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2019 Medicaid Managed Care Forum
Essential Strategies to Succeed in the New Landscape of Medicaid Managed Care and its Expansion: Navigating CMS Regulations, States and Health Plan Collaboration to Improve Healthcare and Reduce Costs, Boost Network Adequacy, Integrate Social Determinants, and More!
June 13 – 14, 2019 • The Roosevelt, A Waldorf Astoria Hotel • New Orleans, LA
Exhibitors & Partners
Overview
In the United States today, over 60 million low income individuals are enrolled in Medicaid Managed Care plans and it is expected to increase drastically by 2021. CMS has instituted its Final Rule, a sweeping overhaul of Medicaid Managed Care, resulting in new regulations and mandates with the goal of improving Medicaid member access to quality healthcare, enhancing outcomes while reducing healthcare costs. State Medicaid Agencies and Medicaid Health Plans throughout the United States are struggling with how to be best prepared and succeed in this new, rapidly evolving landscape of healthcare.
We have created an exciting, high level forum featuring knowledgeable leaders and executives from the nation's leading Medicaid Health Plans and State Government Agencies who will share their perspectives, valuable insights and expertise on how to be best equipped for the rapidly evolving landscape of Medicaid Managed Care. Attendees will benefit from learning about best practices and strategies that have been deployed to address the challenges in transforming Medicaid Managed Care. Topics include improving network adequacy, enhancing member access to quality healthcare, boosting member enrollment/engagement, managing carved in services, integrating social determinants, enhancing care coordination/collaboration and reducing the overall healthcare spending.
By attending the 2019 Medicaid Managed Care Forum, you will learn what others in the Medicaid Managed Care arena are doing to succeed in transforming the nation’s healthcare and its Medicaid member population. Register today to reserve your seat at the conference and take advantage of early bird discounts.
We look forward to seeing you in New Orleans!
From States, Government Agencies, Health Plans & Managed Care Organizations:
Medicaid Directors, Chief Executive Officers, Chief Operating Officers, Chief Financial Officers, Chief Medical Officers, Chief Strategy Officers & Chief Information Officers
Also, Presidents, Vice Presidents, Directors & Managers of:
| • State Medicaid
• Managed Care • Health Services/Healthcare Programs • Human/Social Services • Quality Improvement • Government/State-Sponsored Programs • Population Health Management • Medical Management • Long-Term Care • Finance • Care Management • Operations • Care Management • Regulatory Affairs • Pharmacy |
• Medicaid
• Policy Analysis • Compliance • Quality Assurance • Healthcare Financing • CHIP • Health Promotion & Wellness • Community Health • Medical Assistance • Clinical Affairs • Behavioral Health • Sales & Marketing • Network Development • Disease Management • Innovation |
This program is also geared towards Centers for Medicare & Medicaid Services (CMS), Hospitals, Providers, Vendors, Employers, Purchasers, Physician Groups, Behavioral Health Centers, Wellness & Prevention Companies, Healthcare Technology Innovators, Healthcare Consultants, Solution Providers, Data Analytics Providers, Pharmacy Benefit Managers, Disease Management Organizations, Home Health Care Companies, Third Party Administrators, Pharmaceutical & Medical Device Companies, IT & Business Process Outsourcing Companies, Enrollment Brokers and More!
Day One – Thursday, June 13, 2019
| 7:15 | Conference Registration & Networking Breakfast |
| 8:00 |
Chairperson's Opening Remarks Patty Byrnes |
| 8:15 |
Effective Strategies for Medicaid Managed Care Patty Byrnes |
| 9:00 |
Behavioral Health IDD Integration into Medicaid Managed Care Dave Richard |
| 9:45 | Networking & Refreshments Break |
| 10:15 |
Implementing Effective Care Coordination: The Key to Medicaid Managed Care Melinda Thomason |
| 11:00 |
Does Medicaid Managed Care Improve Quality and Reduce Costs? Kelly Munson |
| 11:45 |
Effective Strategies to Integrate Social Determinants in Medicaid Managed Care James Milanowski |
| 12:30 | Luncheon for All Attendees & Speakers |
| 1:45 |
Implementing Effective Programs to Impact High Utilizers of Medicaid Services Roseann DeGrazia Shawn Shuman, MSN, RN |
| 2:30 |
Flexibility, Accountability, and Integrity: A New Vision for a Sustainable, Effective Medicaid Program Calder Lynch |
| 3:15 | Networking & Refreshments Break |
| 3:45 |
Ethical/Fiscal/Social Responsibilities Related to Rate Development/Negotiations both from an Actuarial Perspective and State Perspective Shane Mofford Zachary Aters, ASA MAAA |
| 4:30 |
Enhancing Payment Design to Incentivize Performance in Medicaid Managed Care Marcia James, MS-CH, MBA, MS-HP, CPC |
| 5:15 | End of Day One |
Day Two – Friday, June 14, 2019
| 7:15 | Networking Breakfast |
| 8:15 |
Chairperson’s Recap of Day One Patty Byrnes |
| 8:30 |
Oversight Considerations for Managed Care: Program Integrity, Rate-Setting, and Data Quality Susan Barnidge Leslie Gordon |
| 9:30 |
Lessons Learned: Collaborating with Medicaid Managed Care on Implementing an 1115 Waiver Stephanie Bates |
| 10:30 | Networking & Refreshments Break |
| 11:00 |
Effectively Implementing Evidence-Based Services into Medicaid Managed Care Dena Stoner |
| 12:00 | Conference Concludes |
Thursday, June 13, 2019 • 5:30 p.m. – 7:30 p.m.
Improving Healthcare Quality & Reduce Spending for Medicaid Members in the New Landscape of CMS Rules & Regulations: Changing the Paradigm to Focus on High Value Care
States are constantly under pressure to improve healthcare quality while slowing the rate of growth in their Medicaid programs. States have chosen a variety of paths to try to achieve this elusive two-pronged goal. This workshop will provide real-life examples from two states with decidedly different, but ultimately successful, approaches to Medicaid: Colorado and Oregon. Senior leadership from Colorado Medicaid and Oregon Medicaid, along with their actuarial and analytics consultants, will provide detailed information on how their Medicaid programs are constantly evolving and innovating to stay ahead of the cost curve while focusing on delivering high quality care. This workshop will address the practical strategies Colorado and Oregon have used to address the following questions:
- How does a state define "quality" healthcare in their Medicaid program and what are the best metrics to move the quality needle?
- How does a state effectively differentiate between high value care and low value care using readily available data, e.g., eligibility, fee-for-service claims, and/or encounter data?
- Once standards for the type of care are established, how does the State set targets for clinical interventions that focus on high value care and ensure they are reasonable, attainable, and appropriate?
- How can the State work collaboratively with its key stakeholders to implement these innovative contractual requirements and ensure they are still in compliance with CMS' evolving rules and regulations?
- What is the most effective way to measure and monitor the rate of growth of my Medicaid program so that reasonable targets can be set?
At the conclusion of the workshop, attendees will understand the key strategies that two highly successful Medicaid programs have implemented to successfully addressing quality and cost simultaneously as well as how to customize and implement similar strategies in their states.
Workshop Leaders:
Lori Coyner
State Medicaid Director
Oregon Health Authority
Shane Mofford
Director, Rates & Payment Reform
Colorado Department of Health Care Policy and Finance
Steve Schramm, MScHE
Managing Director
Optumas
Zachary Aters, ASA MAAA
Senior Actuary
Optumas
|
Dave Richard |
Stephanie Bates |
||
|
Jennifer Lee, MD |
Kelly Munson |
||
|
Marcia James, MS-CH, MBA, MS-HP, CPC |
Lori Coyner |
||
|
Thomas Duncan, MBA |
Calder Lynch |
||
|
John Johnson, MD, MBA, FACP |
Roseann DeGrazia |
||
|
Susan Barnidge |
Leslie Gordon |
||
|
Shane Mofford |
Dena Stoner |
||
|
Melinda Thomason |
Shawn Shuman, MSN, RN |
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|
James Milanowski |
Patty Byrnes |
||
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Steve Schramm, MScHE |
Zachary Aters, ASA MAAA |
Exhibitors
Choices Coordinated Care Solutions is a national non-profit organization committed to supporting youth with significant behavioral health challenges in community settings. We partner with families, schools, providers, government agencies, and manage-care organizations to build a customized Plan of Care for a youth and their family. Choices uses evidence-based methods that build of the strengths of everyone involved.
InComm has extensive experience within the healthcare industry and provides health plans with customized incentive and rewards solutions that engage members and inspire proactive wellness. By leveraging our proprietary payment technology, our partners can deliver a comprehensive incentive program that makes it easy for your members to experience the full value of your plan, which increases your member engagement and your ratings. Our innovative products, like our restricted-spend cards, prepaid gift cards and retailer discount offering, coupled with seamless ordering and fulfillment options, provide members with wellness benefits that seamlessly fit into their everyday lives. Learn more at www.incommiha.com.
CommonWealth Purchasing Group (CPG) is the leading group purchasing organization for community health centers and other community-based non-profit organizations, offering members significant savings on supplies, services, and products they purchase every day. CPG's goal is to enable and support their mission, and provide a high level of service and assistance to their procurement departments and administration.
Philips Lifeline is a solutions leader in the aging and caregiving healthcare space. Our goals are to provide innovative solutions that assist elder populations, caregivers, clinicians and payers in the care continuum in healthcare today. We provide connected services in the Emergency Response, Predictive Analytics, Medication Adherence, and Telle-Medicine space that enable older populations to age at home and thrive.
From doctor to doorstep, McKesson Patient Care Solutions provides healthcare that fits into your everyday life. With online support to answer all your questions, a team of customer service Reps to help you choose the right supplies, and fast, convenient shipping right to your door.
For Sponsorship & Exhibit Opportunities, please contact This email address is being protected from spambots. You need JavaScript enabled to view it.
|
Health Plans, States, Government, Hospitals, MCOs |
Register by |
Register by |
|
Conference Only |
$995 |
$1195 |
|
Conference & Workshop |
$1195 |
$1395 |
|
Standard Rate, Vendors, Solution Providers |
Register by |
Register by |
|
Conference Only |
$1295 |
$1495 |
|
Conference & Workshop |
$1495 |
$1695 |
The Roosevelt, A Waldorf Astoria Hotel
130 Roosevelt Way
New Orleans, LA 70112
Phone: 504-648-1200
Mention Group Code "MMC" to get the discounted rate of $219/night.
You can also book online at the disocunted rate at:
https://book.passkey.com/gt/217388254?gtid=ea720a2769c8742e9a19f7787a606df4
Managed Care delivers high-interest articles and features developed through original research and writing. Its editorial mission is to advise managed markets physicians, pharmacists, and executives on the integration of the business and medical aspects of the rapidly changing managed care market. A strict fact-checking and peer-review process assures the accuracy and relevance of editorial content.
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