This new solution from Predict Health and Rex Wallace Consulting helps Medicare Advantage plans to better engage Dual-Special Needs Plan (D-SNP) members at the new Centers for Medicare & Medicaid Services (CMS) Demand and Improve Their Market Competitiveness
, /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 create a high-quality Enrollee Advisory Committee process for Medicare Advantage members.
Leading health plans implement streamlined processes to meet new CMS requirements to include enrollees in plan management while improving plan performance. The requirement will go into effect on January 1, 2023. CMS estimates that plans cost an average of $1 million to launch, manage and comply.
“Payers are committed to improving healthcare outcomes for their Medicare Advantage members in line with CMS’s requirements,” said Shub Debgupta, CEO of Predict Health. “We have partnered with leading carriers to provide a proven approach to launch Enrollee advisory committees and drive plan performance. Our partnerships leverage a proven ability to identify, engage and engage diverse Medicare members in each state. and reachable, including hard-to-reach populations.”
An appropriate process is expected to include:
“We are partnering with D-SNPs using a proven methodology to ensure the successful planning and implementation of the Enrollee Advisory Committees to meet the plan’s goals,” said RWC founder Rex Wallace. “Meeting CMS mandates will be a heavy burden that will further differentiate leading health plans. Predict Health is an innovative leader in building and maintaining Medicare member communities using a data-driven approach to engage member experience and retention Together, we are meeting the demand for a program built on a consistent track record of translating member insights into actionable plan insights.”
Enrolled Advisory Committee members assist in reviewing health plan processes, programs, and design so plan leaders can continue to improve the member experience. Both members and caregivers are being recruited to be part of this program.
“We are proud to partner with RWC as leading experts in driving Stars, planning governance, and improving the member experience at Medicare Advantage and Dual Plans,” said Jeffrey Sopko of Predict Health. “We bring expertise to deliver 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 quality cultures. Results are achieved through member, supplier, employee engagement and operational excellence. Founder Rex Wallace brings deep expertise to improve the performance of the Medicare Advantage plan, resulting in improved outcomes, experiences and quality of life for members. Wallace is a senior advisor to McKinsey & Company and former Vice President, Integrated Member Experience at Cambia Health Solutions. Prior to that, he held leadership positions at Universal American, CIGNA, Marsh, Aon and Wal-Mart’s health benefits program.
Predict Health is an in-depth technology analytics company that is transforming the way U.S. seniors navigate and manage their Medicare healthcare experience. Predict Health helps Medicare plans improve the member experience, grow 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-quality Medicare plans, improve the quality of Stars, attract and retain the best members, and create compelling member experiences that meet the needs of the increasingly technology-savvy and independent seniors. Predict Health also helps Medicare consumers get the most out of their coverage experience 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.
CONTACT: Chris Gale: [email protected]
