45 – 11:00am	Emerging trends in Star ratings to improve 2018 scores
••	11:00 – 12:30pm	Peoples Health Case study: Developing provider partnerships that align stars, risk adjustment and outcomes
••	12:30 – 1:30pm	Lunch
••	1:30 – 3:00pm	CommunityCare Case study: Provider engagement strategies to support both Star ratings and risk adjustment initiatives
••	3:00 –3:30pm	Break
••	3:30 – 4:45pm	Quartz Case study: A collaborative quality improvement model
••	6:30pm	Dinner
	THURSDAY, JULY 20^th
•	7:30 – 8:00am	Breakfast
•	8:00 – 9:15am	Paramount Case study: Their multi-pronged approach to improving the financial performance of their MA product
•	9:15 – 9:30am	Break
•	9:30 – 10:45am	Understanding and operationalizing provider directory regulations
•	10:45 – 12:00pm	Johns Hopkins Case study: Infrastructure investments critical to positioning for the next generation of MA
•	12:00 – 1:00pm	Lunch
•	1:00 – 2:15pm	Closing the time gap between diagnosis and risk forecasting: Empowering providers to manage risk
•	2:15 – 2:45pm	Break
•	2:45 – 3:45pm	Case study: Making member communications management work better, for you AND your MA members
•	3:45 – 4:45pm	Innovation session: Blending enrollment with onboarding and care management phases
•	4:45 – 5:00pm	Wrap up
•	6:30pm	Dinner
	FRIDAY, JULY 21^st
•	8:00 – 8:30am	Breakfast and MA Collateral show and tell – Open Discussion
•	8:30 – 10:00am	Quartz case study: Thinking beyond the sale -- Training your sales team to get the member connected to the health plan right from the start
•	10:00 – 10:15am	Break
•	10:15 – 11:45am	Case study: A new approach to member acquisition that brings internal stakeholders to the table
•	11:45 – 12:45pm	Lunch
•	12:45 – 2:00pm	Maximizing your Medicare Portfolio
•	2:00 – 2:30pm	Open discussion and wrap up
•	2:30pm	Event adjourns

Venue

edgewater

The Edgewater Hotel
1001 Wisconsin Place
Madison, WI 53703
608.535.8200

Our room rate is $195 plus taxes/fees. Internet access in the guest rooms is complimentary. This rate may be available three days prior and three days after our meeting dates, depending on the hotel's availability. You should call the reservations department at 608.535.8200 and ask for the Health Plan Alliance (HPA) room rate. You must call the hotel by Monday, June 26, 2017 in order to receive our group room rate. Should you call after this deadline, you will not be guaranteed to receive our group room rate or the hotel may be sold out. Please note that the group block could sell out before this date.

DRESS
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
The hotel is about 3 miles from Dane County Regional Airport (DCRA) and is approximately a 10 minute drive. Taxi service is available for an estimated $20 one way. Self parking is $18. Valet parking is $25 includes in/out privileges. For more transportation information click here.

MADISON WEATHER
Click here for the latest weather forecast.

Special Events

MA Marketing Materials: Show and tell

Share your member materials!

Each year, attendees from member health plans across the country bring their Medicare marketing materials samples to the Medicare Advantage value visit. Plan on bringing examples of your own plan’s good work! See below for details, or reach out to Kristin Rodriguez with any questions.

The WHO:
All value visit attendees are invited to bring copies of your health plan’s member communication materials to Madison. Even if you’re not directly responsible for sales and marketing development at your plan, we encourage you to coordinate with your organization’s stakeholders to arrange for sharing 50 copies of your samples (enough for 1 sample per attending health plan). Thank you in advance for participating! We can all learn from each other.

The WHAT:
Any member-facing piece is encouraged! Direct mail, advertising slicks, brochures of course – and don’t forget Postcards reminding your members to get flu shots, or any other campaign you’ve built to support Stars objectives. If the piece is seen by your members, we’d love you to share it with your Health Plan Alliance colleagues.

The HOW:
Ship your materials directly to the Edgewater Hotel with an arrival date of July 17th.
Your package label should read:

ATTN: Patrice Snowden
Health Plan Alliance meeting
The Edgewater Hotel
1001 Wisconsin Place
Madison, WI 53703

The WHEN:
All contributed materials will be placed on a table in the meeting room July 19-21 and FedEx boxes will be provided for interested attendees to fill and ship, heavy with ideas and samples, back to their offices.

Documents

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8/14/2017

Audio: Johns Hopkins Case Study: Plotting out a pathway to risk
In this case study presentation at the 2017 Medicare Advantage Value Visit, Johns Hopkins leaders share their strategic vision for the organization’s “pathway to risk” – how they are laying plans and making investments to prepare the health plan for successfully administering VBP structures. Presenters discuss their pathway and its guiding principles and what elements need to be at risk. In addition, they share what they’ve identified as the fundamentals of assessing providers’ risk readiness and the tools and education they are developing to support provider transformation – especially in the MA business.

8/14/2017

Audio: Innovation Session: Blending enrollment with onboarding and care management phases
Many beneficiaries newly enrolling in MA do not participate in important Care Management programs, due primarily to the limited success of costly health plan engagement efforts. This session explores how process, technology and focused public/private collaboration can quickly address this shortcoming, beginning at the Point of Sale. In a new pilot approved by CMS for the 2018 AEP, Bloom Insurance Agency is testing the theory that gathering health status (HRA) and a complete provider and Rx profile in conjunction with the enrollment, will result in more seamless, efficient and effective care and a more loyal member from day one. In this session, Bloom shares details about the program’s goals, feedback from CMS thus far, and how they see sales, compliance, and quality all coming together for a better member experience and more efficient use of health plan resources.

8/14/2017

Audio: Case Study: Making member communication management work better, for you AND your MA members
In this case study presentation at the 2017 Medicare Advantage Value Visit from HNE, they detail their journey to implementing a benefit plan management solution. From prioritizing the pain points they wanted to address, to searching for and choosing the right vendor partner, HNE shares their lessons learned throughout the process. Plus, learn about the short and long term goals of the solution, from developing a “source of truth” for benefit information to reducing manual processes related to compliance documents, particularly for the MA product line.

8/14/2017

Audio: Closing the time gap between diagnosis and risk forecasting: Empowering providers to manage risk
With industry policymakers and regulators continuously encouraging providers to take on risk, health plans that proactively support their provider partners by providing access to timely risk adjustment and quality scores data will become invaluable resources. In this session from Jim Corbett of Dynamic Healthcare Systems at the 2017 Medicare Advantage Value Visit , we explore new innovations in risk score forecasting and EHR integration that have an eye on helping providers succeed when it comes to taking risk.

8/14/2017

Audio: Quartz case study: Thinking beyond the sale -- Training your sales team to get the member connected to the health plan right from the start
One of the only health plans with a five star rating since the program’s inception, Quartz (previously Gundersen) has developed a unique sales approach that is less about “selling” to prospective members, but is more focused on connecting that member to the health plan’s rich customer service resources, right from the start. In this case study at the 2017 Medicare Advantage Value Visit, Quartz VP of Sales Greg Skemp outlines the philosophy of their approach, how they train their sales staff, and the member journey from that first conversation all the way to their first PCP appointment.

8/14/2017

Audio: HAP Case Study: A new approach to member acquisition that brings internal stakeholders to the table
In this case study at the2017 Medicare Advantage Value Visit from Health Alliance Plan, leaders discuss the evolution in their marketing and sales departments: How they’ve developed new workflow processes and approaches to member acquisition that engages everyone on the team, both during AEP and throughout the year.

8/13/2017

Audio: Organizational structures for quality activities
At the 2017 Quality Value Visit, leaders from Health Alliance Medical Plans, Network Health Plan, and Quartz share an overview of their plans’ organizational structures for Quality Management activities including functional responsibilities, staffing levels, and reporting structures for their programs.

8/13/2017

Audio: Creating a culture of quality improvement and effectively integrating quality initiatives across your plan/system
During this session at the 2017 Quality Value Visit, David Larsen of SelectHealth and Joy Gebhard of Avera share how their organizations have developed an integrated approach to the management of quality initiatives across their plan and system. Both speakers referenced the need for a leadership driven culture of quality improvement for ultimate success

8/13/2017

Audio: Review of new NCQA health plan standards for 2018
During this session at the 2017 Quality Value Visit, Natalie Mueller, Product Manager with NCQA reviewed the draft 2018 new Health Plan requirements with a focus on NCQA’s Population Health Management requirements, known information about changes NCQA made between the release of the draft standards and release of the final approved standards.

8/13/2017

Audio: Navigating Key NCQA 2017 and 2018 Health Plan Standards Changes
Carol Delage, President of Tashidy Corporation led a workshop with the attendees at the 2017 Quality Value Visit to help us understand key updates to the 2017 Health Plan standards and identify operational impacts, including NCQA’s reverting to the historical medical necessity denial decision definition and impact on file review; plans for 2017 surveys on UM 4H and the appropriate classification of decisions and key areas of surveyor emphasis outlined in 2017 NCQA Surveyor Training. Carol also discussed the implications of the draft 2018 Health Plan standards changes, with a main focus on the new Population Health Management requirements and what types of actions are needed to demonstrate compliance

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