Washington, DC (PRWEB) April 15, 2014
The final 2015 Medicare Advantage (MA) and Part D pay notice and Call Letter, issued by CMS earlier this month, contains good news but also a host of changes that plans were not expecting. There is a lot of uncertainty, since the impact of many of the changes in the final notice will vary dramatically depending on the particular counties served by the MA plans. On April 23, participants of the Atlantic Information Services webinar, “Final CMS 2015 Pay Notice and Call Letter: Implications and Strategies for MA and Part D,” will learn the implications of CMS’s final 2015 documents and the strategies MA and Part D plans should consider as a result.
William MacBain, senior vice president of strategy at Gorman Health Group, LLC, and Tim Courtney, senior consulting actuary at Wakely Consulting Group, will analyze the final notice and Call Letter, and translate it into steps and strategies organizations should consider for the rapidly approaching bids deadline and beyond. In a lively 60-minute presentation, followed by 30 minutes of responses to individual questions, participants will get reliable answers to questions such as:
- What will be the range of the final “all in” 2015 pay change for MA plans? On what will the impact on a particular MA plan depend?
- How can MA plans determine the effect of the new reduction in the fee-for-service normalization factor in each of your plan’s service areas?
- What will be the impact of CMS’s unprecedented decision to retreat from the phase-in of its new MA risk adjustment system? Why did it do that?
- Why did CMS decide to delay its controversial rule limiting the use of home health risk assessments for pay-related diagnosis purposes? What might the agency wind up doing, and when?
- How can plans offset declining pay for 2015 if CMS is limiting the maximum increase in Total Beneficiary Cost to less than is permissible for 2014?
- How will new restrictions, including possible midyear special enrollment periods, on mass terminations of providers by MA plans affect plan strategies?
- What will be the impact of CMS’s decision to delay implementation of the new Part D risk adjustment model?
- What information are Part D plans still missing regarding preferred pharmacy cost sharing, and how should they prepare bids until they get it?
Visit http://aishealth.com/marketplace/c4a19_042314 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.