2019 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 7 - 8, 2019 • Palmer House, A Hilton Hotel • Chicago, IL
Sponsors/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 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!
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 – Monday, October 7, 2019
7:15 | Conference Registration & Networking Breakfast |
8:00 |
Chairperson's Opening Remarks Patty Byrnes |
8:15 |
Strategies on How Medicaid State Agencies Can Boost Their Provider Network Adequacy to Improve Quality Healthcare and Timely Access Stephanie Muth |
9:00 |
An Overview of the CMS Final Rules for Medicaid Managed Care in the New Healthcare Landscape Michael Hales, MPA |
9:45 | Networking & Refreshments Break - Sponsored by Envolve |
10:15 |
Examining Innovative Programs & Trends in Medicaid Managed Care Jeremy Corbett, MD Sam DiCapua, MS, DO, CPE |
11:00 |
Innovations to Enhance Treatment and Monitoring of Foster Care Children: Just the Beginning Bobbi Garber |
11:45 |
Enhancing Payment Design for Children to Integrate Social Determinants for a Healthier Medicaid Managed Care Population Lawrence Moss, MD, FACS, FAAP |
12:30 | Luncheon for All Attendees & Speakers |
1:45 |
Incorporating Managed Long-Term Services and Supports (MLTSS) into a Managed Care Organization Robert Kalin |
2:30 |
Strategies to Enhance Member Centric Managed Care through State Agency and Medicaid Health Plan Partnerships Sue Kvendru |
3:15 | Networking & Refreshments Break |
3:45 |
Implementing an Effective Behavioral Health and Opioid Management Program within Medicaid Managed Care Joe Stankaitis, MD, MPH |
4:30 |
Effective Strategies to Integrate Social Determinants in Medicaid Managed Care Carla Zachodni, RN, MBA, CPHQ Bradley York, RN, BSN |
5:15 | End of Day One |
Day Two – Tuesday, October 8, 2019
7:15 | Networking Breakfast |
8:00 |
Chairperson’s Recap of Day One Patty Byrnes |
8:15 |
Examining the 2019 Medicaid Landscape: Federal Perspective Patty Byrnes |
9:00 |
Managing Coverage for Newly Eligible Medicaid Members in the Illinois Expansion Areas using a Statewide Community Based Organization Network Jessica Grabowski, AM, LCSW |
9:45 | Networking & Refreshments Break |
10:15 |
More with the Same, Not More of the Same: Building a Stronger, More Sustainable State Medicaid Program without More Resources Drew Snyder |
11:00 |
Overcoming Barriers to Care Coordination and Performance – A Medicaid Managed Care Perspective Robin Barclay |
11:45 |
Enhancing Payment Design to Incentivize Performance in Medicaid Managed Care Shelli Silver |
12:30 | Conference Concludes |
Monday, October 7, 2019 • 5:30 p.m. – 7:30 p.m.
Techniques to Improve Healthcare Quality and Reduce Spending for the Medicaid Member in the New Landscape of CMS Rules & Regulations: 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 states with decidedly different, but ultimately successful, approaches to Medicaid. Optumas consultants will provide detailed information on how those Medicaid programs constantly evolve and innovate to stay ahead of the cost curve while focusing on delivering high quality care. This workshop will address the practical strategies that have been used to address the following questions:
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:
Shane Mofford
Senior Consultant
Optumas
Former 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
Stephanie Muth |
Bobbi Garber |
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Lawrence Moss, MD, FACS, FAAP |
Shelli Silver |
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Michael Hales, MPA |
Drew Snyder |
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Robert Kalin |
Jeremy Corbett, MD |
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Sue Kvendru |
Joe Stankaitis, MD, MPH |
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Carla Zachodni, RN, MBA, CPHQ |
Bradley York, RN, BSN |
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Patty Byrnes |
Jessica Grabowski, AM, LCSW |
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Shane Mofford |
Robin Barclay |
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Carolyn Yocom |
Sam DiCapua, MS, DO, CPE |
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Steve Schramm, MScHE |
Zachary Aters, ASA MAAA Senior Actuary Optumas |
Silver Sponsor
Envolve, Inc.® is a family of health solutions, working together to make healthcare simpler, more effective and more accessible for everyone. As an agent for change in healthcare, Envolve is committed to transforming the health of the community, one person at a time. Envolve unifies specialty pharmacy, PBM, vision, dental, 24/7 nurse advice services, diabetes management, MSO solutions, and more. For more information, please visit our website www.envolvehealth.com or contact us at This email address is being protected from spambots. You need JavaScript enabled to view it.
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 |
Palmer House, A Hilton Hotel
17 E Monroe St
Chicago, IL 60603
Phone: 877-865-5321
Mention Group Code "WCF" to get the discounted rate of $219/night.
You can also book online at the disocunted rate at:
https://book.passkey.com/e/49931402
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