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

  1. How does the State quantify/measure the 'value' of value-based services?
  2. How does the State incorporate this into an actuarially sound rate development methodology?
  3. How can the State ensure that these kinds of reimbursement approaches are in compliance with the Medicaid Managed Care Final Rule?
  4. 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

NantHealth RGB3x

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.


AdvancedTeleHealthLogo

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

Keycode (Optional)
Invalid Input

Prefix
Invalid Input

First Name(*)
Invalid Input

Last Name(*)
Invalid Input

Title(*)
Invalid Input

Company(*)
Invalid Input

Address 1(*)
Invalid Input

Address 2
Invalid Input

City(*)
Invalid Input

State(*)
Invalid Input

Zipcode(*)
Invalid Input

Phone(*)
Invalid Input

Country
Invalid Input

Email(*)
Invalid Input

Registration Type(*)
Invalid Input

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.
I have read and agree with the policy of this purchase:
I agree(*)
Invalid Input

Payment Options
Invalid Input

Credit Card Type
Invalid Input

Name On Card
Invalid Input

Card Number
Invalid Input

Card Expiration Month
Invalid Input

Card Expiration Year
Invalid Input

Card Security Code
Invalid Input

If billing address is different from above please enter it below.
Billing Address 1
Invalid Input

Billing Address 2
Invalid Input

Billing City
Invalid Input

Billing State
Invalid Input

Billing Zipcode
Invalid Input

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.
Comments
Invalid Input

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

Swissotel1  Swissotel2  Swissotel3

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 2018 Medicaid Managed Care Conference Information

Prefix
Invalid Input

First Name(*)
Please type your full name.

LastName(*)
Invalid Input

Company Name
Invalid Input

Position In Company
Invalid Input

E-mail(*)
Invalid email address.

Phone
Invalid Input

Question/Comment
Invalid Input

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

iconFacebook1   iconTwitter1   iconLinkedin1

World Conference Forum, LLC © 2018

All Rights Reserved. 800-935-8311
Privacy Policy