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DTSTART;TZID=America/Chicago:20240403T130000
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DTSTAMP:20260425T120028
CREATED:20240301T184921Z
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SUMMARY:NADP Consortium Session #2: Operational Trade-Offs that Lower Administrative Costs and Operational Capacity to Issue Rebates
DESCRIPTION:NADP Consortium Session #2: Operational Trade-Offs that Lower Administrative Costs and Operational Capacity to Issue Rebates\nIn the upcoming consortium session\, Maureen Tressel Lewis from Milliman and Toby Hall from Roosevelt Innovations will comprehensively analyze operating costs within the dental sector. Drawing on insights from other organizations faced with cost pressures\, including medical minimum loss ratios\, they will examine how health plans have historically managed these expenses. The discussion will explore the primary drivers behind these costs and strategies to manage them effectively. Furthermore\, the session will evaluate the operational capabilities necessary for issuing rebates and explore avenues for achieving operational efficiencies. The session will conclude with a strategic benchmarking example\, offering a practical illustration of the session’s key insights. \n  \n  \nSpeakers: \n\nJoanne Fontana\, FSA\, MAAA\n\nMilliman\n\n\n\n\nMaureen Tressel Lewis\, MBA\n\nMilliman\n\n\n\n\nToby Hall\n\nRoosevelt Innovations\, LLC
URL:https://www.nadp.org/event/nadp-consortium-session-2-operational-trade-offs-that-lower-administrative-costs-and-operational-capacity-to-issue-rebates/
LOCATION:Zoom
CATEGORIES:Industry Event
ATTACH;FMTTYPE=image/jpeg:https://www.nadp.org/wp-content/uploads/2022/12/row-of-business-people-listening-to-presentation-at-seminar-with-focus-on-elegant-youn-SBI-300739587-scaled.jpg
ORGANIZER;CN="NADP":MAILTO:jmay@nadp.org
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BEGIN:VEVENT
DTSTART;TZID=America/Chicago:20240417T130000
DTEND;TZID=America/Chicago:20240417T143000
DTSTAMP:20260425T120028
CREATED:20240301T185307Z
LAST-MODIFIED:20240411T185516Z
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SUMMARY:NADP Consortium Session #3: Product Design Changes to Meet MLR Requirements
DESCRIPTION:NADP Consortium Session #3: Product Design Changes to Meet MLR Requirements\nIn this collaborative session\, we will discuss and brainstorm potential changes to dental products and plan design to align with minimum loss ratio requirements.  The success of this session relies on attendee engagement and participation\, so please come ready to think through and provide your feedback on this important topic!  Joanne Fontana\, Rachel Ferguson\, and Maureen Tressel Lewis from Milliman will guide us through a virtual whiteboarding session.  After providing initial topical background\, they will present various plan design levers (including cost sharing\, covered services\, network construct\, and others) along with some initial thoughts on adjustments in those areas that might help plans align with MLR.  Collectively we will discuss the potential outcomes of those ideas\, including impacts on premiums\, claim costs\, and expenses\, as well as stakeholder ramifications.  We will also collaboratively develop and think through other ideas. The resulting whiteboard ideas will be incorporated into the final slide deck and shared with Consortium attendees as a takeaway resource via Dental Interact.  We are looking forward to a lively discussion and a highly interactive session! \n  \nSpeakers: \n\nJoanne Fontana\, FSA\, MAAA\, Milliman\nMaureen Tressel Lewis\, MBA\, Milliman\nRachel Ferguson\, MHA\, Milliman
URL:https://www.nadp.org/event/nadp-consortium-session-3-product-design-changes-to-meet-mlr-requirements/
LOCATION:Zoom
CATEGORIES:Industry Event
ATTACH;FMTTYPE=image/jpeg:https://www.nadp.org/wp-content/uploads/2022/12/workspace-with-laptop-male-hands-notebookeyeglasses-sketchbook-black-wooden-desk-with-SBI-301984738-scaled.jpg
ORGANIZER;CN="NADP":MAILTO:jmay@nadp.org
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BEGIN:VEVENT
DTSTART;TZID=America/Chicago:20240424T130000
DTEND;TZID=America/Chicago:20240424T140000
DTSTAMP:20260425T120028
CREATED:20240328T201522Z
LAST-MODIFIED:20240328T201533Z
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SUMMARY:[NADP Members Only Webinar] Focus on Medicare Advantage Dental Benefits
DESCRIPTION:[NADP Members Only Webinar]\nFocus on Medicare Advantage Dental Benefits – What is Driving Regulator Scrutiny and New Reporting Requirements?\nWednesday\, April 24\, 2024 \n1:00 PM – 2:00 PM CDT \nAlthough Medicare Advantage plans have been able to offer Supplemental Benefits since the start of the program\, the number of such offerings has grown significantly in the past five years\, driving scrutiny from federal regulators. \nLearn about the background and history of Supplemental Benefits in MA and the increased burden being placed on Supplemental Benefit providers\, including: \n\nThe regulatory and legislative changes that opened the door to the expansion of Supplemental Benefit offerings\nWhy such growth has led to concerns for regulators and Congress\nNew CMS requirements for submission of information on Supplemental Benefit offerings and usage\nHow the availability of this new data could impact plans\, Supplemental Benefit providers and vendors.\n\n\nHelaine I. Fingold\nPartner at Health Care and Life Sciences practice in the Baltimore office of Epstein Becker Green\n\nHELAINE I. FINGOLD is a Partner in the Health Care and Life Sciences practice in the Baltimore office of Epstein Becker Green. She has more than 32 years of broad health law and health regulatory experience\, including 20 years in the federal legislative and executive branches. \nMs. Fingold advises health care plans and issuers\, providers\, and other stakeholders on legal and policy issues regarding the Medicare Advantage and Part D programs\, including\, but not limited to: A/B and supplemental benefits: appeals and grievances; general program compliance; marketing\, agent/broker and TPMO issues; star ratings/quality bonus payments; program/financial audits and other program oversight; bid requirements and review; Medical Loss Ratio; and program enforcement/sanctions and appeals.  She also advises on Medicare A and B\, Medicaid fee-for-service and waiver/managed care programs\, Medicare and Medicaid innovation programs\, Qualified Health Plans and ACA commercial plan requirements\, and federal and state Surprise Billing rules. \nFrom 2004 to 2012\, Ms. Fingold worked in a range of capacities at the Centers for Medicare & Medicaid Services (CMS)\, with responsibility for areas of the Medicare Advantage program\, including plan application review and approval\, network adequacy\, application denials and appeals\, contracting\, plan surveillance and oversight\, and Medicare Advantage and Part D marketing. Subsequently\, Ms. Fingold served in both senior staff and leadership roles with the Center for Consumer Information and Insurance Oversight (CCIIO) in the Exchange Policy and Operations Group through which Ms. Fingold worked on the qualification of qualified health and stand-alone dental\, plan oversight\, essential health benefits\, agent/broker issues\, and market-wide cost-sharing limitations. \nMs. Fingold began her professional career as an attorney with the Department of Health and Human Services (HHS)\, and then as a team lead within the Office of Research and Demonstrations at CMS’s predecessor agency\, working on Medicaid waiver and Medicare demonstration programs. She then spent two years as a health care attorney with the DC office of Epstein Becker Green. She left the firm to serve as General Counsel for the Medicare Payment Advisory Commission.
URL:https://www.nadp.org/event/nadp-members-only-webinar/
LOCATION:Zoom
CATEGORIES:Webinar
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ORGANIZER;CN="NADP":MAILTO:jmay@nadp.org
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