The 5th Annual Medicaid Summit

As the Star Ratings program evolves, health plans must align their goals and design their products to match those changes. This workshop analyzes the indications of potential changes announced in the Draft Call Letter as well as the most recent regulatory changes made in the official 2016 Call Letter, and explores the potential of Dual Eligible plans joining the Star Ratings program, and steps to improve ratings.

• Review changes that were stated in the 2016 Call Letter to the Star Ratings for Medicare Advantage plans
• Discuss the impact that serving low-income and disadvantaged populations has on Star Ratings
• Investigate the policy changes made to Medicare and Star Ratings over the years to gauge where potential policy changes could take place
• Discuss the potential change to Star Ratings that would include Dual Eligible Plans and D-SNPs
• Explore what the model of Star Ratings for Dual Eligible plans would look like to gain a closer look at bonuses and penalties
• Learn how Dual Eligible members within a Medicare Advantage plan affect Star Ratings
• Examine the impact that Dual Eligibles have on the business strategy for Star Ratings and product implementation

The implementation of the ACA has created new opportunities and challenges for the Medicaid and commercial populations. Learn how improving eligibility operations, improving education, and improving churn transitions can improve consumer experience, engagement, and stickiness.

• Discuss the issue of churn and how it impacts states, payers, and patients across the country
• Discover best practices in churn management within the marketplace
• Outline the steps to ensure a seamless transition from commercial to government sponsored insurance
• Evaluate the impact consumer experience has on utilization, engagement, and costs
• Assess eligibility requirements and the technology that can improve business operations, consumer experience, and seamlessness