Rise

Pre-Conference Workshop Registration Desk Open and Networking Breakfast

Exhibit Hall Open

Pre-Conference Workshop: CMS Bid 101, Part 1: Deep Dive into Bid Basics and the Plan Benefit Package (PBP)

* Additional Registration is Required

• Review key terms, files, reports, and timelines for the bid 
• Understand the connection between the bid and the Medicare Plan Finder 
• Get an update on Health Plan Management System (HPMS) and PBP changes 
• Walk through the PBP and get clear explanations of its many sections, fields, and rules 
• Learn PBP completion strategies that give your health plan a competitive edge 

Ana Handshuh, Principal 
CAT5 Strategies 

Zachary White, Associate Actuary 
Milliman 

Pre-Conference Workshop: CMS Bid 101, Part 2: Understanding the Financial Side of the Bid

* Additional Registration is Required

• Learn how decisions on the benefit package connect to the actuarial work done in the Bid Pricing Tool (BPT) 
• Discover how base bids, benchmark rates, risk scores, and other bid variables in the CMS bid calculation affect health plan revenue 
• Explore CMS tools and tests that determine pricing  

Anant Galande, Director, Corporate Actuarial
Blue Cross Blue Shield of Michigan

Matt Kridgen, Consulting Actuary 
Milliman 

Welcome and Opening Remarks

Ana Handshuh, Principal 
CAT5 Strategies 

Keynote Address: The Future of the CMS VBID Model

• Explore what CMS has learned from the value-based insurance design (VBID) model about improving health outcomes and addressing health inequities while containing costs 
• Hear about CMS’ future plans for VBID, including the VBID hospice benefit component 
• Learn about VBID reporting requirements 
• Ask CMS your burning questions about VBID 

Michael de la Guardia, VBID Model Co-Lead
CMS Center for Medicare and Medicaid Innovation

Best Practices to Optimize Your Bid: Year-Round Project Management and Process Strategies

• Review the CMS schedule and understand that the bid is a year-round project 
• Design the perfect bid team with players from across the organization and implement strong communications to ensure a smooth process 
• Create a successful project management structure with a multi-disciplinary review resulting in an optimal bid that meets CMS deadlines and internal strategic goals 

Moderator: 
Thomas Grivakis, Senior Consulting Actuary 
Wakely Consulting Group, an HMA Company 

Mike Spicer, Vice President, Product
Capital District Physicians’ Health Plan

Puneet Budhiraja, Chief Actuary
Capital District Physicians’ Health Plan

Tools & Technology Spotlight

Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization. 

Eddie Maria, Head of Sales 
Birdsong Hearing Benefits 

Amit Shah, Chief Information Officer 
Birdsong Hearing Benefits 

Defining Your Market Strategy When Facing Revenue Headwinds

• Get an overview of CMS changes that may create revenue headwinds for your health plan 
• Analyze key factors and data about your market to gain an edge on your competition 
• Learn how to gather the necessary data to determine what benefits your current and prospective members want and need 
• Plan your strategy for retention and growth, even when budgets are tight 

Joshua Phelps, Vice President, Chief Actuary 
Florida Blue Medicare 

Katie Lavelle, Director of Business Development 
Medline 

Trends and Innovations in Supplemental Benefits

• Discover supplemental benefit trends and explore unique offerings 
• Learn techniques for determining what supplemental benefits are most cost-effective, how to price and include them in your bid, and how they can help address social determinants of health 
• Assess the pros and cons of participating in Special Supplemental Benefits for the Chronically Ill (SSBCI), Value-Based Insurance Design (VBID), and other special programs 

Ana Handshuh, Principal
CAT5 Strategies

Jenn Kerfoot, Chief Strategy & Growth Officer
DUOS

Closing Remarks

Ana Handshuh, Principal 
CAT5 Strategies

Networking Cocktail Reception

Join us for drinks, hors d’oeuvres, and face-to-face networking with peers.