Washington, DC (PRWEB) March 11, 2014
The draft pay-rates notice and 2015 Call Letter that CMS released in late February contained a host of surprises for Medicare Advantage (MA) and Part D plans. While some are beneficial, others would make things worse for the insurers and their partners, and the impact of several of the potential changes is very uncertain. It’s therefore no wonder that estimates of the financial effect are all over the place, with some parts of the impact dependent on decisions CMS has yet to make. On March 20, participants of the Atlantic Information Services, Inc. webinar, “CMS’s ‘45-Day Notice’ and 2015 Call Letter: Implications and Strategies for MA and Part D Plans,” will learn what the documents mean for Medicare Advantage and Part D strategies and planning.
Patrick Dunks, principal and consulting actuary at Milliman, and William Nepple, senior manager in Deloitte & Touche’s Business Risk Advisory Practice, will analyze the 45-day notice and Call Letter, and discuss what changes CMS may consider before it issues the final documents in early April. In a lively 60-minute presentation, followed by 30 minutes of responses to individual questions, participants will get reliable answers to important questions such as:
- What do the spending trend factors released in the 45-day notice mean for MA plan payments — and enrollment — in 2015 and beyond?
- How much would the big change in the fee-for-service normalization factor and the delay in completing the move to the new risk-adjustment system help MA insurers?
- How will CMS wind up determining whether health risk assessments (HRAs) and other home-performed services generating diagnoses may be used for payment purposes, and what impact will this have on MA plans?
- What would the proposed new restrictions — and perhaps also a new rule broadening CMS’s authority — on provider terminations by MA plans mean for cutting costs and improving star-ratings performance?
- How would the new requirements CMS is considering for networks that offer preferred cost sharing in pharmacy affect their ability to keep down costs in Part D plans?
- What would be the impact of the reduction CMS is proposing on permissible increases in Total Beneficiary Cost on MA and Part D plans?
- How should MA and Part D plans alter their strategies for the 2015 bids due in June in light of the changes CMS is proposing?
- How might CMS modify its proposed changes in the final payment notice and Call Letter in April?
Visit http://aishealth.com/marketplace/c4a09_032014 for more details and registration information.
Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 25 years. It develops highly targeted news, data and strategic information for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, websites, looseleafs, books, strategic reports, databases, webinars and conferences. Learn more at http://www.AISHealth.com.