Webinar: Thursday, November 7, 2019, at 1 PM - 2 PM Eastern
- Framework for new Medicare Advantage supplemental benefit flexibility
- What MA plans are doing in 2020
- How to best to seize these new opportunities
- Exploring target populations and an array of potential supplemental benefits
- Challenges and accountability associated with new supplemental benefit flexibility
- How Special Needs Plans play an important role
Faculty: Hank Osowski, Managing Partner, Strategic Health Group LLC
Need a Printable Form? Download a registration form you can fax or mail
Overview
Some Medicare Advantage plans have already announced their benefit changes for 2020, reflecting participation in the new Special Supplemental Benefits for the Chronically Ill. This session helps to provide a deeper understanding of the framework for the new benefits, what some Medicare Advantage plans are doing in 2020 with the benefits, and what are the implications and opportunities arising from offering these benefits.
The Bipartisan Budget Act of 2018 expanded the types of supplemental benefits that may be offered by Medicare Advantage (MA) plans to chronically ill enrollees, which CMS has categorized as Special Supplemental Benefits for the Chronically Ill (SSBCI). CMS states: "SSBCI include supplemental benefits that are not primarily health related and may be offered non-uniformly to eligible chronically ill enrollees. We believe the intended purpose of the new category of supplemental benefits is to enable MA plans to better tailor benefit offerings, address gaps in care, and improve health outcomes for the chronically ill population."
The Act defines a chronically ill enrollee as an individual who: (1) has one or more comorbid and medically complex conditions that is life threatening or significantly limits the overall health or function of the enrollee; (2) has high risk of hospitalization or other adverse health outcome; and (3) requires intensive care coordination.
The new opportunity for Medicare Advantage plans that emerges from SSBCI is part of the evolution toward keeping people healthy and independent rather than reacting to an acute episode, and deploying social determinants of health related strategies as a means in meeting this objective. Provision of the supplemental benefits to targeted populations involves a reasonable expectation of improving the chronic disease or maintaining the population's health or overall function. This session discusses developing a multi-functional view of your member’s profile and your utilization data, determining which member profiles get extra supplemental benefits (and which ones don’t), incorporating objective criteria and maintaining detailed documentation.
Please join us on Thursday, November 7, 2019, at 1 PM Eastern as Strategic Health Group’s Hank Osowski, discusses the SSBCI framework, related MA plan 2020 activity, and the opportunities, challenges and issues involved, in the HealthcareWebSummit event: Understanding MA Special Supplemental Benefits – Implications & Opportunities of New Benefits for the Chronically Ill.
Cure for the Common Webinar
In addition to the main faculty presentation, this event includes a fun whiteboard drawing format opening video, a brief moderated faculty interview, and concluding live audience questions and answers. The day before the event, you'll receive login information, including downloadable companion presentation slides.
Just after the event, you'll receive a follow-up request for feedback, also offering an opportunity to provide any final questions that can be forwarded to the faculty. Also, if you need support before, during or after the event, you can contact HealthcareWebSummit staff at any time.
Learning Objectives
After attending this webinar, attendees will be able to:
- Understand the framework for new supplemental benefit flexibility
- Consider how to best seize these new opportunities
- Explore target populations and an array of potential supplemental benefits
- Ascertain the challenges and accountability associated with this new supplemental benefit flexibility
- Examine how Special Needs Plans can play an important role
- Engage in interactive learning through online question submission, attendee feedback and opportunity for post-event follow up questions.
Who Should Attend
Interested attendees would include:
- C-Suite Executives
- Medicare Product Executives and Staff
- Legal, Regulatory and Policy Executives
- SDOH Executives
- Population Health Executives
- Managed Care Executives and Staff
- Planning and Strategic Executives and Staff
- Business Intelligence Staff
- Other Interested Parties
Attendees would represent organizations including:
- Health Plans
- Provider Networks
- Health Systems
- Community Based Organizations
- Solutions Providers
- Life Sciences Organizations
- Associations, Institutes and Research Organizations
- Media
- Other Interested Organizations
Registration
Individual Registration Fee: $195. Post-event materials, with video of slides synchronized with speaker audio, plus presentation pdf file: $45 for attendees; $260 for non-attendees after the event. Register above or download a registration form.
You can also register by phone: 209.577.4888. Corporate Site licensing also available. We look forward to your attendance!
Faculty
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Hank Osowski |
Hank Osowski, a Founding Member and Managing Partner of Strategic Health Group is an experienced health care executive and strategist who has provided leadership to commercial, Medicare and Medicaid health plans for more than three decades. Formerly the senior vice president of corporate development for SCAN Health Plan, Hank was a key member of the senior leadership team that turned the company around from a “near death experience” into an exceptionally strong financial position and one of the largest nonprofit Medicare Advantage plans in the country. He led SCAN’s expansion into seven additional California counties and as well as its first out-of-state expansion into Arizona where Hank then served as President of SCAN Health Plan Arizona and SCAN Long Term Care. He has also led the organization’s strategic planning efforts and initiated an innovation development regimen to seek improvements in care coordination practices and future care outcome protocols. Prior to SCAN, Hank served as a Principal in a national health care consulting organization providing a range of strategic, financial and development services for health plans, physician groups and hospitals. He also served as vice president International Operations for American Family Life Assurance Corporation where he directed the development of start-up operations in the United Kingdom, Germany and Italy, as well as the financial turnaround of the company’s Canadian operations. Hank is a frequent speaker on critical issues facing the Medicare and Medicaid programs.Hank began his career as a member of the senior management team responsible for the turnaround and financial survival of Blue Cross of California. In this capacity, Hank led the financial improvement of the individual and small group division and provided leadership to the organization’s strategic planning efforts. |
