Predict Health and Rex Wallace Consulting Launch New Solution to Help D-SNPs Launch and Maintain Impactful Enrollment Advisory Boards

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 improve their competitiveness in the market

ARLINGTON, Va., August 12022 /PRNewswire/ — Predict Health, an innovative leader in building and sustaining Medicare member communities, in partnership with Rex Wallace Consulting, LLC (RWC), announced a new offering to help D-SNPs maintain a process High-Quality Enrollee Advisory Board for Medicare Advantage Members.

Major health plans are implementing streamlined processes to meet new CMS requirements to include enrollees in plan governance while improving plan performance. The requirement will become effective January 1, 2023. CMS estimates that the plans will spend $1 million on average to launch, manage and comply.

“Payers are committed to advancing outcomes of care for their Medicare Advantage members in accordance with CMS requirements,” said Predict Health’s CEO. Shub Debgupta. “We’ve partnered with leading carriers to deliver a proven approach to launching registrant advisory boards and driving plan performance. Our partnerships are built on a proven ability to identify, engage, and reach diverse Medicare members in any state, including hard-to-reach populations. »

A proper process should include –

  • Program Strategy and Scope

  • Identification of representative participants

  • Participant Recruitment and Engagement

  • Preparation of documents for meetings and members

  • Virtual meeting and running events

  • In-person meeting and event execution

  • Data collection and documentation

  • Meeting agenda and strategy

  • Meeting attendance management

  • Analysis and insight

  • Sustain and improve events

  • Improvement plans

“We work with D-SNPs using a proven methodology to ensure the successful planning and implementation of Registrant Advisory Committees to achieve plan goals,” said the RWC Founder. Rex Wallace. “Compliance with CMS mandates will be a heavy hitter that further sets major health plans apart. Predict Health is an innovative leader in building and sustaining communities of Medicare members using a data-driven approach to recruit, engage and improve member experience and retention. Together, we are meeting the demand for a program based on a consistent record of translating member information into actionable plan insights.”

Members of the Registrant Advisory Committee help review health plan processes, programs and design so that plan managers can continue to improve the member experience. Members and caregivers are recruited to be part of this program.

“We are proud to work with RWC as leading experts in leading stars, plan governance, and improving the member experience at Medicare Advantage and dual plans,” said Jeffrey Sopko to predict health. “We bring our expertise to dramatically improve 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 and employee engagement and operational excellence. Founder Rex Wallace brings deep expertise to improve Medicare Advantage plan performance, resulting in improved member outcomes, experiences, and quality of life. Wallace is a Senior Advisor at McKinsey & Company and former Vice President, Integrated Member Experience at Cambia Health Solutions. Previously, he held executive positions with Universal American Health Benefits Program, CIGNA, Marsh, Aon and Wal-Mart.

About Predict Health

Predict Health is an in-depth technology analytics company transforming the way America’s seniors navigate and manage their health care experience with Medicare. Predict Health helps health insurance plans improve member experience, grow membership, retain members, and serve members longer. The company uses artificial intelligence (AI) and advanced data analytics to help insurers and their partners create high-value health insurance plans, improve star quality, attract and retain better members and create engaging member experiences that meet increasingly tech-savvy needs. and the autonomous elderly population. 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 smarter. For more information, please contact [email protected], visit our webpage at www.predicthealth.ai and follow us via LinkedIn.

CONTACT: Chris Gale: [email protected]

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SOURCE Predicting Health

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