This year’s event, held April 30-May 2 in Boston, will focus on regulatory updates, member engagement strategies, and effective cost-reduction techniques.
With potential regulatory changes driving shifts in the SNPs landscape, the Special Needs Plan Leadership Summit is your one-stop shop to remain equipped with practical tools to continue to grow in a competitive and thriving market.
Here are six hot-button session topics on this year’s agenda:
Adapting to regulatory changes: Strategies for SNPs and member care
Michael Cheek, president & CEO, Special Needs Plan Alliance, will lead a session on the recent regulatory changes and updates impacting SNPs, including implications for Dual Eligible Special Needs Plans (D-SNPs), Chronic Condition SNPs (C-SNPs), and Institutional SNPs (I-SNPs); how the new rules and oversight from the Centers for Medicare & Medicaid Services (CMS) are shaping benefit design, care coordination, and enrollment processes for SNPs; and the key challenges and opportunities arising from these regulations, with a focus on maintaining high-quality care for vulnerable populations.
Leveraging AI and new technology in SNP operations
There will be a panel discussion on the potential applications of artificial intelligence (AI) in managing SNPs, including care coordination, risk stratification, and predictive analytic; the opportunities for streamlining operations and improving care management; and CMS concerns regarding the use of AI in utilization management, particularly around transparency, fairness, and member impact. Caroline Wilson McDonald, principal, Prizm Health Advisory, will moderate the discussion between Natasha VanWright, senior vice president, clinical operations, Belong Health, and Eli Goldberg, VP of data and innovation, Belle.
Innovative strategies for driving quality while managing costs
This session will focus on utilization that drives member satisfaction and health outcomes; value-based care models that incentivize providers to focus on quality outcomes over volume; and innovative tools such as telehealth, remote patient monitoring, and predictive analytics to enhance care delivery and control costs. Doug Golub, principal consultant, Data Potato LLC, will lead the session.
Supporting members with intellectual and developmental disabilities in SNPs
This session will be part of the concurrent tracks on the final day of the conference. Golub will return for the session alongside Courtney Skivington, R.N., chief operating officer, Partners Health Plan, to cover challenges in creating individualized care plans (ICPs) that accommodate complex conditions, communication barriers, and co-occurring health issues; the specific health care and support needs of members with intellectual and developmental disabilities (IDD), including behavioral health considerations, care coordination, and access to specialized services; and how to incorporate social determinants of health (SDoH) into care strategies to address barriers such as housing, transportation, and access to community resources.
Chronic conditions and the regulatory landscape: The case of Ozempic and beyond
This session will explore the potential implications for SNPs if treatments like Ozempic prove effective in managing or "curing" type 2 diabetes, reshaping care models and member needs; the fiscal challenges of covering widespread treatment, including how plans can balance innovation with cost-effectiveness; and the uncertainties related to member enrollment and cost structures as new therapies gain traction and demand increases. The session speaker will be announced shortly.
CMS program audit lessons learned in 2024
The focus of this session will be CMS priorities in 2024 audits, including targeted areas such as formulary administration, coverage determinations and appeals (CDAG), and program integrity audits, to understand emerging trends and compliance expectation; a checklist of best practices and key strategies to ensure full preparedness for upcoming CMS program audits; and the findings and a case study from the SNP care coordination (SNPCC) portion of the 2024 CMS program audit to identify key lessons learned. The session speaker will be announced shortly.
The Special Needs Plan Leadership Summit will be held April 30-May 2 at the Revere Hotel Boston Common. Click here to learn more, including the agenda, roster of speakers, and registration information.