This new solution from Predict Health and Rex Wallace Consulting helps Medicare Advantage plans better engage Dual-Special Needs Plan (D-SNP) members, meet new Centers for Medicare & Medicaid Services (CMS) requirements, and to improve their competitiveness in the market
ARLINGTON, VA, August 12022 /PRNewswire/ — Predict Health, an innovative leader in building and maintaining Medicare member communities, in partnership with Rex Wallace Consulting, LLC (RWC), announced a new offering to help D-SNPs maintain a high-quality advisory process committee of Medicare Advantage Enrollees.
Leading health plans are implementing streamlined processes to meet new CMS requirements to engage enrollees in plan management while improving plan performance. The request will take effect January 1, 2023. CMS projects that plans will spend 1 million dollars average for launch, management and compliance.
“Payers are committed to improving care outcomes for their Medicare Advantage members in accordance with CMS requirements,” said Predict Health CEO Shub Debgupta. “We’ve joined with leading carriers to provide a proven approach to launching enrollee advisory committees and driving plan performance. Our partnerships leverage a proven ability to identify, engage and reach diverse Medicare members in every state, including hard-to-reach populations.”
Due process is expected to include –
- Program strategy and scope
- Identification of a representative participant
- Recruiting and engaging participants
- Preparation of meeting and materials for members
- Virtual meeting and event hosting
- Personal meeting and holding of the event
- Data collection and documentation
- Meeting agenda and strategy
- Manage meeting attendance
- Analysis and insight
- Maintaining and improving events
- Improvement plans
“We work with D-SNP using a proven methodology to ensure the successful planning and implementation of Enrollee Advisory Committees to achieve plan goals,” said the RWC founder Rex Wallace. “Meeting the CMS mandates will be a tall order that will further distinguish leading health plans. Predict Health is an innovative leader in building and maintaining communities of Medicare members using a data-driven approach to recruit, engage and improve the member experience and retention. Together, we are meeting the demand for a program built on a consistent record of translating member insights into actionable plan insights.”
Enrollee Advisory Committee members help review health plan processes, programs and design so plan leaders can continue to improve the member experience. Both members and caregivers are recruited to be a part of this program.
“We are proud to work with RWC as the leading experts in Stars management, plan management and member experience improvements in Medicare Advantage and dual plans,” said Jeffrey Sopko of Predict Health. “We bring expertise, driving significant improvements in star ratings, member experience and member retention.”
About Rex Wallace Consulting, LLC
Rex Wallace Consulting, LLC works with health plans to create a culture of quality. Results are achieved through member, supplier, employee engagement and operational excellence. Founder Rex Wallace brings deep expertise improving Medicare Advantage plan performance, resulting in improved outcomes, experiences and quality of life for members. Wallace is a senior advisor at McKinsey & Company and former vice president, integrated member experience at Cambia Health Solutions. He previously held health benefits program leadership roles at Universal American, CIGNA, Marsh, Aon and Wal-Mart.
About Predict Health
Predict Health is a deep technology analytics company that is transforming the way US seniors navigate and manage their Medicare healthcare experience. Predict Health helps Medicare plans improve the member experience, increase their membership, retain and serve members longer. The company uses artificial intelligence (AI) and advanced data analytics to help insurers and their partners create high-value Medicare plans, improve the quality of Stars, attract and retain the best members, and create engaging member experiences , which meet the needs of an increasingly tech-savvy and independent senior population. Predict Health also helps Medicare consumers get the most out of their coverage through the Wiser Medicare community and resources. Predict Health works with Medicare plans and their partners to help them better serve Medicare consumers and grow smart. For more information, please contact [email protected]visit our webpage at www.predicthealth.ai and follow us on LinkedIn.
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SOURCE Predict Health