Robyn Rohr and Heather Reynolds - Best Practices for Implementing Enrollee Advisory Committees

Resources For Integrated Care

In this podcast, Robyn Rohr, a Manager for Enterprise Consumer Experience at CareSource, and Heather Reynolds, an Insight Lead for Enterprise Consumer Experience at CareSource, discuss CareSource’s approach for Enrollee Advisory Committees. 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). EACs must serve the D-SNPs offered by the MA organization in that state to gather direct input on enrollee experiences. These podcasts, excerpted from a 2022 webinar, provide 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.