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2025 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!
November 17 – 18, 2025 • Caesars Palace Hotel • Las Vegas, NV
Past Sponsors/Exhibitors & Partners
Overview
Join healthcare leaders, policymakers, providers, and payers for an in-depth exploration of the evolving landscape of Medicaid Managed Care. This conference will provide a comprehensive overview of current challenges, innovations, and policy developments shaping Medicaid delivery systems across the United States. Topics will include improving health equity, integrating behavioral health, addressing social determinants of health, enhancing care coordination, and leveraging data analytics to drive outcomes. Attendees will gain valuable insights through experts, case studies, and networking opportunities, all aimed at advancing high-quality, cost-effective care for Medicaid populations.
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 2025 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 Las Vegas!
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, November 17, 2025
| 7:15 |
Conference Registration & Networking Breakfast |
| 8:00 |
Chairperson's Opening Remarks |
| 8:15 |
Strategies on How Medicaid State Agencies Can Boost Their Provider Network Adequacy to Improve Quality Healthcare and Timely Access |
| 9:00 |
An Overview of the CMS Final Rules for Medicaid Managed Care in the New Healthcare Landscape |
| 9:45 |
Networking & Refreshments Break |
| 10:15 |
Does Medicaid Managed Care Improve Quality and Reduce Costs? |
| 11:00 |
Incorporating Managed Long-Term Services and Supports (MLTSS) into a Managed Care Organization |
| 11:45 |
Effective Strategies to Integrate Social Determinants in Medicaid Managed Care |
| 12:30 |
Luncheon for All Attendees & Speakers |
| 1:30 |
Implementing Effective Programs to Impact High Utilizers of Medicaid Services |
| 2:15 |
Panel Discussion: Strategies to Enhance Member Centric Managed Care through State Agency and Medicaid Health Plan Partnerships |
| 3:15 |
Networking & Refreshments Break |
| 3:45 |
Overcoming Barriers to Care Coordination and Performance – A Medicaid Managed Care Perspective |
| 4:30 |
Enhancing Payment Design to Incentivize Performance in Medicaid Managed Care |
| 5:15 |
End of Day One |
Day Two – Tuesday, November 18, 2025
| 7:15 |
Networking Breakfast |
| 8:00 |
Chairperson’s Recap of Day One |
| 8:15 |
Creating New Value with Providers: An Essential Success Factor for Medicaid Managed Care |
| 9:00 |
Strategies to Effectively Manage the Dual Eligible Population within Medicaid Managed Care |
| 9:45 |
Networking & Refreshments Break |
| 10:15 |
Examining Innovative Programs & Trends in Medicaid Managed Care |
| 11:00 |
Implementing an Effective Behavioral Health and Opioid Management Program within Medicaid Managed Care |
| 11:45 |
Removing Barriers to Care and Increasing Access to Specialty Care in Rural Areas |
| 12:30 |
Conference Concludes |
Monday, November 17, 2025 • 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
Speakers To Be Announced
Associate Sponsor
A-S Medication Solutions is the industry leader in providing comprehensive medication supply chain alternatives. With over 30 years in employer health, ASM is the first true omni-channel medication distribution partner. We focus on maximizing point of care dispensing efficiencies, creating unique clinical solutions through innovative programs, and addressing high spend categories through effective clinical integration and smart clinical management systems. From virtual care to full onsite pharmacy solutions, let us show you how our customizable programs can improve the health of your population, lower your costs and enhance your revenue streams.
Exhibitors
Advanced PICC Specialists provides vascular access and bedside blood transfusions in skilled nursing facilities (SNFs) across Maryland, Pennsylvania, and New Jersey. Founded in 2010, we launched our transfusion program in 2016 and have since completed over 12,000 safe, efficient bedside transfusions. Our service prevents avoidable hospitalizations for stable anemic patients, significantly reducing costs for managed care organizations while improving care quality. Benefits include: reduced re-hospitalizations, lower total cost of care, enhanced patient satisfaction, and support for STAR ratings and quality metrics.
Conquest Healthcare provides offshore staffing solutions for U.S. healthcare firms. We specialize in delivering Registered Nurses, Medical Coders, and compliance professionals who are U.S.-licensed, experienced, and experts in their fields. Our staff integrates seamlessly into your team, bringing U.S. experience to deliver expert-level support aligned with American healthcare standards and compliance requirements.
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 |
Caesars Palace Hotel
3570 Las Vegas Blvd South
Las Vegas, NV 89109
Phone #: 866-227-5944
*Mention Group Code "SCWCF5" to get the discounted rate of $145/night (a total of $199.95 with taxes and fees)!
You can also book online at:
https://book.passkey.com/go/WCFNov2025
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