The 2026 Final Rule and Rate Announcement may not seem drastic—but beneath the surface, it signals a turning point for Medicare Advantage plans.
Expanded measures, equity-focused expectations, and shifting risk adjustment models mean plans must rethink how they engage members, track outcomes and optimize performance.
In this expert panel, Healthmine leaders break down what’s changing and how to build a more sustainable strategy that reaches more members, captures risk earlier and aligns to new regulatory demands.
Key Takeaways:
- Understand how the 2026 Final Rule and Rate Announcement impacts Stars and risk adjustment strategies
- Learn how to operationalize EHO4All and address disparities through targeted, scalable action
- Explore how digital-first engagement helps shift member behavior and close high-value gaps
- See why timing, personalization, and data-driven communication matter more than ever
- Discover how Healthmine helps plans make smarter use of MLR and new reimbursement flexibility
Changing Your Approach: What Medicare Plans Need to do Differently in 2025 and 2026
The 2026 Final Rule and Rate Announcement may not seem drastic—but beneath the surface, it signals a turning point for Medicare Advantage plans.
Expanded measures, equity-focused expectations, and shifting risk adjustment models mean plans must rethink how they engage members, track outcomes and optimize performance.
In this expert panel, Healthmine leaders break down what’s changing and how to build a more sustainable strategy that reaches more members, captures risk earlier and aligns to new regulatory demands.
Key Takeaways:
- Understand how the 2026 Final Rule and Rate Announcement impacts Stars and risk adjustment strategies
- Learn how to operationalize EHO4All and address disparities through targeted, scalable action
- Explore how digital-first engagement helps shift member behavior and close high-value gaps
- See why timing, personalization, and data-driven communication matter more than ever
- Discover how Healthmine helps plans make smarter use of MLR and new reimbursement flexibility
Speakers
Mallory has over 15 years of leadership, quality and clinical experience delivering 5-Star quality care for senior populations in managed care plans and assisted living settings. She previously served as the Director of Quality Health Integration at Network Health Plan where she oversaw all regulatory programs and led the plan to achieve 5-Star performance. Mallory is a Registered Nurse and earned her BSN from the University of Wisconsin-Green Bay.
Ana brings more than 20 years of healthcare and health plan experience to Healthmine. She most recently came from WellSense Health Plan, formerly Boston Medical Center HealthNet Plan. She had oversight of work related to Stars, HEDIS®, NCQA, Quality Rating System, External Quality Review Organization, population health programs, new product implementation, value-based care programs, policy advocacy and health equity programs.
Ana developed multiple innovative member and provider interventions that were integral in the successful improvement of key HEDIS and Consumer Assessment of Healthcare Providers and Systems (CAHPS) quality measures and meeting corporate and contractual goals. She has experience with successfully identifying and implementing new to industry initiatives, such as texting, with proven quality and financial improvement. Ana is bilingual in English and Spanish and has used this in community initiatives to help engage members and improve the quality of care for the Medicaid, Medicare, Affordable Care Act, and Commercial populations.
Ana holds a master’s degree from Simmons University in Health Administration and a bachelor’s degree from the University of New Hampshire.
Chris Gage is a senior marketer with first-hand experience designing data-driven, healthcare engagement strategies to improving quality scores, decrease costs and increase member retention. With a strong background in consumer engagement, she has assisted health plans in conducting personalized, omnichannel outreach campaigns to drive behavioral change and improve loyalty.
Changing Your Approach: What Medicare Plans Need to do Differently in 2025 and 2026
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The 2026 Final Rule and Rate Announcement may not seem drastic—but beneath the surface, it signals a turning point for Medicare Advantage plans.
Expanded measures, equity-focused expectations, and shifting risk adjustment models mean plans must rethink how they engage members, track outcomes and optimize performance.
In this expert panel, Healthmine leaders break down what’s changing and how to build a more sustainable strategy that reaches more members, captures risk earlier and aligns to new regulatory demands.
Key Takeaways:
- Understand how the 2026 Final Rule and Rate Announcement impacts Stars and risk adjustment strategies
- Learn how to operationalize EHO4All and address disparities through targeted, scalable action
- Explore how digital-first engagement helps shift member behavior and close high-value gaps
- See why timing, personalization, and data-driven communication matter more than ever
- Discover how Healthmine helps plans make smarter use of MLR and new reimbursement flexibility
Featured presenters
Mallory has over 15 years of leadership, quality and clinical experience delivering 5-Star quality care for senior populations in managed care plans and assisted living settings. She previously served as the Director of Quality Health Integration at Network Health Plan where she oversaw all regulatory programs and led the plan to achieve 5-Star performance. Mallory is a Registered Nurse and earned her BSN from the University of Wisconsin-Green Bay.
Ana brings more than 20 years of healthcare and health plan experience to Healthmine. She most recently came from WellSense Health Plan, formerly Boston Medical Center HealthNet Plan. She had oversight of work related to Stars, HEDIS®, NCQA, Quality Rating System, External Quality Review Organization, population health programs, new product implementation, value-based care programs, policy advocacy and health equity programs.
Ana developed multiple innovative member and provider interventions that were integral in the successful improvement of key HEDIS and Consumer Assessment of Healthcare Providers and Systems (CAHPS) quality measures and meeting corporate and contractual goals. She has experience with successfully identifying and implementing new to industry initiatives, such as texting, with proven quality and financial improvement. Ana is bilingual in English and Spanish and has used this in community initiatives to help engage members and improve the quality of care for the Medicaid, Medicare, Affordable Care Act, and Commercial populations.
Ana holds a master’s degree from Simmons University in Health Administration and a bachelor’s degree from the University of New Hampshire.
Chris Gage is a senior marketer with first-hand experience designing data-driven, healthcare engagement strategies to improving quality scores, decrease costs and increase member retention. With a strong background in consumer engagement, she has assisted health plans in conducting personalized, omnichannel outreach campaigns to drive behavioral change and improve loyalty.
