Unpacking the 2023 MA and Part D Advance Notice


Since CMS dropped the 2023 Medicare Advantage and Part D Advance Notice last month, there has been a lot of speculation about what plan performance will look like in the coming years, yet one thing is clear: change is on the horizon, and it may arrive sooner than later.

To help you adapt your quality improvement strategies, Healthmine EVP of Consulting & Professional Services Melissa Smith broke down the top things you need to know about the 2023 Advance Notice and what you can do now in a recent article, but she still had plenty of insights leftover to share with you. Alongside VP of Consulting & Professional Services Dwight Pattison and Senior Consultant Cynthia Pawley-Martin, Melissa presented an in-depth webinar on the laundry list of proposed measure changes in the Advance Notice and how you can begin evolving your strategies to prepare for the future.

If you couldn’t make the live webinar, no worries—the recording is available on-demand!

Fill out the form to watch the webinar recording to hear our expert panel discuss:

  • A broad roadmap highlighting which proposals could impact plans as early as 2022 and 2023, as well as the long-term regulations that take longer but are game-changers
  • The potential removal of hybrid reporting for Colorectal Cancer Screenings and shift to Electronic Clinical Data Systems (ECDS) reporting, as well as the transition to ECDS reporting for Breast Cancer Screenings
  • CMS’ emphasis on Health Equity and the increase in stratified reporting of disparities based on disability status, LIS, dual-eligibility, race, and ethnicity
  • The measurement math behind the proposed Health Equity Index, which could replace the Rewards Factor in evaluating performance across multiple measures based on health disparities
  • The long-term development of measures to document health-related social needs, including food, housing, and transportation insecurities, through medical record extras, HRAs, and ECDS reporting
  • The measures that CMS was silent on, including a new KED HEDIS measure, the return of IPH and IMH, and numerous Display Measures
  • The five things you can focus on to prepare your quality improvement strategies for the upcoming Medicare Advantage challenges
  • Pre-submitted and live questions from health plans concerning the potential impact of specific measures

Complete the form to enjoy an insightful analysis of the evolving Medicare Advantage landscape and the strategies you can develop to continue boosting your Star Ratings.

Melissa is a well-known thought leader and healthcare strategist with proven success developing enterprise-wide solutions to improve Star Ratings, HEDIS scores, quality performance, health outcomes, and the member experience. As EVP of Healthmine’s advisory division, she helps clients evaluate market dynamics and opportunities, optimize distribution channels, and fulfill strategic planning needs.

More Resources from Melissa Smith

Dwight Pattison has over twenty years of healthcare industry experience focused on quality management, performance improvement, data analytics, and reporting. Fueled by a strong background in Medicare and Medicaid reporting and regulatory compliance, Dwight has directly led MCOs in achieving significant performance improvement results across numerous markets and product lines.

More Resources from Dwight Pattison

Cynthia Pawley-Martin has a wealth of expertise from her long-tenured career as a healthcare quality improvement professional. She has consulted with dozens of Medicare Advantage plans on their Star Ratings programs and comes with a solid record of success leading and supporting quality programs across healthcare delivery systems, including health plans and large physician practices.

More Resources from Cynthia Pawley-Martin

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