Agenda

Patrick Coulson, Chief Growth Officer
Advantasure

Ana Handshuh, Principal
CAT5 Strategies
Chair
The RISE Association, Quality & Revenue Community

•  Understand the impact of COVID-19 fallout on bids and how it can inform bid strategy for 2022

• Prepare for rulemaking changes and their downstream impacts on 2022 bids

• Get up to speed on legislative proposals to reform Medicare Advantage and Part D and the new Administration goals

Kathryn Qin, FSA, MAAA, Vice President of Pricing 
Blue Shield of California

Deana Bell, FSA, MAAA, Principal and Consulting Actuary
Milliman

• Discover how various health plans construct their timelines to coordinate inputs from a multitude of functional areas for optimal bid build 
• Create a successful project management structure with C-suite buy-in, a multi-disciplinary review, and a CMS deadline-driven project schedule for a smooth annual bid process 

Moderator:
Ana Handshuh, Principal
CAT5 Strategies
Chair
The RISE Association, Quality & Revenue Community

Sara Wedlock, Senior Product Manager
Harvard Pilgrim Health Care

Monica Pagels, Senior Product Manager Medicare Product Oversight
Health Alliance Plan

Donna Doebler, AVP Medicare Product & Analytics
UPMC

• Understand marketing and operational requirements for successful implementation in a new-to-you region

• Assess models that optimize the creation of a Medicare Advantage plan with financial and operational efficiency

• Review startup experiences with product, price, channels, advertising and how these wove into the bid planning process

   

Pamela Getsie, President
Vermont Blue Advantage

Patrick Coulson, Chief Growth Officer
Advantasure

Don’t Miss Out! Turn on your camera and join us in the Virtual Lobby for that face-to-face networking experience we’ve all been missing. Connecting with your peers and vendors in product development has never been easier - click on an open seat, say hello to familiar faces, and take part in CMS bid discussions. We’ll see you in the lobby! 

• Discover how base bids, benchmark rates, risk scores and other bid variables in CMS bid calculation affect health plan revenue
• Compare CMS tools and tests – and their dependencies – that determine pricing  
• Optimize the financial mechanics behind lower rebates and higher provider group payouts, rebates versus adjusting your product offering, base bids and benchmarks, and other bid relationships
• Understand the importance of risk scores on your plan revenue 

Lucretia Hydell, Principal, Growth & Partner Analytics 
CityBlock

Ryan Swenson, FSA, MAAA, Principal and Consulting Actuary
Milliman

• Gain best practices for building up a risk profile for your bid, based on current members
• Learn how risk adjustment assumptions dial into your revenue modeling for the CMS bid
• Discover how ongoing retrospective and prospective risk adjustment activities contribute to revenue projections
• Understand the calendar of CMS mid-year adjustments, “sweeps” activities, and assumptions that factor into your bid cycle milestones

Benjamin Nadler, Director, Actuarial Services
Independent Health

• Explore the key factors you should know about your market and where to find the data to strategically gain an edge on your competition
• Learn which key variables drive shopping decisions and how to weigh each in the bid strategy

Paul Cain, AVP Medicare Product
Cigna

Donna Doebler, AVP, Medicare SNP Product & Analytics
UPMC

Patrick Coulson, Chief Growth Officer
Advantasure

Ana Handshuh, Principal
CAT5 Strategies
Chair 
The RISE Association, Quality & Revenue Community

• Learn how various states are managing integration requirements 
• Understand what’s driving recent CMS updates 
• Discuss the opportunities and considerations with regards to your plan and CMS bid submission 

Bill Jensen, Vice President
Independent Care Health Plan (iCare)

Sara Wedlock, Senior Product Manager
Harvard Pilgrim Health Care

Monica Pagels, Senior Product Manager Medicare Product Oversight
Health Alliance Plan

• Learn what key member-level data to collect after your Medicare Advantage product is launched
• Understand which cross-functional departments need to be involved in managing the financial impact
• Discuss tactics to engage other departments to help build dashboards, analyze the data, and develop action plans to financially manage your Medicare Advantage product

Lisa Franklin, Market Portfolio Manager
CareFirst BlueCross BlueShield

Tom Pelegrin, Senior Vice President & Chief Revenue Officer
Convey Health Solutions

Brian Goetsch, Managing Director
HealthScape Advisors