About
Medicare is not a single buyer or business model. Digital health companies need to understand how Medicare Advantage economics, quality programs, regulations, and planning cycles shape what plans prioritize. This workshop explains the distinctions among Original Medicare, Medicare Advantage, and dual-eligible populations that matter to commercialization. Drawing on payer and growth experience, the session shows participants how to connect their solution to Stars, risk adjustment, supplemental benefits, member needs, and a plan’s financial objectives. You’ll learn how to: 🏥 Identify the Medicare market and population best aligned with your solution ⭐ Connect your value story to Stars and member experience priorities 📊 Evaluate risk adjustment, plan economics, and measurable ROI 🧓 Assess opportunities within Medicare Advantage and dual-eligible populations 📅 Apply annual planning and bid cycles to payer outreach 🤝 Build a lower-risk pathway into Medicare payer conversations --------------------------------------------------------- Sean Flaherty Sean is a Solution Sales Executive at Optum with more than a decade of experience across Medicare Advantage, payer partnerships, and healthcare commercialization. He previously held leadership roles at Kroger, UnitedHealthcare, and Sunny Rewards and advises early-stage medical device companies on reimbursement, payer engagement, and provider adoption. Demi Radeva, MSc Demi is the founder of Akros Advisory and a former UnitedHealthcare and Optum leader across Medicaid, Medicare, and Commercial health plans. She has supported 50+ HealthTech startups with payer strategy, market access, funding, and payer contracts. --------------------------------------------------------- Best for: HealthTech founders, Medicare strategy teams, market access leaders, payer sales teams, and companies evaluating Medicare Advantage opportunities