Policy & Advocacy

Our Workgroups

In order to engage with our members and to facilitate shared learning, the SNP Alliance hosts regular meetings with specific subsets of our membership to address key issues with relevant shareholders. These work groups are exclusive to SNP Alliance member plan participants, with occasional presentations from outside speakers with aligned interests.

Leadership/Policy Group

This group focuses on current policy updates and issues. This group will provide input into strategic goals for the upcoming year. This group will also help frame new policy positions for SNPA, as well as be provided with updates to new projects and initiative’s. Regular attendees to these calls include senior member organization executives and policy directors.

Performance Evaluation Group

This group focuses on performance evaluation for SNPs, including quality measures and methods under Medicare and Medicaid, population stratification and risk adjustment, and “Best Practice” initiatives. This group comments on proposed rules and legislation and analyzes and provides comment to CMS, NCQA, NQF, Mathematica, RAND, ASPE, NASEM and other key organizations/agencies. These meetings are attended by Chief quality officers, Clinical services VPs, Senior VPs or directors for Care management or population health or innovation, and data analytics senior directors involved in measurement and reporting under Medicare or Medicaid programs.

Medicare-Medicaid Integration Group

This group focuses on issues to improving integration and coordination of Medicare and Medicaid policy, care delivery, financing, services and operational and administrative processes for dually eligible beneficiaries, including MLTSS and BH, through SNPs and MMPs and other demonstrations. This group comments on proposed CMS policy, rules and guidance on these topics, and is called upon to provide specific input to the Medicare-Medicaid Coordination Office and other related Medicare units. Regular attendees include: MMP, FIDE and D-SNP and other SNP leaders and managers, policy and government relations staff, MLTSS and BH managers, and content experts on MIPPA contracting and dual eligibility. Depending on the specific agenda, content experts on enrollment, marketing, networks, member materials and other related SNP and Medicare- Medicaid plan features may also wish to participate.

Clinical Leadership

This group focuses on the intersection of policy and practice delivery design. It is intended to serve as a forum for CMOs, Medical Directors, Clinical Nurse Director’s, and other clinical and quality leads to share challenges and provide input into policy and quality measurement. The agenda will rotate by SNP type and MMPs. Attendees include CMOs, Medical Directors, Clinical Nurse Director’s and other clinical and quality leadership staff.

I-SNP Group

The is a working group to address opportunities, challenges and best practices for I-SNPs. Membership is open to all interested in I-SNP issues, including provider-sponsored plans.

Improving Policy and Practices to Ensure Patient Care is A Priority

We work with the government and plans to improve policy and practice in the care of high-risk beneficiaries, including the dually eligible, frail elders, adults with disabilities, and others with serious chronic conditions.

SNP Alliance serves its members, and more than 2.1 million beneficiaries, through:

  • Public policy development and advocacy
  • Strategic visioning and leadership
  • Coalition building
  • Annual member survey
  • National meetings and conferences
  • Best practice collaboratives
  • Legislative and regulatory analysis and updates
  • Issues briefs and case studies

Influencing Legislation Through Strategic Advocacy Work, Establishing Strong Relationships and Coalition Building

SNP Alliance advocates for public policy development by leveraging Congressional influence and collaborating to build strong partnerships to ensure that legislation around advancing SNP and MMP’s is a top priority.

We report responses from Centers for Medicare & Medicaid Services (CMS), other agencies, and stakeholders on laws, rule-making, and expert committee involvement.

As agents of change, we aim to develop and promote policies that are beneficial for payors, providers, and consumers.

Facilitating Discussion and Shared Learning to Advance Priorities

Through regular member calls, meetings, conferences, and our annual survey, we gather information and build our collection of data on the unique characteristics that make up SNPs and MMPs.

We have an ongoing priority of advancing integration for those dually eligible by addressing issues and member concerns around Medicare and Medicaid, such as the implementation of the requirements outlined in the 2018 Balanced Budget Act, which provided permanency for special needs plans.

The SNP Alliance’s goal is to continue to be a valued resource for members by ensuring individuals have the right knowledge and access to address the care for those with complex needs.

Analyzing Quality Measures & Methods Toward Meaningful Performance Evaluation

Our mission is to initiate or change methods based on the latest analysis and updates. Through collaborative learning with partnerships, we are able to provide real-world expertise and implement practices that will improve health disparities.

Our approach includes changes to quality measurement and performance evaluations, such as:

  • Stars measures and cut points
  • Health Outcomes Survey
  • Consumer Assessment of Healthcare Providers & Systems (CAHPS)
  • Model of Care
  • Social Determinants of Health (SDOH) risk adjustment

Meaningful data, developed into issue briefs and case studies, allows us to represent better and promote issues facing the SNP and MMP population.

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“The SNP Alliance is a truly refreshing group be a part of: highly knowledgeable and dedicated people, a lot of expertise in one room, evident camaraderie, and a sense of engagement that goes beyond what most people expect out of advocacy groups.” – SNP Alliance Member

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