1. T h e W o r l d C o n g r e s s 8 t h A n n u a l L e a d e r s h i p S u m m i t o nT h e W o r l d C o n g r e s s 8 t h A n n u a l L e a d e r s h i p S u m m i t o n
Medicaid
Managed Care
February 24-25, 2015
Hilton Alexandria Old Town
ALEXANDRIA,VA
Establish Collaboration to Manage Cost and Ensure Quality in an
Expanding Managed Care Environment
To Register, Please Visit www.worldcongress.com/MMC • Call 800-767-9499 • Email wcreg@worldcongress.com
Zane A. Chrisman
Plan Management,
Attorney Specialist,
Insurance Department
Arkansas
Brian Keisling
Director,Actuarial
Division, Medical Services
Administration,Department
of Community Health
Michigan
Pamela J. Parker, MPA
Special Needs Purchasing,
Office of Medicaid,
Director Policy Consultant,
Department of Human
Services, Minnesota
Elizabeth E. Smith, RN
Coordinated Care Program
Analyst, Division of Integrated
Care and Behavioral Services,
Department of Medical
Assistance Services, Virginia
Marie Zimmerman
Health Care Policy
Director,Department
of Human Services
Minnesota
Patricia D. Byrnes
Director, Federal Affairs,
Government and
External Affairs
AmeriHealth Caritas
Family of Companies
Jonathan Copley
Executive Director
CareSource
Terry Cunningham
Chief Financial Officer
AmeriHealth DC
Patricia Packard
Vice President, LTSS
Amerigroup Florida
Abenaa Udochi
Senior Vice President,
Executive Director, State
Government Programs,
Chief Marketing Officer
Affinity Health Plan
James Golden, PhD
Director, Division of Managed Care Plans
Center for Medicaid and CHIP Services
Centers for Medicare and Medicaid Services
organized by:silver sponsor:Platinum sponsor: Partners:Educational Underwriters:
featured state medicaid program speakers:
CMS Keynote:
Explore the Transition to
Managed Care
Featured Medicaid managed care plan speakers:
www.worldcongress.com/MMC
To Register, Please Visit www.worldcongress.com/MMC • Call 800-767-9499 • Email wcreg@worldcongress.com

2. www.worldcongress.com/MMC
To Register, Please Visit www.worldcongress.com/MMC • Call 800-767-9499 • Email wcreg@worldcongress.com
Dear Esteemed Colleague,
As health care reform transforms the industry, new obstacles continue to
arise for government health programs. At the 8th Annual Leadership
Summit on Medicaid Managed Care, hear from health plans, managed care
organizations, and states on how they are adapting to expansion and new
care standards and altering strategies to overcome developing challenges.
Hear presentations, participate in panel discussions, and join hands-on
workshops covering important topics in Medicaid managed care, including:
• The impact of Medicaid expansion on both state programs and
managed care plans
• Long-term care and the transition to a community-based setting
• Integrating dual eligibles into managed care to improve care and
lower costs
• Accountable care organizations in Medicaid managed care
Don’t miss the opportunity to network with peers and thought leaders while
learning effective strategies to improve quality of care and control costs in
an expanding managed care environment.
I look forward to meeting you in February.
Sincerely,
Terry Cunningham
Chief Financial Officer
AmeriHealth DC
Chairperson, 8th Medicaid Managed Care Summit
who should attend?
From Medicaid Managed Care Plans & Health Plans:
Chief Executive Officer, Chief Operating Officer, Chief
Financial Officer, Chief Medical Officer, and Vice
Presidents, Directors, and Managers of:
• Government Programs
• State Programs
• Pharmacy
• Medicaid
• Member Services
• Network Contracting
• Disease Management
• Sales and Marketing
• Quality Improvement
From Government:
Project Directors, Policy Analysts, State and Federal
Regulatory and Quality Assurance Auditors, and Vice
Presidents, Directors, and Managers of:
• Medicaid
• Managed Care
• Quality Care
• Health Plan Operations
• Eligibility Policy
From Community Care Facilities, Hospitals, Home
Health Agencies, Long Term Care Providers:
Chief Executive Officer, Chief Financial Officer, Chief
Operations Officer, and Vice Presidents and Directors of:
• Compliance
• Government Affairs
• Managed Care
• Health Services
Medicaid
Managed Care
February 24-25, 2015
Hilton Alexandria Old Town
ALEXANDRIA,VA
Establish Collaboration to Manage Cost and Ensure Quality in an Expanding Managed Care Environment
8
T h e W o r l d C o n g r e s s 8 t h A n n u a l L e a d e r s h i p S u m m i t o nT h e W o r l d C o n g r e s s 8 t h A n n u a l L e a d e r s h i p S u m m i t o n
silver sponsor:platinum sponsor:
Educational
Underwriters:
Exhibitors:

3. DAY ONE — Tuesday, February 24, 2015 • pre-Summit workshop
7:30 am –
8:30 am
Workshop Registration and Morning Coffee
8:30 am –
11:45 am
Thereisa15minutecoffeeandnetworking
breakfrom10:00am–10:15am
WORKSHOP: Effectively Integrate Dual Eligibles into Managed Care
Dual eligibles represent one of the more vulnerable and expensive populations that fall under Medicaid. Recently there has been a push to focus on this
population and address their specific needs. In this workshop, explore how Medicaid plans are integrating dual eligibles into managed care to improve
care and lower costs for these patients.
• Hear from an organization that has integrated dual eligibles into managed care
• Discover how to use D-SNPs along with Medicaid
• Discuss strategies for engaging the dual eligible population
• Receive an update on the progress of the dual eligible demonstrations
• Learn how states that chose not to participate in the demonstration are working to better serve this population
Leena Sharma
Senior State Advocacy Manager
Community Catalyst
Jason Silva, JD, PMP
Senior Compliance Analyst, Medicare-Medicaid, Dual Eligible Demonstrations
Health Net, Inc.
Pamela J. Parker, MPA
Special Needs Purchasing, Office of Medicaid Director Policy Consultant,
Department of Human Services
Minnesota
11:45 am –
12:45 pm
Lunch on Your Own/Main Summit Registration
DAY ONE — Tuesday, February 24, 2015 • main summit
12:45 pm –
1:00 pm Chairperson’s Welcome and Opening Remarks
Terry Cunningham
Chief Financial Officer
AmeriHealth DC
1:00 pm –
2:00 pm
spotlight
Session
CMS OPENING KEYNOTE: Explore the Transition to Managed Care
CMS and the states work in concert to ensure the best quality of care for the populations they serve. As more and more states elect to integrate
managed care into their Medicaid program, CMS must evaluate these programs and determine how to manage participants to ensure health care is
delivered adequately.
• Learn how CMS is approaching the move to managed care, especially in long term care
• Understand CMS’s expectations for states and their health plans
James Golden, PhD
Director, Division of Managed Care Plans
Center for Medicaid and CHIP Services, Centers for Medicare and Medicaid Services
www.worldcongress.com/MMC
To Register, Please Visit www.worldcongress.com/MMC • Call 800-767-9499 • Email wcreg@worldcongress.com
CO N S I D E R A S P O N S O R S H I P PAC KAG E
CAPTURE A TRUE ROI Through Sponsorship of the Following:
Agenda Thought Leadership • Networking Cocktail Reception • Breakfast Symposia • Luncheon • Executive Networking Breaks
To inquire about Sponsorship, Exhibit, Branding, and Executive Networking Opportunities, Contact: David Capobianco,
Vice President, Business Development, World Congress • 781-939-2635 • David.Capobianco@worldcongress.com

4. DAY ONE — Tuesday, February 24, 2015 (continued)
2:00 pm –
2:45 pm
KEYNOTE PANEL DISCUSSION: Investigate State Medicaid Expansion
Medicaid Managed Care is a growing industry, and managed care organizations need to hear from states that have chosen to expand Medicaid.
In this session, hear from states that are becoming models for others considering managed care expansion.
• Discover what influenced the decision to choose managed care and what they are expecting from the plan
• Learn about each state’s plan for managed care in long term care, care for the aged, blind, disabled, and duals, and Medicaid expansion
• Understand the trajectory of state programs as a whole including coverage for mothers and children
• Explore populations that vary from what was anticipated prior to expansion
• Identify how the health care needs of new populations vary from traditional programs
Moderator:
Chris Pettit, FSA, MAAA
Consulting Actuary
Milliman, Inc.
Panelists:
Zane A. Chrisman
Plan Management, Attorney Specialist,
Insurance Department
Arkansas
Brian Keisling
Director, Actuarial Division,
Medical Services Administration,
Department of Community Health
Michigan
2:45 pm –
3:15 pm Networking and Refreshment Break
3:15 pm –
4:15 pm
KEYNOTE PANEL DISCUSSION: Explore the Health Plan Experience with Medicaid Expansion
In this keynote panel, hear about the health plan experience thus far with Medicaid expansion.
• Examine the overall health plan experience with expansion
• Discuss the future of Medicaid managed care as a result of expansion
• Understand the trends that are emerging in the expansion population
• Explore how the plans are interacting and collaborating with states
Moderator:
Joan Henneberry
Managing Principal, Health Management Associates
Managing Director, HMA COMMUNITY STRATEGIES
Panelists:
Jonathan Copley
Executive Director
CareSource
John W. Koehn
President
Amerigroup
New Jersey, Inc.
Jeff M. Myers
President,
Chief Executive Officer
Medicaid Health Plans
of America (MHPA)
Abenaa Udochi
Senior Vice President,
Executive Director,
State Government Programs,
Chief Marketing Officer
Affinity Health Plan
4:15 pm –
5:00 pm
Discover Alternative Forms of Expansion
As some states choose different methods of expanding care for their uninsured populations, more states open themselves up to the possibility of
expansion. In this session, hear what the states are considering doing to increase the number of insured.
• Understand the structure of the alternative form of expansion
• Discover methods of funding for the program
• Uncover what role managed care organizations will play
Patricia D. Byrnes
Director, Federal Affairs, Government and External Affairs
AmeriHealth Caritas Family of Companies
5:00 pm –
5:45 pm
Explore the Integration of Behavioral Health in Medicaid Managed Care
An increasing number of Medicaid beneficiaries are living with a behavioral health condition, but managed care struggles with the best way to coordinate
care and services
• Discuss strategies for integrating physical and mental health services for Medicaid managed care beneficiaries
• Collaborate with outside organizations to properly manage care
Moderator:
Jeremy Riddle
Vice President, Clinical
Operations
Cenpatico
Panelists:
Julie A. Bailey-Steeno,
PhD, LCSW
Director, BHCM
LifeSynch,
a HUMANA company
David Brody, MD
Medical Director, Denver
Health Medicaid Plan
Inc. & Managed Care
Plans; Professor of Medicine,
University of Colorado
School of Medicine
Justine Larson, MD, MPH
Consulting Psychiatrist,
Integrated Care Program,
Community Clinics, Inc.
Assistant Professor,
Johns Hopkins
School of Medicine
5:45 pm –
6:45 pm
Cocktail and Networking Reception Sponsored by:

5. DAY two — Wednesday, February 25, 2015
8:00 am –
8:30 am
morning coffee
8:30 am –
8:45 am Chairperson’s Welcome and Review of Day One
Terry Cunningham
Chief Financial Officer
AmeriHealth DC
8:45 am –
9:30 am CASE STUDY: Make the Change to Community-Based Care for Long Term Medicaid Patients
Hear how the state of Florida is transitioning its long term care patients to a community based setting. Understand the managed care organization’s role
in this shift and how they work with providers to ensure high levels of care while reducing costs. Learn how managed care organizations:
• Manage providers • Reduce costs for states
• Improve quality of care • Collaborate with states and providers to make community-based long term care a reality in the state of Florida
Moderator:
Amy B. Bernstein, ScD, MHSA
Policy Director and Contracting Officer
MACPAC
Panelist:
Patricia Packard
Vice President, LTSS
Amerigroup Florida
9:30 am –
10:15 am Care Coordination in Medicaid Managed Care — Understand Best Practices and
Implement a Care Plan
Care coordination is widely used in managed care to reduce costs and manage patients. With so many approaches to care coordination, determining
which is the best for your organization can be difficult.
• Identify high utilizers who would benefit most from increased care coordination
• Manage transitions of care to improve care coordination • Discuss ways to engage community physicians
• Leverage technology to improve clinical outcomes • Learn best practices for implementing integrated care models
Daniel D. Cave
Chief Executive Officer, Consumer Care Management Group
Centene Corporation
Marcia LeBlanc, BSBA
National LTSS Director
Aetna Medicaid
10:15 am –
10:45 am
Networking and Refreshment Break
10:45 am –
11:30 am Improve Quality and Control Health Care Costs by Addressing Social
Determinants of Health
Social, behavioral, and economic factors play a significant role in the health of the individual, but these non-clinical factors are often not adequately
addressed within Managed Medicaid. Given that 80% of health outcomes are attributable to these social determinants, incorporating strategies to
address these pay off in improving the quality and cost of health care for Medicaid members.
• Understand the importance of addressing social, behavioral, and economic barriers that impact health outcomes
• Discuss strategies for community engagement to improve health care quality, reduce preventable utilization, and increase treatment adherence
• Learn how to integrate community-based services into managed care
Indira Paharia, PsyD, MBA, MS
Executive Vice President, Healthcare Strategy, and Services
Integra ServiceConnect
www.worldcongress.com/MMC
To Register, Please Visit www.worldcongress.com/MMC • Call 800-767-9499 • Email wcreg@worldcongress.com

6. DAY two — Wednesday, February 25, 2015 (continued)
11:30 am –
12:15 pm Improve Medication Use for the Medicaid Population through Predictive Analytics
The improper use of prescription medications, including non-adherence, is more than a $300B annual cost in the U.S. The ACA introduced bonus
incentives from CMS to help improved adherence for Medicare patients, but did little to improve adherence for Medicaid populations. This often
undertreated and mismanaged population is the most expensive to care for, and it is no surprise that organizations have historically focused on
reducing medical costs instead of focusing on improving use of prescription medications. RxAnte’s unique predictive analytics and decision support
platform has proven to be successful at helping plans improve medication adherence in the Medicare population. In this session, we will discuss how
payers can incur medical cost savings by properly identifying, prioritizing, and targeting patients for clinical interventions and provider outreaches in the
Medicaid population.
• Understand how predictive analytics has helped drive improved adherence and quality ratings in Medicare Advantage and Dual Eligible Populations
• Explore the importance of provider engagement in driving patient behavior change
• Discuss the changing Medicaid environment and evolving quality measures and improvement incentives
• Gain insight into the financial value and importance of adherence, including examples of disease states in which non-adherence contributes directly to medical costs
Aaron McKethan, PhD
President
RxAnte
12:15 pm –
1:15 pm
Luncheon
1:15 pm –
2:00 pm Explore the Implementation of ACOs in Medicaid Managed Care
Medicaid health plans traditionally do not operate in an ACO environment, but this trend is now emerging in some major health plans.
• Discuss the structure of a Medicaid plan ACO
• Explore how providers are managed and incentivized in the ACO
• Learn the benefits to the patient and how Medicaid ACOs can improve quality of care
Marie Zimmerman
Health Care Policy Director, Department of Human Services
Minnesota
Alicia Cooper
Health Care Project Director, Department of Vermont Health Access
Vermont
2:00 pm –
2:45 pm Utilize Telehealth to Improve Access to Care for the Medicaid Population
• Discover Telehealth’s role in managing provider networks
• Explore how Telehealth can increase provider and patient engagement
• Use Telehealth to increase patients’ access to specialists to improve outcomes and lower costs
Kathryn Kuhmerker
Vice President, Medicaid Policy
Association for Community Affiliated Plans
2:45 pm –
3:30 pm Integrate Duals in the State of Virginia
Almost two years have passed since the implementation of the Duals Demonstration. In this session, hear an update from the state of Virginia about its
involvement in the Demo, initial findings, and future outlook.
• Learn how Virginia will manage integration and care coordination
• Discuss the managed care organization’s role and the interaction with the state
• Hear lessons to date from implementation, including early indicators of member engagement, quality, and withholds
• Explore the opportunities and barriers of health plans to meet CMS expectations for management of this population
Cheryl D. Gallon, MBA, CHIE
Humana Executive Director
VA Dual Eligible Program
Elizabeth E. Smith, RN
Coordinated Care Program Analyst, Division of Integrated Care and
Behavioral Services, Department of Medical Assistance Services
Virginia
Lisa Speller-Davis, RN
Manager, Community Outreach
Anthem HealthKeepers Medicare Medicaid Plan
3:30 pm Close of Summit
www.worldcongress.com/MMC
To Register, Please Visit www.worldcongress.com/MMC • Call 800-767-9499 • Email wcreg@worldcongress.com

7. Registration Fee: Register By
1/30/2015
Register By
2/24/2015Standard
Conference $ 1995.00 $ 2295.00
Conference Plus 1 Workshop $ 2295.00 $ 2595.00
Workshop only $ 300.00 $ 300.00
Health Plans
Conference $ 1395.00 $ 1695.00
Conference Plus 1 Workshop $ 1695.00 $ 1995.00
workshop only $ 300.00 $ 300.00
Hospitals Health Systems
Conference $ 1095.00 $ 1395.00
Conference Plus 1 Workshop $ 1395.00 $ 1695.00
workshop only $ 300.00 $ 300.00
Government
Conference $ 295.00 $ 295.00
Conference Plus 1 Workshop $ 395.00 $ 395.00
workshop only $ 100.00 $ 100.00
Fee for conference includes welcome coffee, lunch, reception, refreshments, and web-
based conference documentation available pre- and post-event, accessible through
password-protected website. Checks in U.S. funds drawn from U.S. bank payable to:
WC Research Inc. No personal checks accepted. Verification may be required for rate
approvals. Please contact us should you have any special needs.
SPECIAL TEAM DISCOUNTS: Your organization may send
ONE executive FREE for every three delegates registered.
All registrations must be made at the same time to qualify.
To register your team, contact us at 800-767-9499.
Participant Substitution and Cancellations:
Your registration may be transferred to a member of your organization up to 24 hours
in advance of the conference. Cancellations received in writing on or before 30 days
prior to the start of the event will be refunded, less a $395 administrative charge.
No refunds will be made after this date; however, the registration fee less the $395
administrative charge can be credited to another World Congress conference if you
register within 6 months from the date of this conference. In case of conference
cancellation,World Congress’ liability is limited to refund of the conference registration
fee only. World Congress reserves the right to alter this program without prior notice.
Satisfaction guaranteed: World Congress stands behind the quality of
its conferences. If you are not satisfied with the quality of the conference, a
credit will be awarded towards a comparable World Congress conference of
your choice.
WEBSITE
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MMC
Register Now! E-MAIL
wcreg@worldcongress.com
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Venue:
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Medicaid
Managed Care
February 24-25, 2015
Hilton Alexandria Old Town
ALEXANDRIA,VA
Establish Collaboration to Manage Cost and Ensure Quality in an Expanding Managed Care Environment
To Register, Please Visit www.worldcongress.com/MMC • Call 800-767-9499 • Email wcreg@worldcongress.com
top reasons to attend:
• Examine the impact of Medicaid expansion
from both the health plan and
state perspectives
• Explore alternative forms of expansion
• Discover ways to effectively integrate
dual eligibles into Medicaid managed care
• Hear case studies with a focus on:
* The Illinois Care Coordination Mandate
* Making the Change to Community-Based Care
for Long Term Medicaid Patients
• Network with industry leaders from state Medicaid
programs as well as Medicaid managed care plans
To Register, Please Visit www.worldcongress.com/MMC • Call 800-767-9499 • Email wcreg@worldcongress.com
T h e W o r l d C o n g r e s s 8 t h A n n u a l L e a d e r s h i p S u m m i t o nT h e W o r l d C o n g r e s s 8 t h A n n u a l L e a d e r s h i p S u m m i t o n
www.worldcongress.com/MMC
To Register, Please Visit www.worldcongress.com/MMC • Call 800-767-9499 • Email wcreg@worldcongress.com