2021 Medicaid Managed Care Forum

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Overview
Audience
Agenda
Workshop Session
Speakers
Sponsors/Exhibitors
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Overview:

2021 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!

October 14 - 15, 2021 • The Roosevelt, A Waldorf Astoria Hotel • New Orleans, LA

Sponsors/Exhibitors & Partners

MC logo 500x500

Overview

In the United States today, over 70 million low income individuals are enrolled in Medicaid Managed Care plans and it is expected to increase drastically by 2026. 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 2021 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!

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 14, 2021

7:15	Conference Registration & Networking Breakfast
8:15	Chairperson's Opening Remarks Colin LeClair Chief Executive Officer Connections Health Solutions
8:30	Strategies on Health Plans Can Boost Their Provider Network Adequacy to Improve Quality Healthcare and Timely Access Jason Lee Executive Director Arkansas Superior Select Vice President Access Health Services
9:15	Effectively Implementing Evidence-Based Services into Medicaid Managed Care Dena Stoner Director, Innovation Strategy, IDD BH Services Texas Health and Human Services Commission
10:00	Networking & Refreshments Break
10:30	Certified Community Behavioral Health Clinics: A Sustainable Model for Integrated Service Delivery Lisa Williams, PhD Chief Executive Officer West Michigan Community Mental Health
11:15	Effective Strategies to Integrate Social Determinants in Medicaid Managed Care Karin VanZant Vice President, Integrated Community Partnerships CareSource
12:00	Luncheon for All Attendees & Speakers
1:15	Best Practice in Member Advocacy within Medicaid Managed Care Carol Cianfrone Director, MLTSS Clinical Operations Horizon NJ Health Sue Bailey Managed Long Term Services & Supports Member Advocate Horizon NJ Health
2:15	Behavioral Health Medical Management Strategies: Leveraging Crisis Services to Significantly Improve Cost and Quality Colin LeClair Chief Executive Officer Connections Health Solutions
3:00	Networking & Refreshments Break
3:30	Overcoming Barriers to Care Coordination During the Pandemic Jim Milanowski President& CEO Genesee Health Plan
4:15	MCO Vendor Management Best Practices for State Agencies and Partners: How to Include Active Contract Management to Strengthen Value Based Purchasing Mark Kraics Medicaid Director State of Rhode Island
5:00	End of Day One

Day Two – Friday, October 15, 2021

7:15	Networking Breakfast
8:15	Chairperson’s Recap of Day One Colin LeClair Chief Executive Officer Connections Health Solutions
8:30	Ensuring Value of Managed Care, Especially for Behavioral Health, in this Post-ACA, Covid Impacted World Jason McGill Director, Managed Care Washington State Health Care Authority
9:15	Utilizing Deviceless Telemonitoring within Medicaid Managed Care to Identify Rising Risk for Early Intervention with Promising Results Miguel Venereo MD,FACOG Senior Vice President & Chief Medical Officer Community Care Plan Claudia Navarro, FMD, MHA, BSN, RN, MSN, FNP-C Director, Care Coordination Community Care Plan
10:00	Networking & Refreshments Break
10:30	Examining Innovative Programs & Trends in Medicaid Managed Care Julia Rupp Chief Executive Officer HealthWest
11:15	ProMedica's Approach to Social Determinants of Health April Demers Director, Business Solutions National Social Determinants of Health Institute ProMedica
12:00	Conference Concludes

Workshop Session:

Thursday, October 14, 2021 • 5:15 p.m. – 7:15 p.m.

Value-Based Care 101: Effective Models within Medicaid Managed Care

Value-based care models reward doctors and hospitals for the quality of their service as well as helping keep people healthy and improving the health of those who have chronic conditions in an evidence-based, cost-effective way. In a fee-for-service model, doctors, hospitals, and medical practices are paid based on the number of healthcare services delivered. Unlike value-based care, payment is determined by the quantity of services not the quality of services. Value-based care or value-based contracts emphasize the quality of patients' care. A value-based approach is designed around patients. Medical care teams focus on individual needs, whether preventive, chronic or acute. Learn about strategies to help improve quality and financial performance. Find out how to use data to develop a clinical roadmap to value-based program success.

About the Workshop Leader:
Lee Reilly
Director, Value Based Care Performance
Target Health Solutions

Speakers:

April Demers Director, Business Solutions National Social Determinants of Health Institute ProMedica			Jason McGill Director, Managed Care Washington State Health Care Authority
Miguel Venereo, MD,FACOG Senior Vice President & Chief Medical Officer Community Care Plan			Karin VanZant Vice President, Integrated Community Partnerships CareSource
Jim Milanowski President& CEO Genesee Health Plan			Dena Stoner Director, Innovation Strategy, IDD BH Services Texas Health and Human Services Commission
Lisa Williams, PhD Chief Executive Officer West Michigan Community Mental Health			Mark Kraics Medicaid Director State of Rhode Island
Julia Rupp Chief Executive Officer HealthWest			Lee Reilly Director, Value Based Care Performance Target Health Solutions
Colin LeClair Chief Executive Officer Connections Health Solutions			Jason Lee Executive Director Arkansas Superior Select Vice President Access Health Services
Carol Cianfrone Director, MLTSS Clinical Operations Horizon NJ Health			Sue Bailey Managed Long Term Services & Supports Member Advocate Horizon NJ Health
Claudia Navarro, FMD, MHA, BSN, RN, MSN, FNP-C Director, Care Coordination Community Care Plan			Betsy Felton, MBA, BSN, RN, CEN Corporate Director, Cardiovascular Service Line McLaren Health Care
Mark Green Assistant Vice President, Transitions of Care & Post-Acute Care Ochsner Health System			Barbara Sherman, DNP, RN, MSN, MBA, FNP-C, RT-R Director, Quality Management, Patient Safety, Medical Staff QA/PI, OPPE WVU Medicine
Nihar Desai, MD, MPH Associate Chief, Clinical Operations Yale University School of Medicine Medical Director, Value Innovation Yale New Haven Health System			Erin Dowling, MD Medical Director, Readmission Reduction Initiative Associate Clinical Professor UCLA Health
Patrice Callagy, RN, MPA, MSN, CEN Executive Director, Emergency Services Stanford Health Care			Sam Shen, MD, MBA, FACEP Vice Chair, Clinical Operations & Quality Stanford Health Care
Benjamin Bynum, BSW, MSHCI Strategic Program Manager, Care Management AdventHealth			Michelle Nelson Senior Director, Health Improvement United Regional Health Care System
Susan Pantely, FSA, MAAA Principal & Consulting Actuary Milliman			Raheel Sohail, MD, MBA Healthcare Management Consultant Milliman

Sponsors/Exhibitors:

Silver Sponsor

Papa creates connections that matter. Across the country, health plans and employers look to Papa to provide vital social support by pairing older adults, vulnerable populations and families with Papa Pals, trained and vetted companions, who provide a helping hand and an open ear, resulting in less loneliness and better health.

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 October 8, 2021	Register by October 14, 2021
Conference Only	$995	$1195
Conference & Workshop	$1195	$1395

Standard Rate, Vendors, Solution Providers	Register by October 8, 2021	Register by October 14, 2021
Conference Only	$1295	$1495
Conference & Workshop	$1495	$1695

Register for the 2021 Medicaid Managed Care Forum

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Workshop Session: Value-Based Care 101: Effective Models within 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:

The Roosevelt, A Waldorf Astoria Hotel
130 Roosevelt Way
New Orleans, LA 70112

Phone: 504-648-1200

*Mention Group Code "World Conference Forum" to get the discounted rate of $239/night.

*You can also book online at:

https://book.passkey.com/go/6eba46be

Hotel1 Hotel2 Hotel3

Media/Press Partners:

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 Media/Press Partner, please contact This email address is being protected from spambots. You need JavaScript enabled to view it.

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