Agenda

Conference Co-Chair

·         Review finalized 2026 benchmarks and MA payment updates and how the VBID model sunset after 2025 reshapes supplemental benefit flexibility and plan strategy

·         Understand rate factor trends and their market implications to optimize your bid process and how new CMMI specialty models (cardiovascular and back pain) may influence utilization assumptions

·         Hear expert analysis on how leading plans are adjusting pricing and rebate strategy 

·         Create a 12-month bid operations roadmap that streamlines internal reviews, and aligns actuarial, product, and compliance teams

·         Incorporate monitoring of CMS rulemaking, legislative changes, and demonstrations like VBID or CMMI pilot

·         Use market intelligence, benchmark data, and member analytics to define a differentiated strategy that balances growth, retention, and profitability

·         Hear lessons learned from experienced bid leaders on how cross-functional coordination, automation tools, and continuous data validation can transform bid performance year after year

·         Evaluate risk score trends and normalization factors under the 2026 framework

·         Discuss the operational, actuarial, and coding impacts of the 100% model phase-in

·         Explore how data accuracy and documentation integrity drive bid credibility

·         Explore how Medicare Advantage organizations are using AI to improve actuarial precision, automate bid validation, and reduce manual errors

·         Examine real-world analytics pipelines that transform raw data into actionable insights for pricing and product strategy

·         Learn how predictive modeling and machine learning refine assumptions, enhance cost forecasting, and strengthen compliance oversight across bid cycles

·         Discover best practices from leading plans on aligning actuarial, product, and compliance teams

·         Learn new workflow automation tools improving bid cycle efficiency

·         Review CMS audit trends and mitigation strategies

·         Understand the connection between bid design, member experience, and Star performance

·         Explore 2026 Star Rating updates and quality improvement tactics

·         Review how innovative supplemental benefits influence ratings and retention

·         Examine trends in automation, interoperability, and data exchange across MA operations

·         Understand how technology innovators are reshaping bid submission and product analytics

·         Explore how CMS modernization efforts could affect 2027 and beyond

·         Reassess supplemental benefit strategies as the VBID model sunsets, focusing on financially sustainable alternatives for targeted populations

·         Evaluate the growing importance of SNPs amid dual-eligible growth, Medicaid churn, and social risk factor alignment

·         Explore innovative ways to support high-cost chronic populations through benefit design that aligns with CMMI’s new specialty models

·         Review the 2026 Part D bid and premium stabilization updates

·         Understand how Part D assumptions affect total plan competitiveness

·         Discuss the operational nuances of managing integrated MA-PD bids

·         Anticipate the policy ripple effects of VBID’s termination, new CMMI demonstrations, and evolving drug payment reforms

·         Predict how 2027+ rules may change pricing, technology, and market participation

·         Forecast how the Generous model and Medicaid policy shifts could affect future Part D assumptions

·         Identify long-term strategies to build resilient, compliant bid teams