Effective 2023, any Medicare Advantage (MA) organization offering one or more Dual-Special Need Plans (D-SNPs) in a state must establish and maintain one or more enrollee advisory committee (EACs).1 EACs must serve the D-SNPs offered by the MA organization in that state to gather direct input on enrollee experiences. Engaging members through EACs can help health plans understand and address barriers to high-quality and coordinated care, which can lead to improvements in members’ care. Engaging members is particularly important for plans serving individuals who are dually eligible for Medicare and Medicaid, as the dually eligible population has a higher prevalence of chronic conditions, disabilities, and behavioral health conditions compared to Medicare-only and Medicaid-only populations.2
This webinar provides an overview of the EAC requirements, how health plans have engaged members in EACs, and how EAC members have impacted outcomes and created organizational change. Health plans that have been successfully running EACs share lessons learned and best practices for engaging members in plan governance through EACs, including recruiting and selecting members, collecting enrollee feedback, and disseminating feedback to appropriate departments.
By the end of this webinar, participants should be able to:
- Identify the EAC requirements in accordance with the CY 2023 MA and Part D final rule.
- Recognize the benefits of engaging enrollees through EACs in designing, participating, and assessing their care systems.
- Identify the initial steps that plans may take when planning for the creation and implementation of an EAC.
- Identify strategies and promising practices for implementing and maintaining successful enrollee advisory committees.
- Identify how to connect and engage hard-to-reach members in EAC recruitment efforts.
- Lola Akintobi, Consumer and Community Engagement Consultant, Center for Consumer Engagement in Health Innovation, Community Catalyst
- MaCayla Arsenault, Project Coordinator, Central Oregon Health Council
- Robyn Rohr, Senior Insight Manager, CareSource
- Heather Reynolds, Insight Lead, Consumer Experience, CareSource
- Walt Malick, Consumer
This webinar is intended for D-SNPs and Medicare-Medicaid Plans (MMPs) that are interested in implementing EACs.
1Federal Register. (2022). Medicare Program; Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs. Retrieved from https://www.federalregister.gov/documents/2022/05/09/2022-09375/medicare-program-contract-year-2023-policy-and-technical-changes-to-the-medicare-advantage-and.
2Medicare-Medicaid Coordination Office. (2019). FY 2019 Report to Congress. Retrieved from https://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/Downloads/FY-2018-Report-to-Congress.pdf.