As a health plan, the New Year brings additional excitement: new members, calls to member services, managing requests for a new PCP, etc. And this year, for Medicare Advantage plans, a change to the disenrollment period, allowing members to make plan changes through March 31, 2019. This year, more than ever, plans need to “wow” their members, identify issues quickly, and make rapid adjustments. Not to mention improve Star Ratings, quality outcomes, and reduce cost while improving member, provider, and staff experiences.
Anne Davis joined HMS in 2018 as the Director of Quality Programs & Medicare Strategy where she primarily focuses on the Total Population Management market. Anne was the Director of Health Management at Martin’s Point Healthcare, a Medicare Advantage five-star plan in Portland, Maine, where she directed the care management, utilization review, chronic & wellness programs for 70,000 health plan members. In addition to directing the care management activities, Anne directed a significant portion of MPHC’s NCQA accreditation and managed the population health team supporting the plan’s primary care practices. Anne has been working as a consultant since 2015, focused on HEDIS and Stars, quality programming, and reporting & evaluation.