The 2014 Medicare Summit will feature a comprehensive, timely offering of sessions focused on key issues currently impacting the industry including the Dual Eligible population, ACOs, the sustainable growth rate, Medicare Advantage and star ratings. As the landscape of healthcare policy and reform continues to change at a rapid pace, it is imperative for hospitals, health systems, physicians, administrators, and health plans to stay well-informed so they can remain profitable. http://www.worldcongress.com/events/HL14026/

1. K E Y N O T E F A C U L T Y F E A T U R I N G :
Suzanne Brennan
Medicaid Director
Colorado Health Care
Policy and Financing
Bill Hagan
Chief Growth Officer
UnitedHealth Group
Julie Hamos
Director
Illinois Department
of Healthcare and
Family Services
Lindy Hinman
Chief Operating Officer
Connect for
Health Colorado
Heather Howard
Director, Health Reform
Assistance Network
Robert Wood
Johnson Foundation
Pam Sedmak
President,
Chief Executive Officer,
Medicaid
Aetna
Henry A. Waxman
U.S. House of
Representatives
Scott Leitz
Chief Executive Officer
Mnsure
MaryAnne Lindebald
Medicaid Director
Washington Health
Care Authority
Chuck Milligan
Deputy Secretary,
Health Care Financing,
State of Maryland
Department of
Health and
Mental Hygiene
Judith A. Monroe,
MD, FAAFP
Deputy Director,
State, Tribal, Local,
and Territorial
Support Efforts,
Centers for Disease
Control AND
PREVENTION
Richard K. Onizuka, PhD
Chief Executive Officer
Washington Health
Benefit Exchange
Aneesh Kumar
Head, Consumer
Engagement Strategy
Aetna
Peter Van Loon
Chief Operating Officer
Access Health CT
Save $300 on your registration fee when you register by June 6, 2014
To Register, please visit www.worldcongress.com/gov • Phone: 800-767-9499 • Fax: 781-939-2543 • Email: wcreg@worldcongress.com
Supporting
Organizations
and Publications
HEALTH PLAN MARKET TRENDS LETTER
Strategic Insights on the Future of the Health Insurance Industry
Me d icare :
• Hear how quality
initiatives are driving
health plan business
• Learn from top
health plans on the
future of Medicare
Advantage
• Understand
the future of
the Sustainable
Growth Rate
Organized by
Silver
Sponsor
Educational
Underwriters
July 15-17, 2014 • Tysons Corner Marriott • Tysons Corner, VA
Medicare Summit
The 10th Annual

2. DAY ONE – Tuesday, July 15, 2014 – Pre-Congress Workshop
12:30 pm –
1:30 pm Workshop Registration
1:30 pm –
5:00 pm Workshop: An Introduction to the Affordable Care Act as It Relates to
Medicare, Medicaid, and the Health Insurance Marketplaces
This workshop provides an overview of the major provisions and anticipated impacts
of the Patient Protection and Affordable Care Act (ACA) related to Medicare, Medicaid, and
Health Insurance Marketplaces. A basic overview of the Medicare and Medicaid programs
and the private health insurance marketplaces is provided, leading into a detailed
discussion of the ACA Medicaid expansion, creation and implementation of the ACA health
insurance marketplaces, and ACA provisions reforming elements of Medicare.
Topics to be addressed include:
• Medicaid expansion and health workforce concerns
• Impact on vulnerable populations in states where no Medicaid expansion is taking place
• ACA provisions related to Medicare targeting quality and efficiency on the delivery of
health care
• Explanation of the ACA health insurance marketplace rules for providing qualified
health plans that cover essential health benefits
• Subsidies provided for eligible individuals to purchase insurance through the marketplace
Workshop Leaders:
Nancy Lopez, JD, MPH, Lead Research Scientist, George Washington University
Nancy Lopez is a senior research scientist and professorial lecturer in the Department of Health Policy at The George
Washington University School of Public Health and Health Services. She specializes in legal and policy matters related
to health insurance marketplaces, private health insurance, and health reform imple­mentation. Her research has been
used to produce analyses and papers regarding state and federal health insurance marketplaces; various aspects of the
Affordable Care Act; health care fraud; and reimbursement policies of state Medicaid programs and private insurance
for obesity treatment or prevention. Ms. Lopez is currently managing multiple projects related to the design of qualified
health plans being offered in the marketplaces.
Juliette Forstenzer Espinosa, MA, JD, LLM
Assistant Research Professor, George Washington University
Juliette Forstenzer Espinosa is an Assistant Research Professor at George Washington University School of Public Health and
Health Services, Department of Health Policy and is the Founder and Executive Director of the Health Care Rights Initiative
(HCRI) – a national non-profit dedicated to patient education and advocacy. Ms. Espinosa specializes in the regulatory
implementation of the Affordable Care Act (ACA). Ms. Espinosa has led dozens of workshops and trainings on health reform
topics related to Medicare, Medicaid, employer-based insurance coverage, and private insurance market reforms.
5:00 pm –
6:00 pm Opening Night Reception
DAY TWO – Wednesday, July 16, 2014 – Main Congress
7:15 am –
8:15 am Main Congress Registration and Welcome Coffee
8:15 am –
8:25 am
Chairperson’s Welcome and Opening Remarks
Carl Mercurio
President and Head of Research
Corporate Research Group
8:25 am –
9:10 am
Congressional Opening Keynote Address:
The Future Outlook of Medicare, Medicaid, and Government Sponsored Health Care
and the Affordable Care Act
Congressman Waxman plans to retire at the end of 2014. He has worked tirelessly, in office for 20 terms, for health care reform. Few people have a better idea of what the future holds for health care
than him. As he exits office he will honestly, and openly share what the future holds for Medicaid, Medicare, the health insurance exchanges, and health reform. In this Keynote Address, hear from a
veteran of the Hill on exactly where health care is headed including:
• How much money will be appropriated toward Medicare, Medicaid, and government sponsored care?
• What regulations are on the horizon?
• What does a changing political environment mean for health care in America?
• Where can you expect to see cuts, increases in funding, and the most dramatic changes to the health care system?
Henry Waxman (D-CA)
U.S. House of Representatives
Therewillbea30-minutenetworking
andrefreshmentbreakat3:00pm.
To Register, please visit www.worldcongress.com/gov • Phone: 800-767-9499 • Fax: 781-939-2543 • Email: wcreg@worldcongress.com

3. DAY TWO – Wednesday, July 16, 2014 – Main Congress (continued)
9:10 am –
9:55 am
CDC KEYNOTE ADDRESS: Changing the Health of America
We can change a health plan, we can change a hospital, and we can change an entire health care system; but if we don’t change how people take care of themselves and engage in health care,
we will never change the health of America.
• Hear an overview of current successful health programs — Reducing obesity, heart disease, etc.
• Learn about policies the government plans to put in place that will impact health care
• Discuss strategies to change the culture of health in America
Judith A. Monroe, MD, FAAFP
Deputy Director, State, Tribal, Local, and Territorial Support Efforts, centers for disease control AND PREVENTION
Director, Office for State, Tribal, Local and Territorial Support (OSTLTS)
9:55 am –
10:30 am
Discuss the Importance of Patient Engagement in Government Sponsored Health Care
The Affordable Care Act calls for many changes in the way health systems and health plans conduct their business, but what about the patient? In this session hear:
• How health plans are engaging their patients
• What strategies are working for patients in government sponsored care
• Insights on how your organization can better engage its patients
Aneesh Kumar
Head, Consumer Engagement Strategy
Aetna
10:30 am –
11:00 am
Networking and Refreshment Break
11:00 am –
12:30 pm
State Updates on the Duals Demonstrations
In this session, hear from multiple states that are a part of the duals demonstration and how they are approaching their alignments in different ways. Hear from a state that is working on an FFS model, a
state working on a capitated model, and a state working on both models. By the end of this session, understand:
• The challenges the demonstrations are facing and how they are managing to overcome those challenges
• The successes and opportunities they are experiencing
• What the industry should prepare for when it comes to handling duals
Moderator:
Dolly Oberoi
Chief Executive Officer
C2 and the Health Exchange
Learning Portal (HELP)
Panelists:
Julie Hamos
Director
Illinois Department of
Healthcare and Family Services
MaryAnne Lindebald
Medicaid Director
Washington Health Care
Authority
Sandra Terrell
Chief Operating Officer
North Carolina Department of
Health and Human Services
12:30 pm –
1:30 pm
Luncheon
1:30 pm –
2:15 pm
Innovate for Quality in Medicare
Doing more with less is the new name of the game in Medicare. Explore ways to enhance quality and reduce costs.
• Discover quality and innovation tools
• Discuss ACO challenges and successes
• Realize the benefits of population management strategies
Randall Krakauer, MD, FACP, FACR
Vice President, National Medical Director, Medical Strategy
Aetna
To Register, please visit www.worldcongress.com/gov • Phone: 800-767-9499 • Fax: 781-939-2543 • Email: wcreg@worldcongress.com

4. DAY TWO – Wednesday, July 16, 2014 – Main Congress (continued)
2:15 pm –
3:00 pm Panel Discussion: Consider the Future of the Sustainable Growth Rate
Many say the Sustainable Growth Rate isn’t working. However, what would its replacement be? In this session, hear:
• Fundamental concerns with the current system
• The best options for replacing the SGR
• What a new system would mean for providers and the Medicare system as a whole
Moderator:
Cristina Boccuti, MA, MPP
Senior Associate, Program on Medicare Policy
Kaiser Family Foundation
Panelists:
Cynthia Brown
Vice President, Government Affairs
American Medical Association
Stuart Guterman
Vice President
Commonwealth Fund
3:00 pm –
3:30 pm
Networking and Refreshment Break
3:30 pm –
4:15 pm Market Insight Sessions
If you have a topic area, product, or solution that you would like to showcase in the Market Insight Discussions, please contact David Capobianco, Vice President of Business Development,
at 781-939-2635 or David.Capobianco@worldcongress.com
market insights —Choose from 2 options:
option A: “Try Before You Buy” — Market Testing Your Medicare Efforts Prior to Execution
Many new product and health plan launches fail to live up to our expectations as we insufficiently test how well these products will perform prior to launch. And even with pre-testing, many existing
research methods are insufficient in telling us how these products will perform in a competitive marketplace. Learn how to use a mock-up marketplace to evaluate new plan Medicare designs, products,
and services, and better understand how Medicare consumers behave when purchasing. Learn how Blue Cross Blue Shield of Rhode Island partnered with Stonegate Advisors, a research and data
analytics company focused solely on the health and wellness industry, to use their proprietary PlanFast marketplace to test a portfolio of Medicare products to better understand what consumers buy, how
they buy, and why they make the choices they do.
• Better understand how the Medicare consumer thinks • Identify potential issues and pitfalls before they happen
• Know more than your competitors • Significantly increase the chance of success
Marc Pierce
President and Founder
Stonegate Advisors
market insights —Choose from 2 options:
option B: Case Studies from the First Year of the Exchange
• Hear case studies from plans that participated in year one
• Learn exchange sales best practices
• Learn how to leverage distribution to maximize results
Brooke Ivey
Vice President of Sales and Account Management
Bloom Insurance Agency
4:15 pm –
4:20 pm Session Transition Time
To Register, please visit www.worldcongress.com/gov • Phone: 800-767-9499 • Fax: 781-939-2543 • Email: wcreg@worldcongress.com

5. 4:20 pm –
5:45 pm
HEALTH PLAN KEYNOTE ADDRESS: Plan Perspectives on the Business of Health Care in a Time of Reform
Plans face many new challenges in health care. They must do more with less in every part of their business. Finding opportunities amongst the challenges has become their business.
In this session, hear a presentation from each industry expert, and then engage in a facilitated Q&A with encouraged audience participation.
• Hear how plans are managing their business in a time of expansion and reform
• Discover how plans are managing their providers through innovative new approaches
• Learn how plan leaders see the future of Medicare, Medicaid, Duals, and the health insurance exchanges and how they believe it will impact their business and the business of health care
Bill Hagan
Chief Growth Officer
UnitedHealth Group
Pam Sedmak
Chief Executive Officer, Medicaid
Aetna
Additional Thought Leaders TBA
5:45 pm –
6:45 pm
Close of Day Two, Cocktail and Networking Reception
DAY THREE – Thursday, July 17, 2014 – Main Congress
7:30 am –
8:00 am
Morning Coffee
8:00 am –
8:05 am
Chairperson’s Welcome and Review of Day Two
Carl Mercurio
President and Head of Research
Corporate Research Group
8:05 am –
9:15 am
Exchange Keynote Discussion: Operating an Exchange — Current Status of the Exchanges
Many states have experienced difficulties launching the exchanges. Others have been successful. Understanding the challenges and learning from the successes help all of the state and federal
exchanges improve their operations in the long run. In this high-level overview, hear four state perspectives on:
• Current operational challenges and successes • Network adequacy • Funding the state exchanges • New products for the exchanges
Moderator:
Rob San Martin
Director, Public Sector
Akamai Technologies
Panelists:
Lindy Hinman
Chief Operating Officer
Connect for Health
Colorado
Scott Leitz
Chief Executive Officer
Mnsure
Richard K. Onizuka, PhD
Chief Executive Officer,
Washington Health
Benefit Exchange
Peter Van Loon
Chief Operating Officer
Access Health CT
9:15 am –
10:15 am
MEDICAID DIRECTORS’ KEYNOTE PANEL DISCUSSION:
A View of Medicaid Expansion and the Future of Medicaid
Medicaid is rapidly changing in states that are expanding, and in the states that have chosen not to expand. In this Keynote Panel Discussion, Medicaid Directors from a variety of states discuss the
changing environment and initiatives being implemented to ensure sustainable success.
• Discuss how states are handling expansion and what progress has been made in 2014
• Learn the methods states are using to handle managed care, quality/access initiatives
• Realize how the directors plan to create sustainability in their programs
Moderator:
Chuck Milligan
Deputy Secretary, Health Care
Financing, State of Maryland,
Department of Health
and Mental Hygiene
Panelists:
Suzanne Brennan
Medicaid Director
Colorado Health Care
Policy and Financing
Julie Hamos
Director
Illinois Department of
Healthcare and Family Services
MaryAnne Lindebald
Medicaid Director
Washington Health Care
Authority
10:15 am –
10:45 am
Networking and Refreshment Break
To Register, please visit www.worldcongress.com/gov • Phone: 800-767-9499 • Fax: 781-939-2543 • Email: wcreg@worldcongress.com

6. To Register, please visit www.worldcongress.com/gov • Phone: 800-767-9499 • Fax: 781-939-2543 • Email: wcreg@worldcongress.com
DAY THREE – Thursday, July 17, 2014 – Main Congress (continued)
10:45 am –
11:30 am
Winning in Medicare Advantage: How a Single State Blue Achieved Unparalleled Success in a Rapidly Evolving Market
Blue Cross Blue Shield of Michigan has had great success with Medicare Advantage. In this session hear a senior leader:
• Describe how the Medicare Advantage market has evolved and why Medicare Advantage will become increasingly important to payors over the next decade
• Demonstrate how a single state Blue plan has achieved success in this market
• Identify key opportunities to improve performance in your own Medicare Advantage plan
Julie Smith
Vice President, Federal Business
Blue Cross Blue Shield Michigan
11:30 am –
11:35 am
Session Transition
11:35 am –
12:20 pm
Discuss the Future of Medicare Advantage
As plans are asked to do more with less, many find themselves confronted with difficult choices. Where can cuts be made and savings be realized while managing more with less?
• Learn how plans are managing their networks under the new constraints
• Discuss innovative strategies for managing costs while still providing high-level care
• Gain valuable insight and opinions regarding the future of Medicare Advantage
Jane Galvin
Managing Director, Regulatory Affairs
Blue Cross and Blue Shield Association
Randall Krakauer, MD, FACP, FACR
Vice President, National Medical Director,
Medical Strategy, Aetna
12:20 pm –
1:30 pm
Luncheon
Roundtable Discussion Groups
1:30 pm –
3:30 pm
During these interactive roundtable discussions, attendees have the opportunity to engage in informal discussions with the meeting’s expert speaking faculty and diverse network of peers participating in the meeting. Learn from state
experts, industry leaders, and one another on the issues that you care about most. Participate in a variety of roundtable discussions to network, exchange ideas, identify new opportunities, and develop solutions to common obstacles.
Several more roundtables are scheduled to be added in the coming months. Participate in the current roundtables, check back for future roundtables, or submit an idea for a roundtable and see your topic added to the program!
3:30 pm Close of Congress
Topic #1: Topic #3:
Care Coordination/Behavioral Health
• Discuss how states are redesigning how they coordinate care for Medicaid patients
• Share best practices for integrating behavioral health
into patient care plans
Facilitator:
Molly Siegel
Project Manager, Care Coordination Entities
Illinois Department of Healthcare and Family Services
Navigating Federal Insurance Exchange Laws
• Understand the laws impacting your organization
• Realize future laws that could have an impact
Faciliators:
Juliette Forstenzer
Espinosa, MA, JD, LLM
Assistant Research Professor
George Washington University
Nancy Lopez, JD, MPH
Lead Research Scientist
George Washington
University
Topic #2: Topic #4:
Strategies to Reduce Readmissions
• Explore different Medicare readmissions strategies
• Learn about the PACT program for reducing all readmissions
Facilitator:
Jodi Smith
Head, PACT Program
Kaiser Permanente Health Plan of Colorado
Accountable Care Organizations
Discuss a variety of ACO models, including:
• Medicaid ACOs • Medicare ACOs • Commercial ACOs
Faciliator:
Rob Houston, MBA, MPP
Program Officer
Center for Health Care Strategies

7. July 15-17, 2014 • Tysons Corner Marriott • Tysons Corner, VA
The Medicare Summit
To Register, please visit www.worldcongress.com/gov • Phone: 800-767-9499 • Fax: 781-939-2543 • Email: wcreg@worldcongress.com
SPONSORSHIP AND EXECUTIVE NETWORKING OPPORTUNITIES
Benefit from face-to-face corporate marketing, branding, and relationship building by participating in the World Congress Government Health Care Congress
as an active supporter and sponsor. To inquire about Sponsorship and Executive Networking Opportunities, Please contact
David Capobianco, VP, Business Development, World Congress • Call 781-939-2635 or email David.Capobianco@worldcongress.com
Silver Sponsor
Exhibitors
Educational
Underwriters

8. PRSRTSTD
U.S.Postage
PAID
Gallery
FEATUREDSPEAKERSinclude:
JulieHamos
Director
IllinoisDepartmentofHealthcareand
FamilyServices
MaryAnneLindebald
MedicaidDirector
WashingtonHealthCareAuthority
SandraTerrell
ChiefOperatingOfficer
NorthCarolinaDepartmentofHealth
andHumanServices
RandallKrakauer,MD,FACP,FACR
VicePresident,NationalMedical
Director,MedicalStrategy
Aetna
CynthiaBrown
VicePresident,GovernmentAffairs
AmericanMedicalAssociation
StuartGuterman
VicePresident
CommonwealthFund
JulieSmith
VicePresident,FederalBusiness
BlueCrossBlueShieldMichigan
JaneGalvin
ManagingDirector,RegulatoryAffairs
BlueCrossand
BlueShieldAssociation
Organizedby
ToRegister,pleasevisitwww.worldcongress.com/gov•Phone:800-767-9499•Fax:781-939-2543•Email:wcreg@worldcongress.com
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July15-17,2014•TysonsCornerMarriott•TysonsCorner,VA
MedicareSummit
The10thAnnual