Final rule creates Enrollment Advisory Committees for D-SNP
A new CMS requirement for Medicare Advantage Dual Eligible-Special Needs Plans calls for the creation of Enrollee Advisory Committees to help plans better serve these hard-to-reach members.
EACs present a unique opportunity for health plans to engage their members and gain rich insights that can drive improvements.
The requirement, released by CMS in April as part of the 2023 Medicare Advantage and Part D final rule, will take effect in January. The committees are designed for plans to get input directly from members themselves on topics such as member affordability and ease of digital experience. The goal is to serve members better, improve member experience and drive higher engagement. Currently health plans grapple with lack of meaningful engagement with D-SNP members, who have higher health disparities compared to other Medicare beneficiaries.
An engagement opportunity that will set your plan apart
Market-savvy health plans will make the most of this requirement, positioning them for improved long-term growth in their chosen geographic markets. As a result, health plans are seeing this as an opportunity (as opposed to just a regulatory requirement), and are more forward-thinking towards improving member engagement and improving their market positioning.
Better engagement creates better results
Taking advantage of this new opportunity will benefit health plans in the following ways:
- Improve member engagement statistics: Optimizing EACs will improve member engagement statistics through direct member input on health plan innovations.
- Improved member health literacy: Committee meetings can be used as a forum to improve health and digital literacy by, for example, showing participating members how to navigate the health plan and provider portals.
- More successful health equity interventions: Health interventions designed using stakeholder-engaged methods are more effective and sustainable. Taking advantage of advisory committees to help design interventions tailored to your member population will improve health equity-related outcomes.
- Better CAHPS results: Sustained improvements in overall member experience will result in increased CAHPS participation and higher results.
- Better long-term growth: Improved long-term growth in year over year membership as a result of organic referral-based growth to the health plan.
- Better member retention: Making D-SNP members feel that their voices are heard will improve customer satisfaction, improving member retention and reducing disenrollments.
- Improved STAR Ratings as a result of all of the above!
How to get started:
- Think about what you want to know from D-SNP members. What do you need member input on? Additionally, think about what you want D-SNP members to know about your plan.
- Consider your D-SNP population subgroups by race, ethnicity, and geographic location. What is the cultural makeup of your population? How can you optimize meeting frequency, location, and participants to fit your member and plan’s needs?
- Stay tuned to our blog for future insights on how you can optimize this new requirement! We hope you are as excited as we are for this opportunity to innovate D-SNP.
MemoryWell helps put the person in person-centered care. Our focus is to increase Medicare Advantage enrollee satisfaction and meaningfully reduce churn. Our human-to-human engagement helps enrollees feel known, builds trust, and increases awareness of their M.A. plan.