2018 Medicaid Managed Care Conference

Overview:

2018 Medicaid Managed Care Conference

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!

October 4 – 5, 2018 • Swissotel Chicago • Chicago, IL

In the United States today, over 50 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 2018 Medicaid Managed Care Conference, 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 Chicago!

Audience:

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!

Agenda:

Day One – Thursday, October 4, 2018

7:15	Conference Registration & Networking Breakfast
8:15	Chairperson's Opening Remarks Patty Byrnes Director, Government Relations – Federal AmeriHealth Caritas
8:30	Strategies on How Medicaid State Agencies Can Boost Their Provider Network Adequacy to Improve Quality Healthcare and Timely Access Preston Cody Assistant Director, Medicaid Program Operations & Integrity Washington State Health Care Authority
9:15	Does Medicaid Managed Care Improve Quality and Reduce Costs? Robert London, MD Senior Medical Director WellCare Health Plans
10:00	Networking & Refreshments Break
10:30	Effective Strategies to Integrate Social Determinants in Medicaid Managed Care John Lovelace President, UPMC for You President, Government Programs & Individual Advantage UPMC Health Plan
11:15	Enhancing Care Coordination within Medicaid Managed Care by Partnering with Community-Based Organizations Jessica Grabowski, AM, LCSW Executive Director Coordinated Care Alliance
12:00	Luncheon for All Attendees & Speakers
1:15	A Medicaid Health Plan’s Perspective on Best Practices within Medicaid Managed Care – Effectively Changing Health Behaviors via Analytics/Metrics and Community Outreach Thomas Duncan, MBA Chief Executive Officer Trusted Health Plan
2:00	Panel Discussion: Strategies to Enhance Member Centric Managed Care through State Agency and Medicaid Health Plan Partnerships Tony Brite Deputy Director of Finance, MO HealthNet Division Missouri Department of Social Services Carla Zachodni, BSN, RN, MBA Clinical Quality Program Manager Anthem Indiana Medicaid Preston Cody Assistant Director, Medicaid Program Operations & Integrity Washington State Health Care Authority
3:00	Networking & Refreshments Break
3:30	November Election: Impact to Medicaid at the Federal and State Level Patty Byrnes Director, Government Relations – Federal AmeriHealth Caritas
4:15	Effectively Managing Medicaid Members with Complex Conditions Melinda Thomason Director, Health Care Systems Innovation Oklahoma Health Care Authority
5:00	End of Day One

Day Two – Friday, October 5, 2018

7:15	Networking Breakfast
8:15	Chairperson’s Recap of Day One Patty Byrnes Director, Government Relations – Federal AmeriHealth Caritas
8:30	How to Effectively Measure Network Adequacy within Medicaid Managed Care to Ensure Effective Care and Reduced Costs Zane Chrisman Deputy Commissioner, Regulatory Health Link Division Arkansas Insurance Department
9:15	Incorporating Person-Centered Care and Service Planning within Medicaid Managed Care through Managed Long-Term Services and Supports (MLTSS) Merrill Friedman Senior Director, Disability Policy Engagement Federal Affairs Anthem Kelly Toman Staff Vice President, Clinical Quality Management Anthem
9:45	Networking & Refreshments Break
10:30	Effectively Implementing Evidence-Based Services into Medicaid Managed Care Dena Stoner Senior Policy Advisor Texas Department of State Health Services
11:15	Incorporating Effective Behavioral Health Clinical Innovations within Medicaid Managed Care: Program Development, Implementation and Payment Structures Christine Beck, LPC, LCAS Vice President, Clinical Operations Cardinal Innovations Healthcare
12:00	Conference Concludes

Workshop Session:

Thursday, October 4, 2018 • 5:30 p.m. – 7:30 p.m.

Integrating Value-Based Payments and Alternative Payment Methodologies into Medicaid Managed Care

As more states look toward emphasizing efficiency in their Medicaid Managed Care programs, more and more emphasis is going to be put on paying for services using value-based payments and alternative payment methodologies. These alternative payment approaches are going to include value-based services and flexible services. This workshop will address the key issues behind the following questions:

How does the State quantify/measure the 'value' of value-based services?
How does the State incorporate this into an actuarially sound rate development methodology?
How can the State ensure that these kinds of reimbursement approaches are in compliance with the Medicaid Managed Care Final Rule?
How does the State ensure that they can implement this kind of reimbursement flexibility into their Medicaid Managed Care programs?

At the conclusion of the workshop, attendees will understand the key issues behind implementing alternative payment approaches so that they are consistent with all applicable CMS guidelines and the Medicaid Managed Care Final Rule.

ABOUT THE WORKSHOP LEADER:
Steve Schramm is the Founder & Managing Director of Optumas, a strategy and actuarial consulting firm with offices in Scottsdale and Park City. He has been consulting to publicly-sponsored health and welfare programs for the past thirty years. Steve established Optumas more than ten years ago to focus on healthcare reform; reforming not only how healthcare is provided from the patient perspective but also reforming how healthcare is paid for by payors.

Optumas specializes in the identification, quantification, and management of healthcare risk and then designing strategies to improve healthcare quality while reducing the rate of healthcare spending. Optumas has provided these strategy and actuarial services to clients across the country – Medicaid agencies, Health Insurance Marketplaces, State Employee Plans, Medicare providers, and Medicaid Managed Care Organizations, with clients in 25+ states. Steve is a frequent speaker at national conferences on healthcare purchasing strategies that improve health outcomes, quality incentives programs that align healthcare quality with payment reform, and innovative reimbursement methodologies designed to reduce the rate of healthcare spending while improving quality.

Speakers:

Robert London, MD Senior Medical Director WellCare Health Plans			Tony Brite Deputy Director of Finance, MO HealthNet Division Missouri Department of Social Services
Marcia James, MS-CH, MBA, MS-HP, CPC Executive Director, Value Based Solutions Aetna Medicaid			Thomas Duncan, MBA Chief Executive Officer Trusted Health Plan
John Lovelace President, UPMC for You President, Government Programs & Individual Advantage UPMC Health Plan			Merrill Friedman Senior Director, Disability Policy Engagement Federal Affairs Anthem
Rebecca Logan Manager of Managed Care Policy, Contracts & Compliance, MO HealthNet Division Missouri Department of Social Services			Preston Cody Assistant Director, Medicaid Program Operations & Integrity Washington State Health Care Authority
Zane Chrisman Deputy Commissioner, Regulatory Health Link Division Arkansas Insurance Department			Carla Zachodni, BSN, RN, MBA Clinical Quality Program Manager Anthem Indiana Medicaid
Jon Hamdorf State Medicaid Director Kansas Department of Health & Environment			Melinda Thomason Director, Health Care Systems Innovation Oklahoma Health Care Authority
Jessica Grabowski, AM, LCSW Executive Director Coordinated Care Alliance			Kelly Toman Staff Vice President, Clinical Quality Management Anthem
Dena Stoner Senior Policy Advisor Texas Department of State Health Services			Christine Beck, LPC, LCAS Vice President, Clinical Operations Cardinal Innovations Healthcare
Patty Byrnes Director, Government Relations – Federal AmeriHealth Caritas			Steve Schramm Founder & Managing Director Optumas

Sponsors/Exhibitors:

Exhibitors

At NantHealth we leverage the latest advancements in precision medicine and software technology to enable true value-based care. Our solutions are holistic and comprehensive, transforming the way illness is known and treated, resulting in more effective treatment decisions that lead to improved outcomes.

Advanced TeleHealth Solutions provides patient engagement and remote monitoring solutions to help reduce the cost of care for individuals with chronic conditions. Programs are enabled by a URAC accredited Health Call Center and connectivity to biometric devices that provide our clinical team with timely information, enabling them to involve the individual and their care team to address potential health concerns in a proactive manner.

For Sponsorship & Exhibit opportunities, please contact This email address is being protected from spambots. You need JavaScript enabled to view it.

Registration Pricing:

Health Plans, States, Government, Hospitals, MCOs	Register by September 28, 2018	Register by October 4, 2018
Conference Only	$995	$1195
Conference & Workshop	$1195	$1395

Standard Rate, Vendors, Solution Providers	Register by September 28, 2018	Register by October 4, 2018
Conference Only	$1295	$1495
Conference & Workshop	$1495	$1695

Register for the 2018 Medicaid Managed Care Conference

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Workshop Session: Integrating Value-Based Payments and Alternative Payment Methodologies into Medicaid Managed Care
Purchase Policy: Cancellations received 30 calendar days prior to the event will be refunded in full less a $225 processing fee. Cancellations received less than 30 calendar days before the event will receive a credit towards a future event which is valid for one year from the date of the event. You may transfer the registration so as long as we receive the request 48 hours prior to the event.
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Venue:

Swissotel Chicago
323 East Upper Wacker Drive
Chicago, IL 60601

Phone: 312-565-0565

Mention Group Code "World Conference Forum" to get the discounted rate of $199/night.

You can also book online at the discounted rate at:

https://book.passkey.com/go/2018mmcc

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