2019 Medicaid Managed Care Conference

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Overview
Audience
Agenda
Workshop Session
Speakers
Sponsors/Exhibitors
Registration Pricing
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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

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.

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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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:

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.

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