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2025 Medicare Advantage Bids Are Over. Now What?

The Medicare Advantage (MA) market has had an eventful year, and the chaos is expected to continue. As plans begin their preparation for the upcoming 2026 Plan Year, what are the emerging trends in benefits, Stars, revenue optimization and the regulatory environment? Are you a Medicare Advantage health plan leader overwhelmed with all the changes in the industry? Check out our webinar for some helpful information.

Learning Objectives:

Review recent high-level challenges in the MA market.
Gain an understanding of several 鈥渉ot topics鈥� that MA plans should be thinking about as they begin planning for 2026.
Learn from 红领巾瓜报 experts on recommended actions for each of these topics

Speakers:

Holly Michaels Fisher, Principal, 红领巾瓜报
Michael Forster, Senior Consulting Actuary, Wakely
Sion Hughes, Senior Consultant, Wakely
Dara Smith, Principal, 红领巾瓜报
Eric Williams, Senior Consulting Actuary, Wakely

Webinar replay: Integrating behavioral health into whole-person care

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Whether you insource or outsource your behavioral health benefits, the integration of behavioral health and medical care continues to emerge as a critical strategy to improve health and reduce healthcare costs.聽This webinar is designed to help organizations begin to navigate this important shift in expectations and ultimately be a part of successful change in this area. By focusing on the value of a whole-person care approach to behavioral health, 红领巾瓜报 experts described the different models for integrating behavioral health and provided a training framework to support the behavioral health aspects of whole-person care.

Learning Objectives:

Articulate the benefits of incorporating a strong Behavioral Health approach into Whole-Person Care Models
Learn the different models for integrating Behavioral Health care into Health Plan Functional Areas and Operations
Able to develop a training framework for all Health Plan staff to increase their competencies for addressing Behavioral Health conditions

Moderator: Michael Engelhard, MBA, 红领巾瓜报

Webinar replay: The new administrative state: implications of recent landmark Supreme Court rulings for federal regulations, agency deference, and state implementation聽

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This webinar was held on August 14, 2024

While legal experts assess the recent U.S. Supreme Court rulings, federal and state agency leaders face significant questions about how their agencies and their responsibilities will be impacted. This webinar featured insightful discussions with former federal and state agency leaders exploring the known and yet-to-be determined impacts of recent rulings on federal regulations, rulemaking and actions, and agency deference, and also explored the impact on state agencies implementing federal rules. The webinar addressed the impact of the pivotal and decisions. Together these decisions聽overturned the longstanding Chevron deference doctrine, are pushing Congress to craft more specific legislation, and are directing courts to interpret ambiguous statutes. The discussion also explored the most appropriate responses of agency leaders, anticipated the ways that these decisions impact federal and state agency decision-making, and identified areas of growing uncertainty.

Learning Objectives:

Understand what we know about the impact of these decisions on agency rulemaking and decision making, consider the impact on federal agency discretion, and understand the shift in power towards Congress and judicial interpretation
Analyze the likely impact on agency rulemaking processes
Explore state governance issues, both as a partner to federal agencies and as an implementer of federal policy and funds
Identify the most important questions yet to be answered

Speakers:

Governor Mike Leavitt, Advisor, 红领巾瓜报 and founder of Leavitt Partners, an 红领巾瓜报 Company, former HHS Secretary and EPA Administrator
Chuck Milligan, JD, MPH, CEO, 红领巾瓜报, former State Medicaid Director
Amy Comstock Rick, JD, Principal, Leavitt Partners, an 红领巾瓜报 Company

Webinar replay: rural health equity for dually eligible individuals: improving access to services and integrated care programs

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This webinar was held on February 2, 2023.聽

Dually eligible individuals covered under Medicare and Medicaid living in rural areas struggle to access the services, care coordination, and integrated care programs they need. To address these needs, 红领巾瓜报 conducted multi-state roundtable discussions with diverse stakeholders to create The Health Equity & Access for Rural Dually Eligible Individuals (HEARD) Toolkit. During this webinar, our experts summarized and discussed the toolkit鈥檚 actionable solutions for improving health and social outcomes for rural dually eligible individuals.

Learning Objectives:

Understand why the voices of rural dually eligible individuals must drive planning efforts to generate innovations and prioritize investments to advance independent living and recovery goals.
Learn how experiences shared from New Mexico, North Dakota, and Tennessee can offer lessons.
Explore eight actionable solutions for improving health and social outcomes among rural dually eligible individuals as outlined in the HEARD toolkit.
Understand why community engagement and investment in rural capacity are essential to improving access to services and integrated care programs for rural dually eligible individuals.

Speakers

Arielle Mir, Vice President, Health Care, Arnold Ventures

红领巾瓜报 Team

Ellen Breslin, Principal
Samantha Di Paola, Consultant
Susan McGeehan, Senior Consultant

Expert Panelists

Dr. Kevin Bennett, Professor of Family Medicine, University of South Carolina School of Medicine, Director of the Research Center for Transforming Health, and Director of the South Carolina Center for Rural and Primary Care
Dennis Heaphy, Health Justice Advocate and Researcher, Massachusetts Disability Policy Consortium, Co-Chair, One Care Implementation Council, a One Care member, and MACPAC Commissioner
Pamela J. Parker, Medicare-Medicaid Integration Consultant, SNP Alliance
Tallie Tolen, Long-Term Services and Supports Bureau Chief, Medicaid, New Mexico Human Services Department

Webinar replay: supporting family caregivers: the changing policy and practice landscape

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This webinar was held on June 27, 2024.

Over the past decade, the U.S. has seen significant federal and state policy initiatives to improve and expand assistance for the millions of family members who help care for older adults, and those who support people with intellectual and developmental disabilities (I/DD) across the lifespan. The pandemic, combined with workforce shortages, accelerated these efforts. In this webinar with national family caregiving experts, we discussed policy and practice advances and their potential impact on enabling more Americans to live at home and in the community.

Learning Objectives:

Review evidence that supporting family members improves outcomes for older adults and people with I/DD.
An overview of current federal and state implementation of the 2022 National Strategy to Support Family Caregivers and the 2022 National Agenda for Supporting Families with a Member with I/DD.
Share evolving opportunities for improving policy and practice in family caregiving initiatives.

Webinar replay: D-SNP growth and integration: key implications of the 2025 CMS final rule

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This webinar was held on June 20, 2024.

Watch our informative webinar where 红领巾瓜报 experts reviewed the upcoming changes from the 2025 Final Rule that will impact Dual Special Needs Plans (D-SNPs) in 2025 and beyond. The session featured an analysis of the new regulations and a discussion of the critical strategic and product impacts on Medicare organizations offering D-SNPs or considering offering D-SNPs. Attendees also had the opportunity to engage with the panelists during a Q&A session.

Learning Objectives

Understand the impact of the 2025 Final Rule on D-SNPs as CMS promotes the integration of Medicare and Medicaid for dually eligible individuals.
Gain a high-level understanding of the federal changes, the timelines for implementation, and the impact on your D-SNP strategy and growth opportunities.

Webinar replay: Medicare physician fee schedule reform – structural topics and recommendations

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This webinar was held on June 13, 2024.

红领巾瓜报 recently released a report on the Medicare Physician Fee Schedule (PFS) with background on the structure of the program, and recommendations for reforms that could be considered. This webinar provided background and context about the PFS for interested parties who may be less familiar with the payment system and why the stakeholder community got to the point of needing to 鈥渇ix鈥� the fee schedule. We discussed pressing policy and payment concerns, provided an overview of key structural issues within the PFS that should be considered and balanced when making policy changes to the payment system, highlighted different stakeholder perspectives, and offered recommendations within CMS authority.

Learning Objectives:

Understand the background, context and function of the PFS including its relationship to other payment systems.
Highlight key policy developments over time leading to the current focus on 鈥渇ixing鈥� the payment system.

Webinar replay: Substance Use Disorder (SUD) Ecosystem of Care – Pivoting to Save Lives Part 3: Building Systems-Thinking in the SUD Ecosystem

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This webinar was held on May 1, 2024

The final webinar of this three-part series emphasized the importance of a comprehensive and interconnected spectrum of engagement and treatment strategies. To truly build and maintain a substance use disorder (SUD) ecosystem with accountability across the system and 鈥榥o wrong door,鈥� best practices must embrace a systems-thinking approach. An interconnected system requires building strong partnerships across the SUD ecosystem and engagement and treatment strategies will focus on leveraging those partnerships to facilitate engagement of individuals throughout the system.

Learning objectives included discussing approaches to system alignment that emphasize impact and ensure individuals remain engaged no matter where they are in their SUD journey and how to describe a comprehensive approach to systems thinking that builds accountable relationships and partnerships to ensure that the system has no wrong doors for engagement of individuals throughout the system.

Watch previous webinars in the series.

Webinar replay: Equity considerations for addressing opioid use disorder

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This webinar was held on April 23, 2024.

This webinar examined three projects that demonstrate how 红领巾瓜报 partnered with states and counties to address opioid use disorder with an equity focus. 红领巾瓜报 experts were joined by representatives from partner organizations to discuss their efforts to reduce disparities, which have been trending upward nationally, in opioid use disorder prevalence and overdose deaths鈥攚hether it be in brown and black communities or with pregnant and parenting people.

The learning objectives covered in this webinar included sharing how states could implement strategies to engage non-traditional partners to address equity; highlighting the critical role of partnering with community organizations and community leaders in addressing inequities in substance use disorder (SUD); and discussing how 红领巾瓜报 could support states, counties, and municipalities in these efforts.

Speakers:

Paul Fleissner, Managing Principal, 红领巾瓜报
Amanda White Kanaley, Senior Consultant, 红领巾瓜报
Charles Robbins, Principal, 红领巾瓜报

Webinar replay: Leavitt Partners – The future of Medicare Advantage supplemental benefits

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This webinar was held on April 4, 2024.

This webinar was offered by Leavitt Partners, an 红领巾瓜报 company.

More than 30 million Americans are enrolled in MA plans and more than half of Medicare-eligible beneficiaries participate in the program鈥攁 number that was less than 30 percent just a decade ago. One reason Medicare beneficiaries opt to participate in MA plans is the ability to offer supplemental benefits, including dental, vision, hearing, transportation services, OTC items, an in-home support services. Initially limited to a core set of offerings, over the years, MA supplemental benefits have undergone significant changes that have led to a broader range of allowable benefits, an expansion of how benefits can be targeted, and, growth in the number of plans offering such benefits.

This webinar covered how to understand MA supplemental benefit growth and the current regulatory environment, including opportunities and threats; discovered the opportunities and challenges MA plans face in offering supplemental benefits; and learned about the issues supplemental benefit providers face in administering supplemental benefits.

Read the Leavitt Partners white paper discussed in the webinar:

Speakers:

Webinar replay: Substance Use Disorder (SUD) Ecosystem of Care-Pivoting to Save Lives Part 2: Empowering Change in the SUD Ecosystem

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This webinar was held on April 10, 2024.

As covered in the first webinar of this series, we have an imperative to think and act differently to change the trajectory of not just the long-standing opioid epidemic, but other existing and emerging harmful substance use and addiction. Grounded in equity, empowering change in the SUD ecosystem requires person-centered and community driven approaches to respond to individual wants and needs. We must meet each person where they are as well as consider how the ecosystem of each community can be leveraged to drive change.

In this webinar, we shared examples of best practices that could be improved upon by integrating a person-centered approach; explained how 鈥渕eeting people where they are鈥� applies to equitable practices, individualized care, and community solutions; and discussed “equity grounded” in the context of the SUD ecosystem including addressing structural barriers, dominant narratives, and incorporating community voices and partnerships.

Below is a report referenced during the webinar:

You may also be interested in the upcoming webinar, “Equity Considerations for Addressing Opioid Use Disorder”. Register now.

Watch previous webinars and register now for upcoming webinars in the series.

Webinar replay: Compassionate Overdose Response Summit and Naloxone Dosing Meeting

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The Compassionate Overdose Response Summit and Naloxone Dosing Meeting, held on March 18-19, 2024, was a two-day summit where naloxone experts built consensus on the definition of a compassionate bystander overdose response.

Day 1 (March 18) was an invitation-only for a small group of researchers, people with lived experience of overdose, those who have reversed multiple overdoses, and medical providers tasked with drafting an issue brief that will be the basis for the remainder of the summit.

Day 2 (March 19) was an open virtual summit. On this day, we shared the issue brief with the audience for feedback and host multiple presentations that covered emerging research on this topic, including:

The impact of different naloxone doses and formulations on people who receive them
The role of oxygen in community overdose response
Communication strategies for bystander overdose response steps

The event produced clear guidance on naloxone dosing and the role of oxygen in overdose response:

There is no real-world evidence for high-dose or long-acting opioid antagonists; therefore, until there is community experience with those regimens, they should not be included in standing orders or made available for broad community use.
Rescue breathing is standard overdose response protocol and should be included in educational materials and training.
People who use drugs must be central to the design, development, purchasing and distribution of all overdose reversal products

Additional materials from this event are below:

For justification for the above statements or for questions, please contact Erin Russell.

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199 Results found.