Shifts in the Medicare Advantage Dental Market (recording)

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Recorded On: 04/22/2021

Recent changes in Medicare Advantage supplemental benefits rules have resulted in an increase in the number and variety of supplemental benefits offered by Medicare Advantage Organizations (MAOs). This shift is an effort to meet the broader needs of seniors and improve member health status. As competition for supplemental benefit dollars increases, product managers must increasingly “make the case” for the importance of dental benefit investments. HealthScape will cover these MA supplemental benefit changes and highlight how this impacts dental offerings. HealthScape will then discuss how plans are responding today and remaining competitive, and what plans should do going forward to assess their own dental benefit richness

Brian Goetsch

Managing Director

HealthScape Advisors

Brian advises health plans, specialty health organizations, and private equity investors on various strategic and operational topics. Brian has led successful healthcare engagements across multiple topics, including market entry and expansion, product development and launch; transaction advisory services; and performance improvement. Before joining HealthScape, Brian served as a senior executive at EyeMed Vision Care, leading the development and execution of its partner channel “One-Stop-Shop” strategy. During his tenure, he successfully led multiple cross-functional initiatives, including EyeMed’s expansion into Medicaid, investment in its Medicare Advantage solution, and the launch of its medical-surgical vision solution. He also supported efforts to develop, implement and contract more than ten successful partner deals covering over 2 million members. Previously, Brian was a director at HealthScape Advisors and started his career with Huron Consulting Group. Brian earned his Masters and Bachelors in Accountancy from the University of Illinois and was a Certified Public Accountant (inactive) and Certified Fraud Examiner (inactive).

Luke Pisarcik

Principal

Healthscape Advisors

Luke has extensive experience supporting clients with strategy creation & tactical execution, organizational design, and new product development. Throughout his career, Luke has advised his clients on a variety of industry topics, including, but not limited to Value-Based Care Program Design, Ancillary / Specialty Health, Behavioral Health, and Organizational Redesign. Of note, Luke recently worked with a private equity-owned ancillary carrier to implement a multi-year value creation plan expected to generate a yearly, eight-figure EBITDA expansion. This project required coordination across the entire enterprise and multiple vendors to implement. Luke and his team focused on financial modeling, program management, business requirement design, and strategic execution support. Luke has also led multiple internal and external ancillary transaction advisory teams performing data room analysis, financial and discounted cash flow modeling, provider network analytics, investment thesis development, market/competitive research, operational assessments, and functional diligence process management. Luke began his career working in various finance roles at United Technologies before joining HealthScape in 2011 as a consultant. Luke earned his bachelor's degree in finance from the University of Illinois.

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Shifts in the Medicare Advantage Dental Market (recording)