• Overview
  • Audience
  • Agenda
  • Workshop Session
  • Speakers
  • Sponsors/Exhibitors
  • Registration Pricing
  • Venue
  • Media/Press Partners
  • Inquiry
Overview:

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

Envolve    MC logo 500x500

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!

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 – Monday, October 7, 2019

7:15 Conference Registration & Networking Breakfast
8:00

Chairperson's Opening Remarks

Patty Byrnes
Director, Government Relations – Federal
AmeriHealth Caritas

8:15

Strategies on How Medicaid State Agencies Can Boost Their Provider Network Adequacy to Improve Quality Healthcare and Timely Access

Stephanie Muth
Deputy Executive Commissioner
Medicaid & CHIP
Texas Health & Human Services

9:00

An Overview of the CMS Final Rules for Medicaid Managed Care in the New Healthcare Landscape

Michael Hales, MPA
Senior Director, Govt. Healthcare Programs
University of Utah Health Plans
Former State Medicaid Director
Utah Department of Health

9:45 Networking & Refreshments Break - Sponsored by Envolve
10:15

Examining Innovative Programs & Trends in Medicaid Managed Care

Jeremy Corbett, MD
Chief Health Officer
Envolve

Sam DiCapua, MS, DO, CPE
Chief Medical Director
NH Healthy Families

11:00

Innovations to Enhance Treatment and Monitoring of Foster Care Children: Just the Beginning

Bobbi Garber
Director, Managed Care
Missouri Department of Social Services

11:45

Enhancing Payment Design for Children to Integrate Social Determinants for a Healthier Medicaid Managed Care Population

Lawrence Moss, MD, FACS, FAAP
President & CEO
Nemours Children’s Health System

12:30 Luncheon for All Attendees & Speakers
1:45

Incorporating Managed Long-Term Services and Supports (MLTSS) into a Managed Care Organization

Robert Kalin
Vice President, Long-Term Care Operations
Molina Healthcare of Texas

2:30

Strategies to Enhance Member Centric Managed Care through State Agency and Medicaid Health Plan Partnerships

Sue Kvendru
Dual Demo Policy & Seniors MLTSS Programs Team Lead
Minnesota Department of Human Services

3:15 Networking & Refreshments Break
3:45

Implementing an Effective Behavioral Health and Opioid Management Program within Medicaid Managed Care

Joe Stankaitis, MD, MPH
Chief Medical Officer
Monroe Health Plan

4:30

Effective Strategies to Integrate Social Determinants in Medicaid Managed Care

Carla Zachodni, RN, MBA, CPHQ
Clinical Quality Program Manager, Medicaid
Anthem

Bradley York, RN, BSN
Clinical Programs Manager
Anthem

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
Director, Government Relations – Federal
AmeriHealth Caritas

8:15

Examining the 2019 Medicaid Landscape: Federal Perspective

Patty Byrnes
Director, Government Relations – Federal
AmeriHealth Caritas

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
Executive Director
Coordinated Care Alliance

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
State Medicaid Director
Executive Director, Division of Medicaid
State of Mississippi

11:00

Overcoming Barriers to Care Coordination and Performance – A Medicaid Managed Care Perspective

Robin Barclay
Director, Development
Trusted Health Plan

11:45

Enhancing Payment Design to Incentivize Performance in Medicaid Managed Care

Shelli Silver
Deputy Director, Health Plan Operations
Arizona Health Care Cost Containment System

12:30 Conference Concludes
Workshop Session:

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:

  • 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 with its key stakeholders to implement these innovative contractual requirements to ensure they are still in compliance with CMS' evolving rules & 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:
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

Speakers:

Stephanie Muth
Deputy Executive Commissioner
Medicaid & CHIP
Texas Health & Human Services

Bobbi Garber
Director, Managed Care
Missouri Department of Social Services

Lawrence Moss, MD, FACS, FAAP
President & CEO
Nemours Children’s Health System

Shelli Silver
Deputy Director, Health Plan Operations
Arizona Health Care Cost Containment System

Michael Hales, MPA
Senior Director, Govt. Healthcare Programs
University of Utah Health Plans
Former State Medicaid Director
Utah Department of Health

Drew Snyder
State Medicaid Director
Executive Director, Division of Medicaid
State of Mississippi

Robert Kalin
Vice President, Long-Term Care Operations
Molina Healthcare of Texas

Jeremy Corbett, MD
Chief Health Officer
Envolve

Sue Kvendru
Dual Demo Policy & Seniors MLTSS Programs Team Lead
Minnesota Department of Human Services

Joe Stankaitis, MD, MPH
Chief Medical Officer
Monroe Health Plan

Carla Zachodni, RN, MBA, CPHQ
Clinical Quality Program Manager, Medicaid
Anthem

   

Bradley York, RN, BSN
Clinical Programs Manager
Anthem

Patty Byrnes
Director, Government Relations – Federal
AmeriHealth Caritas

   

Jessica Grabowski, AM, LCSW
Executive Director
Coordinated Care Alliance

Shane Mofford
Senior Consultant
Optumas
Former Director, Rates & Payment Reform
Colorado Department of Health Care Policy and Finance

Robin Barclay
Director, Development
Trusted Health Plan

Carolyn Yocom
Director, Health Care Team
US Government Accountability Office (GAO)

Sam DiCapua, MS, DO, CPE
Chief Medical Director
NH Healthy Families

Steve Schramm, MScHE
Managing Director
Optumas

    Zachary Aters, ASA MAAA
Senior Actuary
Optumas
Sponsors/Exhibitors:

Silver Sponsor

EnvolveEnvolve, 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.

Registration Pricing:

Health Plans, States, Government, Hospitals, MCOs

Register by
September 27, 2019

Register by
October 7, 2019

Conference Only

$995

$1195

Conference & Workshop

$1195

$1395

Standard Rate, Vendors, Solution Providers

Register by
September 27, 2019

Register by
October 7, 2019

Conference Only

$1295

$1495

Conference & Workshop

$1495

$1695


Register for the 2019 Medicaid Managed Care Conference

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Workshop Session: 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
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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Receipt of your registration will be sent to the email address you have provided. *By registering for the conference, you also agree to be added to our subscriber/email list of subscribers for announcements on upcoming conferences.* If you would like additional information or have questions regarding any of our events, please note them below and we will have the appropriate person contact you.
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Venue:

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

Palmer1  Palmer3  Palmer2  Palmer4

Media/Press Partners:

MC logo 500x500

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.

 

To become a Supporting Partner, please contact This email address is being protected from spambots. You need JavaScript enabled to view it.

Inquiry:

Request 2019 Medicaid Managed Care Conference Information

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*By requesting information on the conference, you also agree to be added to our subscriber/email list of subscribers for announcements on upcoming conferences.*

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