Rise

Pre-Conference Workshop Registration Desk Open and Networking Breakfast

Exhibit Hall Open

Pre-Conference Workshop: Orientation to the Bid, Part 1: Understanding Bid Basics and Financials

• Review key terms, files, and reports crucial to successful bid submission 
• Discover how base bids, benchmark rates, risk scores, and other bid variables in CMS bid calculation affect health plan revenue 
• Explore CMS tools and tests that determine pricing  
• Optimize financial mechanics, base bids and benchmarks, and other bid relationships 
• Understand how pricing and financial information are incorporated into the bid pricing tool (BPT)

Anant Galande, ASA/ASA, MAAA, Director, Medicare Actuarial
Blue Cross and Blue Shield of Kansas City

Matthew Kridgen, ASA, MAAA, Associate Actuary
Milliman

Pre-Conference Workshop: Orientation to the Bid, Part 2: Navigating the Plan Benefit Package (PBP) Data Entry System

• Get an update on the newly redesigned PBP
• Walk through and get clear explanations of the many sections, fields, and rules of the PBP data entry system
• Learn PBP completion strategies that give your health plan a competitive edge

Ana Handshuh, Principal
CAT5 Strategies 

Kylie Severson, Senior Actuarial Analyst
Milliman

Welcome and Chairperson’s Opening Remarks

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

CMS Fireside Chat: VBID, Health Equity, and Future Innovations

• Hear about the various bid and benefit flexibilities available through the value-based insurance design (VBID) model and other special programs 
• Explore practical implications of addressing health equity priorities via the bid 
• Consider the ROI of investing in benefits focused on health equity 

Sibel Ozcelik, Deputy Director, Division of Health Plan Innovation,
Seamless Care Models Group
CMS Center for Medicare and Medicaid Innovation 

Moderator:
Lauren Driscoll, Founder and CEO
NourishedRx

Optimize the Bid Cycle: Year-Round Project Management and Process Strategies

• Understand the players that make up your perfect bid team, how to teach them about the bid, and how to communicate for a smooth process 
• Learn how to put together a timeline to get the needed input from a multitude of functional areas for the optimal bid that meets internal strategic goals 
• Create a successful project management structure with C-suite buy-in and a multi-disciplinary review that meets CMS deadlines 

Moderator:
Lawrence Butler, Capture Manager
Google Public Sector

Heather Adams, Senior Product Line Manager 
Blue Cross and Blue Shield of North Carolina 

Nikki Hungate, MS, MHA, Sr. Leader, Medicare Gov’t Programs Product Strategy
MVP Health Care

Define Your Market Strategy to Shape a Successful Bid 

• Analyze key factors and data about your market to gain an edge on your competition 
• Learn which key variables drive shopping decisions and how to weigh each in the bid strategy 
• Evaluate what brings the most value to your target market while staying on budget

Moderator:
Daniel Weaver, Executive Vice President, Product Operations and Stars Strategy
NationsBenefits

Pamela C. Getsie, Plan President
Vermont Blue Advantage

Pritpal Virdee, President
Emergient/BCBS of Michigan

Future-Proof Your Bid

• Learn the value of developing a three-year bid strategy
• Project future CMS payments to increase benefit offering stability
• Explore ways to design benefits for member cohorts to improve medical loss ratio (MLR), address social determinants of health, and boost member loyalty
• Consider rewards and incentive packages that can be submitted via the Value-Based Insurance Design (VBID) framework

Melissa Smith, EVP, Consulting and Professional Services
Healthmine

Sion Hughes, Senior Consultant
Wakely Consulting Group, an HMA Company

Ana Handshuh, Principal
CAT5 Strategies