Washington, DC (PRWEB) March 03, 2015
Sponsors of Medicare Advantage (MA) plans and stand-alone Prescription Drug Plans have an abundance of significant proposed changes to sift through as a result of CMS’s complex “45-day notice” and preliminary 2016 Call Letter released Feb. 20. The potential pay changes alone are tough to measure since they will vary considerably with the type and location of the plan’s membership. But there is little time to analyze and comment on them before CMS issues the final notice and when 2016 bids are due. On March 12, participants of the Atlantic Information Services, Inc. webinar,“CMS’s ‘45-Day Notice’ and Preliminary Call Letter: Implications and Strategies for MA and Part D Plans,” will learn what the proposed changes mean for their 2016 strategies and bids.
In a lively 60-minute presentation followed by 30 minutes of responses to individual questions, Patrick Dunks, principal and consulting actuary at Milliman, and Tim Courtney, senior consulting actuary at Wakely Consulting Group, will provide 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 enrollments — in 2016 and beyond?
- What do the changes in the risk adjustment methodology proposed by CMS mean for what products, service areas and data-collection strategies will be feasible in 2016 and beyond?
- What would the proposed start in use of encounter data for risk adjustment mean for the risk-score-related payments MA plans will get starting next year?
- How would CMS’s new approach in trying to make certain that plans’ in-home health risk assessments have appropriate clinical content affect MA insurers and their partners?
- What assistance is CMS proposing for plans that serve disadvantaged populations? What impact is this likely to have?
- How is CMS intending to ensure that Part D plans’ preferred pharmacy networks furnish appropriate value to members and not just plan sponsors?
- What changes is CMS planning in the maximum allowable increase in Total Beneficiary Cost and maximum Out-of-Pocket Cost? How will this affect bids for 2016?
- What changes is CMS seeking regarding use of medication therapy management, including via star ratings? How much might this alter the financial picture for plan sponsors?
Visit http://aishealth.com/marketplace/c5a08_031215 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.