ACAP DSNP/MLTSS/Medicare Advantage Virtual Showcase

 

Why MA Plans and Members Love Brain HQ 

Date: April 15, 2024
Time: 12 p.m. ET

Responding to the top concern of seniors (i.e., cognitive aging) made Memory Fitness the most rapidly growing MA supplemental benefit in 2023. It’s now available as a supplemental benefit to millions of MA members – in 1 out of 4 plans. This webinar will include a presentation of data from market surveys of seniors and clinical trials involving BrainHQ, the Memory Fitness benefit most frequently chosen by MA plans.

The market data will include results from a report (by Deft Research) on the attitudes of MA Eligible Seniors toward brain health and their preferences among popular benefits, including segmentation on age-ins and plan-switchers. The clinical data will include peer-reviewed study results on the beneficial impact of BrainHQ on multiple aspects of aging, including standard measures of cognitive function (attention, speed, memory, decision-making); standard measures of quality of life (depressive symptoms, confidence, anxiety/fatigue, health-related quality of life); and real-world activities (falls, driving, self-care, maintaining independent living).

Learn about:

  • The top concern of seniors, across multiple surveys
  • Deft Research survey results ranking popular benefits
  • Studies showing gains in cognitive abilities, quality of life, and real-world activities
  • Data showing how this supplemental benefit should more than pay for itselfData on the impact on member happiness and opinions of their plan

Each webinar participant will receive a complimentary one-year subscription to BrainHQ, so you can take it for a test drive.

The Medicare environment in 2024: DSNPs, Health Equity Index, V28, and Potential Regulatory Action

Date: April 16, 2024
Time: 12 p.m. ET

The webinar will focus on considerations for entering the DSNP market, including market assessment, developing the model of care, and implementing the model of care. The discussion will address the impact of the Health Equity Index and impact to Model of Care and Stars performance. We will also address key regulatory trends in home health and telemedicine.

Integrating Caregiving and Care at Home for Improved Outcomes

Date: April 17, 2024
Time: 12 p.m. ET

Home-based care is underutilized as a pathway for delivering high-quality medical care and cost reduction for the dually eligible population. One key challenge has been integrating medical providers, home care agencies, and payer initiatives to achieve outcomes such as reduced hospital and SNF admissions, closing gaps in care, improved member retention, and higher patient and caregiver satisfaction. This presentation will focus on how integrating care in the home, better utilization of caregivers, and innovative technology have resulted in multiple benefits to patients, providers, and plans.

Differentiate and Drive Results for MLTSS Member Population with Rovicare

Date: April 19, 2024
Time: 12 p.m. ET

Join us for an insightful webinar hosted by Christine Aguiar Lynch, ACAP VP for Medicare and MLTSS Policy, and led by Rovicare’s seasoned partners and experts – including an ACAP plan leader from Banner University – as we delve into the transformative outcomes and impactful results achieved through our innovative care coordination solutions. During this session, we’ll highlight pivotal topics including patient placement strategies, workforce development initiatives, and strategies for addressing service and care gaps. Gain valuable insights into how our comprehensive approach can help your organization gain a competitive edge in today’s dynamic healthcare landscape. Don’t miss this opportunity to learn from industry leaders and discover actionable strategies for driving success in your healthcare initiatives.

Strategic Drivers for Medicare Advantage, D-SNP and MLTSS Plans: Leveraging Technology and Expertise for Success

Date: April 23, 2024
Time: 12 p.m. ET
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It takes more than good technology to solve business problems. UST HealthProof brings deep industry expertise, proven/optimized processes and an advanced technology ecosystem for Medicare Advantage, D-SNP and MLTSS plans to deliver results for clients. Legacy CAP systems, fragmented ecosystems with the need to keep up with change increases administrative costs, creates inefficiencies in operations and can impact members’ experience and outcomes. Our outcome-based Business-Process-as-a-Service approach helps plans reduce administrative cost and focus on what matters most – serving members. We’ll explore how our unique approach have helped dozens of client health plans streamline operations, improve efficiency and boost member outcomes. You’ll also learn about key strategies and drivers needed to manage and grow your Medicare Advantage, D-SNP and MLTSS plans and lower total operating cost.

 

 

Medicare and Medicaid Market: Setting the Game Up to Win!

**NEW DATE: May 8, 2024**
Time: 12 p.m. ET
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With headwinds in MA and intense program scrutiny across the stakeholder continuum, this showcase will discuss the clinical, operational, and financial capability maturity framework that is required for MA entry to ensure a sustainable growth approach. When considering managed Medicaid entry, plans must consider state agency RFP timelines, whether the state will require plans to provide statewide or regional coverage, and high-needs populations their model of care may not be equipped to cover today. Join us as we share several case studies to help plans get ahead of these considerations and kick-start their market entry and government advocacy strategies.
• Market Entry Considerations
o Medicare Advantage (DSNP – FIDE/HIDE or CC)
o Medicaid Managed Care (Traditional Medicaid and MLTSS/LTC/HCBS)
• Medicare Advantage – Managed Care Medicaid – MLTSS Continuum Considerations
• Case studies and Questions plans should ask themselves when entering D-SNP/MLTSS/Medicare Advantage products.

Stars Aligned: How Toney Healthcare and Rebellis Group Can Help Your Organization Succeed in a Challenging Regulatory Landscape

Date: April 25, 2024
Time: 12 p.m. ET
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In this session, Toney Healthcare and Rebellis Group will describe our approach to assisting Medicare Advantage and SNP plans on their journeys from market entry to achieving compliance and becoming high quality, effective and efficient mission-driven and member-focused organizations.
Along the way, we will share real-life case studies highlighting common pain points and demonstrating how they are addressed with our world class services. Examples will include Stars, Health Equity, Prior Authorization, High-Risk Care Management and more.
Challenges (& Solutions) for D-SNP/MLTSS/MA Plans Leveraging AI to Level Up

Date: April 29, 2024
Time: 12 p.m. ET
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D-SNP/ MLTSS plans face unique challenges when balancing growth with management of complex members. These are particularly acute when entering and operating in new markets. Siftwell was started by leaders who have been in your shoes and created a practical tool they wish they would’ve had to make the process easier and more effective for D-SNP, MLTSS, and MA plans.

Join us at 12pm EST on April 29th at our session hosted by Christine Aguiar Lynch, ACAP VP for Medicare and MLTSS Policy, to hear from MLTSS Association CEO, Mary Kaschak, former MCO leader, Trey Sutten, and technology innovator, Eben Esterhuizen, in this informative session to understand:

→ The current “state of the union” of technology and AI use in DSNP/MLTSS, including false starts and other challenges that come with the use of AI in healthcare and especially in these populations.
– How Siftwell addresses persistent but solvable challenges with plans to accomplish new market readiness with new member and market analysis, proactive marketing and retention strategies, performance monitoring, risk adjustment, and more.

→ How to thoughtfully implement technology to close health disparity and access gaps for diverse populations in DSNP/MLTSS.
– How Siftwell utilizes disparate data sets, including Social Determinants of Health (SDoH), and causal AI to eliminate bias, create actionable insights, and make predictions that improve health equity and address disparities among diverse populations.

→ [Case Study] Examples of community plans implementing strategies that lead to downstream improvements in the health and well-being of populations in DSNP/MLTSS.

Whether you are just starting to think about AI solutions for your organization or you’re actively implementing, we want to give you a tool to be successful. For signing up and attending, we will send you a tangible checklist of questions to ask healthcare AI technology companies to make sure you are choosing the right co-pilot to reach your goals.

 

Enhancing Healthcare Accessibility: The Crucial Role of Non-Emergency Medical Transportation to Produce Positive Patient Outcomes in the D-SNP, MLTSS, and Medicare Advantage Population

Date: April 30, 2024
Time: 12 p.m. ET
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Presentation will be an overview of transportation accessibility, barriers to transportation, adverse effects on patient outcomes by not having transportation, the benefits of NEMT, cost savings to insurance companies and MCO’s, Case studies and success stories, integrating NEMT into D-SNP, MLTSS, and Medicare Advantage products, and the future of healthcare accessibility.

Leveraging Clinical Expertise and Compliance to Support and Serve Your Most Vulnerable Members

Date: May 1, 2024
Time: 12 p.m. ET
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ACAP plans offering DSNP/LTSS and MA lines of business are subject to multiple strict, confusing, and complex regulations from both CMS and the states in which they do business. At GuidingCare, we do heavy lifting so you can focus on member care. For example, for plans that are in the process of developing one or more products, GuidingCare’s out of the box configurations and workflows lead into regulatory compliant reports that also support your plan’s quality improvement efforts.

During this webinar hosted by Christine Aguiar Lynch, ACAP VP for Medicare and MLTSS Policy, the HealthEdge team will share how the GuidingCare care management solution suite, along with the support and guidance of the HealthEdge Clinical SME team can enable to you maintain compliance and improve your Star ratings. support and guidance of the HealthEdge Clinical SME team can enable to you maintain compliance and improve your Star ratings.

The Complexities of Managing D-SNP

Date: May 2, 2024
Time: 12 p.m. ET
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In this session, we will discuss the complexities of managing the different flavors of D-SNP members. We will cover how Jiva can manage a D-SNP program, including social care and LTSS, how Jiva meets the MOC, reporting requirements, and how the system will support plans during an audit.

A Partnership Around Payment Integrity that Truly Makes a Difference to your Business

Date: May 3, 2024
Time: 12 p.m. ET
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Payment integrity is a term that doesn’t always create positive
sentiment in plans or providers based upon previous experiences. Nokomis Health has a service
designed specifically to be efficient, performant and highly customizable. We are a true partner in
this space and our collaborative approach drives significant savings whilst being sensitive to the
relationships between the plan and its provider network. This webinar will explain how we do what
we do, why we’re different, and the impressive results we achieve.

 

For more information about the Showcase or the ACAP Preferred Vendor Program – Please contact Sherry Rohlfing, sherry.rohlfing@deltasigmallc.com