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MEDICARE SPECIAL NEEDS PLANS CONFERENCE CALL SERIES

SNP Conference Calls 

The call in number is 1-719-457-0336

Passcode: 109833

 

(All calls at 3 pm EST, 2 pm Central, 1 pm Mountain, 12 pm Pacific,

and 10 am Hawaii, unless otherwise noted)

Calls in 2006

January 17th, 2006 -

ACAP held a Medicare SNP conference call on Tuesday, January 17th at 3PM EST.   The agenda was as follows:

(1)   Plan Introductions – As this is the first call of the series, we would like everyone to describe what prompted their interest in the conference call series and where they are in the ‘Medicare SNP lifecycle’ – i.e., are you (1) currently covering beneficiaries, (2) preparing an application to become a Medicare SNP, or (3) planning to apply to become a Medicare SNP.

(2)  Top Five Lessons Learned – Our first topic for discussion will be plans’ top five lessons learned during the process of planning for, launching, and/or running a Medicare SNP.  Pat Brennan from AlohaCare will begin the conversation by sharing AlohaCare’s top five lessons learned – please bring yours to share.

(3)  Marketing Strategies –What marketing strategies are plans employing for the SNP population?

(4)  Operational Challenges Presented by the Differences Between Serving the Medicare and Medicaid Populations– In plans’ experiences, what are the differences between serving the Medicare and Medicaid populations?  What operational challenges do plans face because of these differences?

Topics (1) and (2) were covered during the call.  Topics (3) and (4) were moved to the February 14th call.

Materials

February 14th, 2006

ACAP held a Medicare SNP conference call on Tuesday, February 14th at 3PM EST.  The agenda was as follows:
 
(1) Marketing Strategies –What marketing strategies are plans employing or planning to employ for the SNP population? Patrick Curran will get us started by sharing CareOregon’s plans to market to the SNP population.
 
(2)  Benefit Design – What are the major issues and challenges in designing a benefit package for this population?  What processes are plans using to develop their benefit packages?  David DiGiuseppe will share the Community Health Plan of Washington’s experiences as they plan to launch their Medicare SNP in 2007.


This call covered only Marketing Strategies.  Benefit Design was moved to the March 13th call.

March 13th, 2006

ACAP held a Medicare SNP call on March 13th at 3 PM EST.  The agenda was the following:

·        Benefit Design - We will discuss the major issues and challenges in designing a benefit package for the Medicare SNP population and the processes plans are using to develop their benefit packages.  David DiGiuseppe will share the Community Health Plan of Washington’s experiences as they plan to launch their Medicare SNP in 2007. 

·        Member Questions - We will also try to cover two questions that plans have asked us to discuss. 

o       One question concerns network development, contracting, and implementation. 

o       Another question concerns what plans are doing regarding reimbursement of providers that receive cost-based rather than fee schedule based reimbursement from CMS' carriers and FI's, specifically regarding contracting and reimbursement for Critical Access Hospitals, Home Health Agencies, and Rural Health Clinics

Materials

April 11th, 2006

May 17th, 2006

June 15th, 2006


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