Event Schedule
Networking Continental Breakfast
Chairperson’s Opening Remarks
Opening Address
Michael W. Cheek,
President & CEO
Special Needs Plan Alliance
Panel:
Effectively Implementing Advance & Face-to-Face Models of Care for D-SNPs, C-SNPs,
and I-SNPs: Pulling it all Together
- Care plan best practices
- Integration strategies that work
- Ensuring care management to drive outcomes: Strategies that drive all the levers
- What are plans doing to incorporate a care plan with their care coordinator for every member?
- Making sure your plan’s model of care is compliant
- Executing timely care plans regardless of HRA completion
- Evidencing the care coordination piece
- Operational and care coordination to all SNPs (D, C, and I): How that’s coordinated and managed
- How do you meet the face-to-face requirements (care coordinator, home health nurse,etc)
Chris Esguerra, M.D.
Chief Medical Officer
Health Plan of San Mateo
Courtney Skivington-Wolf
Chief Operating Officer
Partners Health Plan
Overcoming Operational Setbacks for HRA Completion Tactics & ICT Structures: Industry Best Practices
- A critical focus on member engagement
- Leveraging texting and technology to achieve enhanced member engagement
- Regulatory timeline and requirements for HRAs
- Initial vs annual setback and success stories: What can we learn from either response?
- Formulating enhanced ICT structures
- Who is in your ICT? Revisiting internal and external team members
- What works and what does?
- How do you run every single structure?
- Overcoming operational nuances for HRAs and ICT structures
- Transitions of care for each member
Eve Gelb
Chief Innovation Officer
Gold Coast Health Plan
Matthew Loper
CEO and Co-Founder
Wellth
Networking Refreshment Break
Advanced Engagement Strategies in Care Management
- Strategies on how to get members engaged for HRA
- How to increase engagement with care management by reducing the number of enrollees that have been unable to reach or decline care management
- Aligning the Medicaid and Medicare side of the house for enhanced engagement
- Trusted engagement: How can we utilize trusted resources, expand their capabilities to best engage and serve members? (Example: certify drivers as CHWs) - they are then able to do screenings casually while driving the member, do in home visits and are trusted to engage members to fill out HRAs
- Streamlining and avoiding duplications, when possible, for Duals
- Cultural competency
- Social and community engagement:
- Activities and programs to reduce loneliness and social isolation.
- Support groups and community centers focused on aging populations.
Leah Bellman, MS, OTR/L, LSSGB
Senior Associate, Business Process Services
Commonwealth Care Alliance
Additional Speaker TBA
Regulatory Changes: 2026 Proposed Rules, New SNP Focused Part C Measures, the New Administration, and State/Landscape Changes
- Successful implementation of S-SNP state requirements and CMS Model of Care requirements
- Regulatory changes impacting dual eligible plans in addition to other proposed final rule requirements for 2026 impacting all SNP products
- What type of changes are coming and how are those changes going to manifest?
- Implement and execute the final rule
- Looking at the latest on prescription payment programs
- Understanding the differences with HIDE vs FIDE in D-SNP programs
- Deregulatory concerns
Gretchen Wagner
Associate Vice President-Risk Management
Humana
Nancy Archibald,
Associate Director, Medicare-Medicaid Integration,
Center for Health Care Strategies (CHCS)
Audit Readiness: Care Planning ad Care Plan Audits
- Preparation for CMS program audits
- Organizing thorough internal mock audits and mini audits
- How, when and how often do you roll the audits out?
- Opt-outs and documentation protocol
- How are other plans gearing up for their audits?
Meghan Morais
Associate Director Risk Management
Humana
Additional speakers TBA
Networking Lunch
Leveraging Technology and Personalized Support to Streamline Care Coordination for SNP Populations
- Operationalize and managing the SNP population
- AI and applications for SNP
- Population health management and streamlining processes
- How is AI being used and is it helpful to date?
- Using AI to increase efficiency and productivity
SNPs, SDoH, Supplemental Benefits and Other Non-Medical Drivers of Health: Innovative Approaches to Address Nutrition, Transportation, and Housing that Impact Outcomes, HRAs, and Retention
- Going beyond moral imperatives
- Regulatory and financial justification
- Using non-emergency medical transportation (NEMT) to ensure access to primary care and specialists
- Meal delivery services for individuals with limited mobility or cooking ability
- Housing support: programs that assist with finding and maintaining stable housing
- Transitional care for individuals moving out of institutional settings
- Flex cards
- Overt loneliness
- What is working from ROI perspective?
- Where are plans seeing true justification?
- Language hurdles
Kaitlin Mayhew
Senior Director
Product Development Curana Health Plans / Align Senior Care
Kimberly Moran
AVP of Facility Based Products • I-SNP Product Management
Elderplan
Metropolitan Jewish Health System
Andy Friedell
COO
The Helper Bees
Topic TBA
Developing Unique, Data-Driven Products that Cater Specifically to the Needs of D-SNP, C-SNP, and I-SNP Members
- Creating and delivering benefits that cater specifically to the needs of D
- Product design around SNP
- Using data to develop products that are attractive to the SNP population
- How can plans leverage SSBCI to offer tailored and customized benefits?
- What benefit should you be offering (competitive benefit set)
- Product rewards and enhancements: How they are helping?
- Special supplemental benefits: What will it look like?
- Alignment for long term services: What type of products do you design that helps boost alignment?
Nikki Rital Hungate
Director of Medicare
PacificSource Health Plan
Stephanie Plana
Vice President of Medicare Operations
Florida Complete Care
Networking Refreshment Break
Best Practices for Managing Risk Adjustment in a Special Needs Plan
Mark Hassenstab
Vice President of Risk Adjustment and Product Optimization
Curana Health Plan
VBID Removal and Other Industry Disruptors
- How is the discontinuation of VBID impacting plans and their members?
- VBID and the impact of maintain $0 cost shares formulary design in 2026
- Offsetting VBID: What are the options and affects?
- How will the removal of VBID affect health equity initiatives?
Speaker TBA
Streamlining Operational and Charting Procedures: Creating Uniform Charting Across All Lines for Care Managers
- Common assessment questions that hit on the points that are needed for compliance with audits
- Creating synopsis/scripts for most common benefit information
- Additional resources such as bills or tobacco cessation
- Warm transfers
Lisa Gill MHA, BSN, RN
Vice President, Clinical Programs
Jefferson Health Plans
Additional Speaker TBA
Networking Cocktail Reception generously sponsored by Wellth
