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dual eligibles summit
The 3rd Annual GHCC
July 14-16, 2015 | THE WESTIN CRYSTAL CITY | Arlington, VA
Co-located with:
To register, please visit: www.worldcongress.com/duals • Call: 800-767-9499 • Fax: 781-939-2543 • email: wcreg@worldcongress.com
Top Reasons to Attend:
•	 Analyze the Impact of Star
Ratings Changes to D-SNPs
and Medicare Advantage
Plans to Maximize Bonus
Potential
•	 Improve the Consumer
Experience of 	
Medicaid Beneficiaries 	
on Exchanges
Explore Duals Demonstration Outcomes and Innovative
Population Engagement Strategies to Improve Clinical Outcomes
July 14-16, 2015
arlington, VAMedicaid Summit
The 5th Annual GHCC
July 14-16, 2015
arlington, VA
Medicare & Medicare
advantage Summit
The 11th Annual GHCC
CMS Keynote Address:
	 Jean Moody Williams
Deputy Director, 	
Center for Clinical Standards and Quality 	
CMS
Featured Speakers:
	 Conference Chairperson:
Sara Wedlock
Director, Dual Eligible Products	
WellCare Health Plans Inc.
	 Chris Barrott
Idaho MMCP Contract Manager	
State of Idaho,
Department of
Health and Welfare
	 Debbie Bennett Carey, RN, MSN
Clinical Guidance Process
Manager, Medicare 	
Medicaid Plans, Illinois,
Humana
	 Michael Ceballos, MBA
Vice President, Long-Term
Care & Product Development	
Buckeye Community
Health Plan,
Centene Corporation
	 Jordan Luke
Director, Operations, 	
STARs	
Cigna-HealthSpring
	Gregory A. LaManna, MPH	
Director, Medicare and Dual
Eligible Product Innovation 	
WellPoint, Inc.
•	 Understand what the
potential structure of 	
the STARs Program for 	
Dual Eligibles may look like
•	 Make health risk assessments
actionable and accessible for
hard-to-reach members
•	 Examine CMS quality
initiatives that bridge care
coordination and value for
the Dual Eligible population
•	 Leverage virtual tools to
engage members to improve
satisfaction 	
and clinical outcomes
•	 Explore outcomes from
those currently in the 	
Duals Demonstrations
•	 Discuss the financial,
staff, and time costs of
operationalizing a Dual
Eligible Plan vs. a D-SNP
Plus! Choose between two
Pre-Summit Workshops:
Organized by:
@wrldhealthcare
#GHCC15
Save up to $600 when you register by 4/24/15!
To register, please visit: www.worldcongress.com/Medicare • Call: 800-767-9499 • Fax: 781-939-2543 • email: wcreg@worldcongress.com
D a y O n e : T u e s d a y , J u l y 1 4 , 2 0 1 5
12:00 pm – 1:00 pm Workshop Registration
Pre-Summit Workshop Options:
1:00 pm – 4:15 pm WORKSHOP A: Analyze the Impact of Star Ratings Changes to
D-SNPs and Medicare Advantage Plans to Maximize Bonus Potential
WORKSHOP B: Improve the Consumer Experience of Medicaid
Beneficiaries on Exchanges
D a y t w o : w e d n e s d a y , J u l y 1 5 , 2 0 1 5
7:00 am – 8:00 am Summit Registration and Morning Coffee
8:00 am – 8:15 am Government Health Care Congress Welcome and Opening Remarks
8:15 am – 9:15 am CMS Keynote Address: Discuss the Transition to Value through Delivery System Reform
9:15 am – 10:00 am state update: Explore a Duals Demonstration Implementation
10:00 am – 10:30 am Networking and Refreshment Break
10:30 am – 11:15 am CASE STUDY: Engage Dual Eligibles to Improve Outcomes and Reduce Readmissions
11:15 am – 12:00 pm CASE STUDY: Evolve Payment Reform for Federal and State Programs to Improve Quality and Cost Containment
12:00 pm – 12:45 pm Identify Strategies to Improve the Future of Long Term Care
12:45 pm – 1:45 pm Luncheon
medicaid summit duals summit medicare summit
1:45 pm – 2:00 pm Chairperson’s Opening Remarks
2:00 pm – 2:45 pm Integrating Medicaid — Utilize ACOs to
Improve Care Coordination and Outcomes
Identify High-Risk and High-Utilizer Members
to Improve Engagement and Retention
Navigate the Challenges Surrounding Changing
Rules and Requirements from the 2016 Call Letter
2:45 pm – 3:30 pm CASE STUDY: Examine Challenges and
Opportunities to Improve Behavioral Health
Coordination Within Medicaid
CASE STUDY: Develop an Actionable
Health Risk Assessment to Comply with
Regulatory Deadlines
Discover Strategies to Ease the Shift from
Fee-for-Service to Value Based Payments
3:30 pm – 4:00 pm Networking and Refreshment Break
4:00 pm – 4:45 pm Discover Strategies to Create Attractive
Benefit Designs to Engage the
New Medicaid Population
CASE STUDY: Leverage Technology to
Streamline Care Coordination for the Dual
Eligible Population
CASE STUDY:
Discover the Clinical and Financial Benefits of the
Bundled Payment for Care Improvement Initiative
4:45 pm – 5:30 pm
Identify Best Practices to Improve Member
Experience and Manage Churn
Compare Medicare-Medicaid Plans and Dual
Eligible Special Needs Plans to Make the
Best Product Development Decision
ROUNDTABLE DISCUSSIONS
5:30 pm – 6:30 pm Cocktail and Networking Reception
D a y t h r e e : t h u r s d a y , J u l y 1 6 , 2 0 1 5
8:00 am – 8:30 am Morning Coffee
medicaid summit duals summit medicare summit
8:30 am – 8:45 am Chairperson’s Welcome and Review of Previous Day
8:45 am – 9:30 am Navigate Federal and State Policies
for Telehealth
CASE STUDY: Connect with the Dual Eligible
Population through the Lifeline Initiative
PANEL DISCUSSION: Examine the Financial Benefit
of Blended Funding and Value-Based Payment Methods
9:30 am – 10:15 am Panel Discussion: Consider Medicaid
Telemedicine Programs to Reduce Costs
and Improve Access
Engage Dual Eligible Populations through
Innovative Methods Using Providers and
Clinical Staff
Investigate the Untapped Potential of an Advanced
Illness Program to Impact Quality and Cost
10:15 am – 10:45 am Networking and Refreshment Break
10:45 am – 11:45 am STATE EXPANSION KEYNOTE: Assess Care
Coordination and Cost Reduction Progress
in Traditional Expansion States
Partner with Community-Based
Organizations to Improve Engagement
and Clinical Outcomes
Utilize Technology and CMS Quality Initiatives to
Improve Quality of Care and HEDIS Measures
11:45 am – 12:30 pm PLAN PERSPECTIVE: Discover Service
Delivery Innovation and Cost Containment
Initiatives for Medicaid Managed Care in
Expansion States
Improve Provider Collaboration and Member
Enrollment through Pro-active Programs
Differentiate Your Organization from Competition
to Improve Your Financial Standing and Star Rating
12:30 pm – 1:30 pm Networking Luncheon and Close of Duals Summit
1:30 pm – 2:30 pm ALTERNATIVE EXPANSION KEYNOTE:
Examine Alternative Demonstration
Waivers – Arkansas Outlook
CASE STUDY: Improve Enrollment and Engagement
through Grassroot Marketing Campaigns
2:30 pm – 3:30 pm CASE STUDY: Assess Innovative Care
Management Programs and Costs in
Non-Expansion States
Leverage Provider Collaboration to Deliver Higher
Patient Satisfaction and Quality of Care
3:30 pm Close of Summit
A g e nda a t a g lanc e
July 14-16, 2015
THE WESTIN CRYSTAL CITY
Arlington, VA
T h e 1 1 t h A n n u a l G H C C Medicare & Medicare Advantage
T h e 5 t h A n n u a l G H C C m e d i c a i d S u mm i t
T h e 3 r d A n n u a l G H C C d u a l s S u mm i t
Dual Eligibles summit
The 3rd Annual GHCC
July 14-16, 2015 | THE WESTIN CRYSTAL CITY | Arlington, VA
Explore Duals Demonstration Outcomes and Innovative
Population Engagement Strategies to Improve Clinical Outcomes
To register, please visit: www.worldcongress.com/duals • Call: 800-767-9499 • Fax: 781-939-2543 • email: wcreg@worldcongress.com
Dear Distinguished Colleague,
As the Dual Eligibles population becomes increasingly more vulnerable
and difficult to reach, health plans and others assisting the Dual Eligible
community are looking for ways to come together to address challenges
with this population.
The Dual Eligibles Summit convenes health plans, providers, managed
care executives, and thought leaders from around the nation to discuss
strategies for increasing population engagement to improve clinical and
financial outcomes. Hear an update on the Duals Demonstrations as well
as case studies and presentations on how to efficiently reach and care for
this complex population while attaining quality and clinical goals.
Join us July 14-16 when we gather to network and learn strategies to
navigate the challenges of reaching this vulnerable population, identify
high-risk and high-utilizer members, and examine outcomes from those
in the Duals Demonstration.
I look forward to seeing you there.
Sincerely,
	 Sara Wedlock
Director, Dual Eligible Products
WellCare Health Plans Inc.
Chairperson, 3rd Annual Dual Eligibles Summit
Who Should Attend?
From Health Plans:
•	 Chief Executive Officers
•	 Chief Operating Officers
•	 Chief Financial Officers
•	 Chief Medical Officers
•	 Vice Presidents, Directors, and Managers of:
	 –	 Dual Eligibles
	–	Government Programs
	–	State Programs
	–	Member Services
	–	Network Contracting
	–	Disease Management
	–	Sales and Marketing
	–	Quality Improvement
From Government:
•	 Project Directors
•	 Department Directors
•	 Deputy Directors
•	 Policy Analysts
•	 State and Federal Regulatory and
Quality Assurance Auditors
•	 Vice Presidents, Directors, and Managers of:
	 –	 Quality
	 –	 Long Term Care
	 –	 Product Development
	 –	 Health Plan Operations
From Hospitals, Integrated Systems,
Long Term Care, and FQHCs:
•	 Chief Medical Officers
•	 Chief Financial Officers
•	 Chief Operations Officers
•	 Vice Presidents, Directors, and
Managers of:
	 –	 Managed Care
	 –	 Medicaid
	 –	 Compliance
This Summit Also Benefits:
•	 Managed Care Solutions Providers
•	 Government Program Consultants
and Advisors
•	 Home Health Companies
•	 Data and Health Analytics Providers
•	 Outreach and Engagement
Solutions Providers
C O N S I D E R A
S PO N S O R S H I P PA C K A G E
• Present to Key Players in Your Target Market
• Take Advantage of 1-on-1 Sponsor/Attendee Meetings Facilitated On-Site
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, and Executive Networking Opportunities,
Contact Dave Capobianco, Vice President, Business Development, World Congress
Phone: 781-939-2635 • E-mail: David.Capobianco@worldcongress.com
Day One — Tuesday, July 14, 2015
12:00 pm –
1:00 pm Workshop Registration and Morning Coffee
Pre-Summit Workshops
1:00 pm –
4:15 pm WORKSHOP A: Analyze the Impact of Star Ratings Changes to D-SNPs and
Medicare Advantage Plans to Maximize Bonus Potential
As the Star Ratings program evolves, health plans must align their goals and design their products to match those changes. This workshop analyzes the
indications of potential changes announced in the Draft Call Letter as well as the most recent regulatory changes made in the official 2016 Call Letter, and
explores the potential of Dual Eligible plans joining the Star Ratings program, and steps to improve ratings.
•	 Review changes that were stated in the 2016 Call Letter to the Star Ratings for Medicare Advantage plans
•	 Discuss the impact that serving low-income and disadvantaged populations has on Star Ratings
•	 Investigate the policy changes made to Medicare and Star Ratings over the years to gauge where potential policy changes could take place
•	 Discuss the potential change to Star Ratings that would include Dual Eligible Plans and D-SNPs
•	 Explore what the model of Star Ratings for Dual Eligible plans would look like to gain a closer look at bonuses and penalties
•	Learn how Dual Eligible members within a Medicare Advantage plan affect Star Ratings
•	 Examine the impact that Dual Eligibles have on the business strategy for Star Ratings and product implementation
	Nilda González, HIA, CHC, MHP, HCSA
AVP Five Stars Operation
MMM Holdings, LLC
	Lynn Nonnemaker
Director, Medicare Policy
Cigna
WORKSHOP B:
Improve the Consumer Experience of Medicaid Beneficiaries on Exchanges
The implementation of exchanges has created new opportunities and challenges for the Medicaid and commercial populations. Learn how improving
eligibility operations, education, and churn transitions can enhance consumer experience, engagement, and stickiness.
•	 Discuss the issue of churn and how it impacts states, payers, and patients across the country
•	 Discover best practices in churn management
•	 Outline the steps to ensure a seamless transition from commercial to government sponsored insurance
•	 Evaluate the impact consumer experience has on utilization, engagement, and costs
•	 Assess eligibility requirements and the technology that can improve business operations, consumer experience, and seamlessness
	 Matthew Buettgens
Senior Research Associate
The Urban Institute
	 Scott Streator
Vice President, Enterprise Strategy and Planning
CareSource
Day Two — Wednesday, July 15, 2015
7:00 am –
8:00 am Summit Registration and Morning Coffee
Government Health Care Congress Shared Sessions —
Medicaid, Medicare, and Dual Eligibles
8:00 am –
8:15 am Government Health Care Congress Welcome and Opening Remarks
	 Pamela Sedmak
President, Chief Executive Officer
Aetna Medicaid
8:15 am –
9:15 am
Shared
Session
CMS KEYNOTE ADDRESS:
Discuss the Transition to Value through Delivery System Reform
Hear directly from CMS as to the Agency’s current initiatives to promote value in the health care system through innovative programs designed to drive
smarter, better, and healthier care.
•	 Review the outcomes of current clinical innovation and quality-related activities specific to achieving smarter spending
•	 Discuss Value Based Purchasing (VBP) initiatives, roadmaps to completion, proposed timelines, and what this means for payers, states, patients,
and providers
•	Learn more about transformational clinical practice and quality improvement programs that are connecting value to care coordination, and the role the
government plays in supporting this work
	 Jean Moody-Williams
Deputy Director, Center for Clinical Standards and Quality
Centers for Medicare and Medicaid Services
Thereisa15minutecoffeeandnetworkingbreakfrom2:30pm–2:45pm
To register, please visit: www.worldcongress.com/duals • Call: 800-767-9499 • Fax: 781-939-2543 • email: wcreg@worldcongress.com
To register, please visit: www.worldcongress.com/duals • Call: 800-767-9499 • Fax: 781-939-2543 • email: wcreg@worldcongress.com
Day Two — Wednesday, July 15, 2015 (continued)
Government Health Care Congress Shared Sessions —
Medicaid, Medicare, and Dual Eligibles
9:15 am –
10:00 am
Shared
Session
STATE UPDATE: Explore a Duals Demonstration Implementation
Gain an update from one state and its affiliated health plan on the progress of its Dual Demonstration implementation.
•	Learn best practices from one state where a Duals program has been launched
•	 Discuss the implementation of waivers for the Duals space
•	 Examine the impact Duals programs have on clinical outcomes for states, payers, and providers
•	 Outline the impact Duals are having on the short and long term cost trend
	 Chris Barrott
Idaho MMCP Contract Manager
State of Idaho, Department of Health and Welfare
	 Beth Nelson
Director, Medicaid
Blue Cross Idaho
10:00 am –
10:30 am
Networking and Refreshment Break
10:30 am –
11:15 am
Shared
Session
CASE STUDY:
Engage Dual Eligibles to Improve Outcomes and Reduce Readmissions
Many argue that developing programs to better coordinate the care of the Dual Eligible population is not enough. This case study features strategies to
successfully engage and educate this high-risk population to improve outcomes and prevent readmissions.
•	Learn how one provider’s engagement program decreased the cost of total care by $400-$600 per member, per month
•	 Discover lessons learned and best practices around integration, education, and care management that reduced readmissions and
improved adherence for Duals
•	 Outline how Duals programs impact payer strategy, health policy, and broader health strategies for providers, plans, and state programs
	 John C. Wood, MD, FAAFP
Chairman, Family and Community Medicine, Medical Director, High Risk Population Management
Lancaster General Health System
11:15 am –
12:00 pm
Shared
Session
CASE STUDY: Evolve Payment Reform for Federal and State Programs to Improve
Quality and Cost Containment
In order to keep federally and state funded programs sustainable, states across the nation must consider alternative payment models regardless of
expansion status. Learn how one Integrated Delivery System in a non-expansion state created a program to control costs and improve care across the
continuum for Medicaid and Medicare beneficiaries.
•	 Discover the policy and financial transformation one state undertook to cap Medicaid spending and improve care
•	 Evaluate the impact this program had on provider operations and care delivery
•	Hear lessons learned regarding legislative constraints, provider push back, and additional opportunities
	 Dan Liljenquist
Director, Special Projects
Intermountain HealthCare
12:00 pm –
12:45 pm
Shared
Session
Discuss Recent Changes and Strategies to Improve the Future of Long Term Care
Long Term Care is typically a high cost driver for Medicaid, Medicare, and Dual Eligible populations. Learn how health plans are reducing this cost by
implementing engagement programs, delivery transformation, and capitation policies for LTSS programs.
•	 Analyze one State’s current LTSS transformation work that focuses on community programs, engagement, home care, and capitation
•	 Discover strategies to further engage patients, and train case managers to pro-actively educate patients and families on LTSS programs and services
•	 Reflect on the impact these programs have on quality of life, health care costs, and outcomes
	 Jed Ziegenhagen
Deputy Medicaid Director, Director, Community Living
State of Colorado, Department of Health Care Policy and Financing; Medicaid & Child Health Plan (CHP+)
12:45 pm –
1:45 pm
Luncheon
To register, please visit: www.worldcongress.com/duals • Call: 800-767-9499 • Fax: 781-939-2543 • email: wcreg@worldcongress.com
Day Two — Wednesday, July 15, 2015 (continued)
The 3rd Annual Dual Eligibles Summit – Plenary Sessions
1:45 pm –
2:00 pm
Chairperson’s Welcome and Opening Remarks
	 Sara Wedlock
Director, Dual Eligible Products
WellCare Health Plans Inc.
2:00 pm –
2:45 pm
Identify High-Risk and High-Utilizer Members to Improve Engagement and Retention
In this session, discover how to utilize key players such as providers, case managers, and patient navigators to identify high-risk and high-utilizer members.
•	 Explore the importance of partnering with a clinical staff and designing appropriate HRA questions to improve the identification of high-risk
and high-utilizer members
•	Leverage primary care providers, case managers, and patient navigators to educate members on their health
•	 Discuss how methods such as motivational interviewing can have an impact on engagement and help retain members
	 Debbie Bennett Carey, RN, MSN
Clinical Guidance Process Manager, Medicare Medicaid Plans, Illinois
Humana
2:45 pm –
3:30 pm
CASE STUDY: Develop an Actionable Health Risk Assessment to Comply with
Regulatory Deadlines
Review different strategies in order to meet HRA compliance by reaching and identifying high-risk members through staff management and
vendor collaboration.
•	 Discover the importance of hiring the correct number of staff and partnering with the right vendors to meet compliance deadlines
•	Learn how to make the health risk assessment actionable and accessible for hard-to-reach members to meet regulatory requirements
•	 Explore the lessons learned behind the business strategy and missed member engagement opportunities post-assessments
	 Michael Ceballos, MBA
Vice President, Long-Term Care and Product Development
Buckeye Community Health Plan, Centene Corporation
3:30 pm –
4:00 pm
Networking and Refreshment Break
4:00 pm –
4:45 pm
CASE STUDY: Leverage Technology to Streamline Care Coordination for the Dual Eligible Population
Hear how one plan is working with its IT department to combine state and federal data, reduce paperwork for the provider as well as improve care
coordination with providers.
•	 Utilize software to combine state and federal data to find Dual Eligible members
•	 Simplify the claim process for providers through the use of technology to increase efficiency
•	 Discuss how technology has improved compliance, transparency, and care coordination with providers
	Anthony Solem, MBA
Chief Medicare Officer
Santa Clara Family Health Plan
4:45 pm –
5:30 pm
Compare Medicare-Medicaid Plans and Dual Eligible Special Needs Plans to Make
the Best Product Development Decision
Discover the benefits and differences between Medicare-Medicaid Plans (MMP) and Dual Eligible Special Needs Plans (D-SNP) to determine what product
would fit best in your product portfolio.
•	 Discuss the staff and time costs of operationalizing a MMP versus a D-SNP
•	 Explore the short-term and long-term future outlook of D-SNP and MMP plans after the next presidential election
	 Gregory A. LaManna, MPH
Director, Medicare and Dual Eligible Product Innovation
WellPoint, Inc.
5:30 pm –
6:30 pm
Cocktail and Networking Reception
C O N S I D E R A S PO N S O R S H I P PA C K A G E
To inquire about Sponsorship, Exhibit, and Executive Networking Opportunities,
Contact Dave Capobianco, Vice President, Business Development, World Congress
Phone 781-939-2635 • E-mail David.Capobianco@worldcongress.com
EXHIBITORS:
To register, please visit: www.worldcongress.com/duals • Call: 800-767-9499 • Fax: 781-939-2543 • email: wcreg@worldcongress.com
Day three — Thursday, July 16, 2015
The 3rd Annual Dual Eligibles Summit – Plenary Sessions
8:00 am –
8:30 am
Morning Coffee
8:30 am –
8:45 am Chairperson’s Welcome and Review of Previous Day
	 Sara Wedlock
Director, Dual Eligible Products
WellCare Health Plans Inc.
8:45 am –
9:30 am CASE STUDY:
Connect with the Dual Eligible Population through the Lifeline Initiative
Hear from Cigna Health-Spring to understand the challenges, goals, and early achievements of its Lifeline Initiative project, which connects the plan to their
Dual Eligible population via cell phone.
•	 Discover the key players in the Lifeline Initiative to make it a successful program
•	 Engage the Dual Eligible population using cell phones and text messages that are Medicaid compliant
•	 Explore the overall goals of the program that are progressive and achievable to improve clinical outcomes
	 Jordan Luke
Director, Operations – STARs
Cigna-HealthSpring
9:30 am –
10:15 am Engage Dual Eligible Populations through Innovative Methods Using Providers
and Clinical Staff
Investigate innovative and out-of-the-box methods to communicate and connect with the Dual Eligible population.
•	 Understand what sets this vulnerable population apart from other populations by examining their needs, demographics, and the places to find them
•	 Explore innovative methods such as nurse outreach teams that speak different languages to speak with hard-to-reach members
•	Leverage collaborations with providers to communicate with members as to why enrollment in a MMP is important
	 Debra Brophy, RN-BC, CCM
Case Management Director
Illinicare Health
10:15 am –
10:45 am
Networking and Refreshment Break
10:45 am –
11:30 am Partner with Community-Based Organizations to Improve Engagement and
Clinical Outcomes
Learn how to utilize partnerships with community-based organizations, such as churches, shelters, food pantries and more, to reach the vulnerable Dual
Eligibles population.
•	 Recognize the differences between Community-Based Organizations and Long-Term Services and Supports to engage the right population
•	 Identify the value proposition for the organizations to determine which partnerships can best help the Dual Eligible members
•	 Examine the Community-Based Organization business strategy to leverage the relationship with the organization
	 Sonia Robins
Director, Community Engagement
Molina Healthcare, Illinois
11:30 am –
12:15 pm Improve Provider Collaboration and Member Enrollment through
Pro-Active Programs
In this session, learn how to collaborate with providers to educate them on the importance of engaging the Dual Eligible population.
•	 Discover the benefits of targeting existing members of the plan to pro-actively enroll qualifying beneficiaries in a Medicare-Medicaid Plan
•	 Explore the clinical and member engagement impact of a cooperative and collaborative relationship with primary care providers
•	 Connect with providers to engage with the community and members to build a better means of communication
	 Maria Lackner, MPH
Manager, Medicare Products
L.A. Care Health Plan
12:15 pm –
1:30 pm
Luncheon and Close of Summit
WEBSITE
WorldCongress.com/
Duals
Register Now! E-MAIL
wcreg@worldcongress.com
Best Value
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HL15030
VENUE INFO
THE WESTIN CRYSTAL CITY
1800 JEFFERSON DAVIS HIGHWAY
ARLINGTON, VIRGINIA, 22202 ·
PHONE: (703) 486-1111
http://www.westincrystalcity.com/
ROOM RATE $199 • CUT OFF DATE 6/22/15
PHONE
800-767-9499
781-939-2400 outside the U.S.
Please mention WC Research/World Congress
when registering to receive this special rate!
To register, please visit: www.worldcongress.com/duals • Call: 800-767-9499 • Fax: 781-939-2543 • email: wcreg@worldcongress.com
event features:
including faculty representation from:
As Part of the Government Health
Care Congress, Registration Includes:
•	 Opportunities to network with 250+
government, payers, and providers who focus
specifically in the government program space
•	 3 Concurrent Summits — Medicaid, Medicare,
and Duals — detailing the full view of
government programs
•	 Insights from 50+ Speakers representing
states, health plans, and provider groups
•	 ACAP
•	 Aetna
•	 Anthem Blue Cross and Blue Shield
•	 Blue Cross Idaho
•	 CareMore Health Plan
•	 CareSource
•	 Centene
•	 Center for Connected Health
•	 CMS
•	 Cigna
•	 Fallon Total Care
•	 Humana
•	 Illinicare Health
•	 Intermountain HealthCare
•	 L.A. Care Health Plan
•	 Lancaster General Health
•	 Maryland Department of Health 	
and Human Services
•	 MMM Holdings LLC
•	 Molina Healthcare
•	 Santa Clara Family Health Plan
•	 State of Colorado
•	 State of Idaho
•	 The Urban Institute
•	 WellCare Health Plans
•	 WellPoint, Inc.
•	 and more . . .
dual eligibles summit
The 3rd Annual GHCC
July 14-16, 2015 | THE WESTIN CRYSTAL CITY | Arlington, VA
Explore Duals Demonstration Outcomes and Innovative
Population Engagement Strategies to Improve Clinical Outcomes
Save up to $600 when you register by 4/24/15!
Registration Fee: Register By
4/24/2015
Register By
5/29/2015
Register By
7/14/2015Standard
Conference Only $ 1695.00 $ 1995.00 $ 2295.00
Conference Plus Workshop $ 1795.00 $ 2145.00 $ 2495.00
Workshop Only $ 100.00 $ 150.00 $ 200.00
Health Plans
Conference Only $ 795.00 $ 1095.00 $ 1395.00
Conference Plus Workshop $ 895.00 $ 1245.00 $ 1595.00
Workshop Only $ 100.00 $ 150.00 $ 200.00
care providers
Conference Only $ 595.00 $ 895.00 $ 1195.00
Conference Plus Workshop $ 695.00 $ 1045.00 $ 1395.00
Workshop Only $ 100.00 $ 150.00 $ 200.00
Government
Conference Only $ 295.00 $ 295.00 $ 295.00
Conference Plus Workshop $ 395.00 $ 395.00 $ 395.00
Workshop Only $ 100.00 $ 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.

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  • 1. dual eligibles summit The 3rd Annual GHCC July 14-16, 2015 | THE WESTIN CRYSTAL CITY | Arlington, VA Co-located with: To register, please visit: www.worldcongress.com/duals • Call: 800-767-9499 • Fax: 781-939-2543 • email: wcreg@worldcongress.com Top Reasons to Attend: • Analyze the Impact of Star Ratings Changes to D-SNPs and Medicare Advantage Plans to Maximize Bonus Potential • Improve the Consumer Experience of Medicaid Beneficiaries on Exchanges Explore Duals Demonstration Outcomes and Innovative Population Engagement Strategies to Improve Clinical Outcomes July 14-16, 2015 arlington, VAMedicaid Summit The 5th Annual GHCC July 14-16, 2015 arlington, VA Medicare & Medicare advantage Summit The 11th Annual GHCC CMS Keynote Address: Jean Moody Williams Deputy Director, Center for Clinical Standards and Quality CMS Featured Speakers: Conference Chairperson: Sara Wedlock Director, Dual Eligible Products WellCare Health Plans Inc. Chris Barrott Idaho MMCP Contract Manager State of Idaho, Department of Health and Welfare Debbie Bennett Carey, RN, MSN Clinical Guidance Process Manager, Medicare Medicaid Plans, Illinois, Humana Michael Ceballos, MBA Vice President, Long-Term Care & Product Development Buckeye Community Health Plan, Centene Corporation Jordan Luke Director, Operations, STARs Cigna-HealthSpring Gregory A. LaManna, MPH Director, Medicare and Dual Eligible Product Innovation WellPoint, Inc. • Understand what the potential structure of the STARs Program for Dual Eligibles may look like • Make health risk assessments actionable and accessible for hard-to-reach members • Examine CMS quality initiatives that bridge care coordination and value for the Dual Eligible population • Leverage virtual tools to engage members to improve satisfaction and clinical outcomes • Explore outcomes from those currently in the Duals Demonstrations • Discuss the financial, staff, and time costs of operationalizing a Dual Eligible Plan vs. a D-SNP Plus! Choose between two Pre-Summit Workshops: Organized by: @wrldhealthcare #GHCC15 Save up to $600 when you register by 4/24/15!
  • 2. To register, please visit: www.worldcongress.com/Medicare • Call: 800-767-9499 • Fax: 781-939-2543 • email: wcreg@worldcongress.com D a y O n e : T u e s d a y , J u l y 1 4 , 2 0 1 5 12:00 pm – 1:00 pm Workshop Registration Pre-Summit Workshop Options: 1:00 pm – 4:15 pm WORKSHOP A: Analyze the Impact of Star Ratings Changes to D-SNPs and Medicare Advantage Plans to Maximize Bonus Potential WORKSHOP B: Improve the Consumer Experience of Medicaid Beneficiaries on Exchanges D a y t w o : w e d n e s d a y , J u l y 1 5 , 2 0 1 5 7:00 am – 8:00 am Summit Registration and Morning Coffee 8:00 am – 8:15 am Government Health Care Congress Welcome and Opening Remarks 8:15 am – 9:15 am CMS Keynote Address: Discuss the Transition to Value through Delivery System Reform 9:15 am – 10:00 am state update: Explore a Duals Demonstration Implementation 10:00 am – 10:30 am Networking and Refreshment Break 10:30 am – 11:15 am CASE STUDY: Engage Dual Eligibles to Improve Outcomes and Reduce Readmissions 11:15 am – 12:00 pm CASE STUDY: Evolve Payment Reform for Federal and State Programs to Improve Quality and Cost Containment 12:00 pm – 12:45 pm Identify Strategies to Improve the Future of Long Term Care 12:45 pm – 1:45 pm Luncheon medicaid summit duals summit medicare summit 1:45 pm – 2:00 pm Chairperson’s Opening Remarks 2:00 pm – 2:45 pm Integrating Medicaid — Utilize ACOs to Improve Care Coordination and Outcomes Identify High-Risk and High-Utilizer Members to Improve Engagement and Retention Navigate the Challenges Surrounding Changing Rules and Requirements from the 2016 Call Letter 2:45 pm – 3:30 pm CASE STUDY: Examine Challenges and Opportunities to Improve Behavioral Health Coordination Within Medicaid CASE STUDY: Develop an Actionable Health Risk Assessment to Comply with Regulatory Deadlines Discover Strategies to Ease the Shift from Fee-for-Service to Value Based Payments 3:30 pm – 4:00 pm Networking and Refreshment Break 4:00 pm – 4:45 pm Discover Strategies to Create Attractive Benefit Designs to Engage the New Medicaid Population CASE STUDY: Leverage Technology to Streamline Care Coordination for the Dual Eligible Population CASE STUDY: Discover the Clinical and Financial Benefits of the Bundled Payment for Care Improvement Initiative 4:45 pm – 5:30 pm Identify Best Practices to Improve Member Experience and Manage Churn Compare Medicare-Medicaid Plans and Dual Eligible Special Needs Plans to Make the Best Product Development Decision ROUNDTABLE DISCUSSIONS 5:30 pm – 6:30 pm Cocktail and Networking Reception D a y t h r e e : t h u r s d a y , J u l y 1 6 , 2 0 1 5 8:00 am – 8:30 am Morning Coffee medicaid summit duals summit medicare summit 8:30 am – 8:45 am Chairperson’s Welcome and Review of Previous Day 8:45 am – 9:30 am Navigate Federal and State Policies for Telehealth CASE STUDY: Connect with the Dual Eligible Population through the Lifeline Initiative PANEL DISCUSSION: Examine the Financial Benefit of Blended Funding and Value-Based Payment Methods 9:30 am – 10:15 am Panel Discussion: Consider Medicaid Telemedicine Programs to Reduce Costs and Improve Access Engage Dual Eligible Populations through Innovative Methods Using Providers and Clinical Staff Investigate the Untapped Potential of an Advanced Illness Program to Impact Quality and Cost 10:15 am – 10:45 am Networking and Refreshment Break 10:45 am – 11:45 am STATE EXPANSION KEYNOTE: Assess Care Coordination and Cost Reduction Progress in Traditional Expansion States Partner with Community-Based Organizations to Improve Engagement and Clinical Outcomes Utilize Technology and CMS Quality Initiatives to Improve Quality of Care and HEDIS Measures 11:45 am – 12:30 pm PLAN PERSPECTIVE: Discover Service Delivery Innovation and Cost Containment Initiatives for Medicaid Managed Care in Expansion States Improve Provider Collaboration and Member Enrollment through Pro-active Programs Differentiate Your Organization from Competition to Improve Your Financial Standing and Star Rating 12:30 pm – 1:30 pm Networking Luncheon and Close of Duals Summit 1:30 pm – 2:30 pm ALTERNATIVE EXPANSION KEYNOTE: Examine Alternative Demonstration Waivers – Arkansas Outlook CASE STUDY: Improve Enrollment and Engagement through Grassroot Marketing Campaigns 2:30 pm – 3:30 pm CASE STUDY: Assess Innovative Care Management Programs and Costs in Non-Expansion States Leverage Provider Collaboration to Deliver Higher Patient Satisfaction and Quality of Care 3:30 pm Close of Summit A g e nda a t a g lanc e July 14-16, 2015 THE WESTIN CRYSTAL CITY Arlington, VA T h e 1 1 t h A n n u a l G H C C Medicare & Medicare Advantage T h e 5 t h A n n u a l G H C C m e d i c a i d S u mm i t T h e 3 r d A n n u a l G H C C d u a l s S u mm i t
  • 3. Dual Eligibles summit The 3rd Annual GHCC July 14-16, 2015 | THE WESTIN CRYSTAL CITY | Arlington, VA Explore Duals Demonstration Outcomes and Innovative Population Engagement Strategies to Improve Clinical Outcomes To register, please visit: www.worldcongress.com/duals • Call: 800-767-9499 • Fax: 781-939-2543 • email: wcreg@worldcongress.com Dear Distinguished Colleague, As the Dual Eligibles population becomes increasingly more vulnerable and difficult to reach, health plans and others assisting the Dual Eligible community are looking for ways to come together to address challenges with this population. The Dual Eligibles Summit convenes health plans, providers, managed care executives, and thought leaders from around the nation to discuss strategies for increasing population engagement to improve clinical and financial outcomes. Hear an update on the Duals Demonstrations as well as case studies and presentations on how to efficiently reach and care for this complex population while attaining quality and clinical goals. Join us July 14-16 when we gather to network and learn strategies to navigate the challenges of reaching this vulnerable population, identify high-risk and high-utilizer members, and examine outcomes from those in the Duals Demonstration. I look forward to seeing you there. Sincerely, Sara Wedlock Director, Dual Eligible Products WellCare Health Plans Inc. Chairperson, 3rd Annual Dual Eligibles Summit Who Should Attend? From Health Plans: • Chief Executive Officers • Chief Operating Officers • Chief Financial Officers • Chief Medical Officers • Vice Presidents, Directors, and Managers of: – Dual Eligibles – Government Programs – State Programs – Member Services – Network Contracting – Disease Management – Sales and Marketing – Quality Improvement From Government: • Project Directors • Department Directors • Deputy Directors • Policy Analysts • State and Federal Regulatory and Quality Assurance Auditors • Vice Presidents, Directors, and Managers of: – Quality – Long Term Care – Product Development – Health Plan Operations From Hospitals, Integrated Systems, Long Term Care, and FQHCs: • Chief Medical Officers • Chief Financial Officers • Chief Operations Officers • Vice Presidents, Directors, and Managers of: – Managed Care – Medicaid – Compliance This Summit Also Benefits: • Managed Care Solutions Providers • Government Program Consultants and Advisors • Home Health Companies • Data and Health Analytics Providers • Outreach and Engagement Solutions Providers C O N S I D E R A S PO N S O R S H I P PA C K A G E • Present to Key Players in Your Target Market • Take Advantage of 1-on-1 Sponsor/Attendee Meetings Facilitated On-Site 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, and Executive Networking Opportunities, Contact Dave Capobianco, Vice President, Business Development, World Congress Phone: 781-939-2635 • E-mail: David.Capobianco@worldcongress.com
  • 4. Day One — Tuesday, July 14, 2015 12:00 pm – 1:00 pm Workshop Registration and Morning Coffee Pre-Summit Workshops 1:00 pm – 4:15 pm WORKSHOP A: Analyze the Impact of Star Ratings Changes to D-SNPs and Medicare Advantage Plans to Maximize Bonus Potential As the Star Ratings program evolves, health plans must align their goals and design their products to match those changes. This workshop analyzes the indications of potential changes announced in the Draft Call Letter as well as the most recent regulatory changes made in the official 2016 Call Letter, and explores the potential of Dual Eligible plans joining the Star Ratings program, and steps to improve ratings. • Review changes that were stated in the 2016 Call Letter to the Star Ratings for Medicare Advantage plans • Discuss the impact that serving low-income and disadvantaged populations has on Star Ratings • Investigate the policy changes made to Medicare and Star Ratings over the years to gauge where potential policy changes could take place • Discuss the potential change to Star Ratings that would include Dual Eligible Plans and D-SNPs • Explore what the model of Star Ratings for Dual Eligible plans would look like to gain a closer look at bonuses and penalties • Learn how Dual Eligible members within a Medicare Advantage plan affect Star Ratings • Examine the impact that Dual Eligibles have on the business strategy for Star Ratings and product implementation Nilda González, HIA, CHC, MHP, HCSA AVP Five Stars Operation MMM Holdings, LLC Lynn Nonnemaker Director, Medicare Policy Cigna WORKSHOP B: Improve the Consumer Experience of Medicaid Beneficiaries on Exchanges The implementation of exchanges has created new opportunities and challenges for the Medicaid and commercial populations. Learn how improving eligibility operations, education, and churn transitions can enhance consumer experience, engagement, and stickiness. • Discuss the issue of churn and how it impacts states, payers, and patients across the country • Discover best practices in churn management • Outline the steps to ensure a seamless transition from commercial to government sponsored insurance • Evaluate the impact consumer experience has on utilization, engagement, and costs • Assess eligibility requirements and the technology that can improve business operations, consumer experience, and seamlessness Matthew Buettgens Senior Research Associate The Urban Institute Scott Streator Vice President, Enterprise Strategy and Planning CareSource Day Two — Wednesday, July 15, 2015 7:00 am – 8:00 am Summit Registration and Morning Coffee Government Health Care Congress Shared Sessions — Medicaid, Medicare, and Dual Eligibles 8:00 am – 8:15 am Government Health Care Congress Welcome and Opening Remarks Pamela Sedmak President, Chief Executive Officer Aetna Medicaid 8:15 am – 9:15 am Shared Session CMS KEYNOTE ADDRESS: Discuss the Transition to Value through Delivery System Reform Hear directly from CMS as to the Agency’s current initiatives to promote value in the health care system through innovative programs designed to drive smarter, better, and healthier care. • Review the outcomes of current clinical innovation and quality-related activities specific to achieving smarter spending • Discuss Value Based Purchasing (VBP) initiatives, roadmaps to completion, proposed timelines, and what this means for payers, states, patients, and providers • Learn more about transformational clinical practice and quality improvement programs that are connecting value to care coordination, and the role the government plays in supporting this work Jean Moody-Williams Deputy Director, Center for Clinical Standards and Quality Centers for Medicare and Medicaid Services Thereisa15minutecoffeeandnetworkingbreakfrom2:30pm–2:45pm To register, please visit: www.worldcongress.com/duals • Call: 800-767-9499 • Fax: 781-939-2543 • email: wcreg@worldcongress.com
  • 5. To register, please visit: www.worldcongress.com/duals • Call: 800-767-9499 • Fax: 781-939-2543 • email: wcreg@worldcongress.com Day Two — Wednesday, July 15, 2015 (continued) Government Health Care Congress Shared Sessions — Medicaid, Medicare, and Dual Eligibles 9:15 am – 10:00 am Shared Session STATE UPDATE: Explore a Duals Demonstration Implementation Gain an update from one state and its affiliated health plan on the progress of its Dual Demonstration implementation. • Learn best practices from one state where a Duals program has been launched • Discuss the implementation of waivers for the Duals space • Examine the impact Duals programs have on clinical outcomes for states, payers, and providers • Outline the impact Duals are having on the short and long term cost trend Chris Barrott Idaho MMCP Contract Manager State of Idaho, Department of Health and Welfare Beth Nelson Director, Medicaid Blue Cross Idaho 10:00 am – 10:30 am Networking and Refreshment Break 10:30 am – 11:15 am Shared Session CASE STUDY: Engage Dual Eligibles to Improve Outcomes and Reduce Readmissions Many argue that developing programs to better coordinate the care of the Dual Eligible population is not enough. This case study features strategies to successfully engage and educate this high-risk population to improve outcomes and prevent readmissions. • Learn how one provider’s engagement program decreased the cost of total care by $400-$600 per member, per month • Discover lessons learned and best practices around integration, education, and care management that reduced readmissions and improved adherence for Duals • Outline how Duals programs impact payer strategy, health policy, and broader health strategies for providers, plans, and state programs John C. Wood, MD, FAAFP Chairman, Family and Community Medicine, Medical Director, High Risk Population Management Lancaster General Health System 11:15 am – 12:00 pm Shared Session CASE STUDY: Evolve Payment Reform for Federal and State Programs to Improve Quality and Cost Containment In order to keep federally and state funded programs sustainable, states across the nation must consider alternative payment models regardless of expansion status. Learn how one Integrated Delivery System in a non-expansion state created a program to control costs and improve care across the continuum for Medicaid and Medicare beneficiaries. • Discover the policy and financial transformation one state undertook to cap Medicaid spending and improve care • Evaluate the impact this program had on provider operations and care delivery • Hear lessons learned regarding legislative constraints, provider push back, and additional opportunities Dan Liljenquist Director, Special Projects Intermountain HealthCare 12:00 pm – 12:45 pm Shared Session Discuss Recent Changes and Strategies to Improve the Future of Long Term Care Long Term Care is typically a high cost driver for Medicaid, Medicare, and Dual Eligible populations. Learn how health plans are reducing this cost by implementing engagement programs, delivery transformation, and capitation policies for LTSS programs. • Analyze one State’s current LTSS transformation work that focuses on community programs, engagement, home care, and capitation • Discover strategies to further engage patients, and train case managers to pro-actively educate patients and families on LTSS programs and services • Reflect on the impact these programs have on quality of life, health care costs, and outcomes Jed Ziegenhagen Deputy Medicaid Director, Director, Community Living State of Colorado, Department of Health Care Policy and Financing; Medicaid & Child Health Plan (CHP+) 12:45 pm – 1:45 pm Luncheon
  • 6. To register, please visit: www.worldcongress.com/duals • Call: 800-767-9499 • Fax: 781-939-2543 • email: wcreg@worldcongress.com Day Two — Wednesday, July 15, 2015 (continued) The 3rd Annual Dual Eligibles Summit – Plenary Sessions 1:45 pm – 2:00 pm Chairperson’s Welcome and Opening Remarks Sara Wedlock Director, Dual Eligible Products WellCare Health Plans Inc. 2:00 pm – 2:45 pm Identify High-Risk and High-Utilizer Members to Improve Engagement and Retention In this session, discover how to utilize key players such as providers, case managers, and patient navigators to identify high-risk and high-utilizer members. • Explore the importance of partnering with a clinical staff and designing appropriate HRA questions to improve the identification of high-risk and high-utilizer members • Leverage primary care providers, case managers, and patient navigators to educate members on their health • Discuss how methods such as motivational interviewing can have an impact on engagement and help retain members Debbie Bennett Carey, RN, MSN Clinical Guidance Process Manager, Medicare Medicaid Plans, Illinois Humana 2:45 pm – 3:30 pm CASE STUDY: Develop an Actionable Health Risk Assessment to Comply with Regulatory Deadlines Review different strategies in order to meet HRA compliance by reaching and identifying high-risk members through staff management and vendor collaboration. • Discover the importance of hiring the correct number of staff and partnering with the right vendors to meet compliance deadlines • Learn how to make the health risk assessment actionable and accessible for hard-to-reach members to meet regulatory requirements • Explore the lessons learned behind the business strategy and missed member engagement opportunities post-assessments Michael Ceballos, MBA Vice President, Long-Term Care and Product Development Buckeye Community Health Plan, Centene Corporation 3:30 pm – 4:00 pm Networking and Refreshment Break 4:00 pm – 4:45 pm CASE STUDY: Leverage Technology to Streamline Care Coordination for the Dual Eligible Population Hear how one plan is working with its IT department to combine state and federal data, reduce paperwork for the provider as well as improve care coordination with providers. • Utilize software to combine state and federal data to find Dual Eligible members • Simplify the claim process for providers through the use of technology to increase efficiency • Discuss how technology has improved compliance, transparency, and care coordination with providers Anthony Solem, MBA Chief Medicare Officer Santa Clara Family Health Plan 4:45 pm – 5:30 pm Compare Medicare-Medicaid Plans and Dual Eligible Special Needs Plans to Make the Best Product Development Decision Discover the benefits and differences between Medicare-Medicaid Plans (MMP) and Dual Eligible Special Needs Plans (D-SNP) to determine what product would fit best in your product portfolio. • Discuss the staff and time costs of operationalizing a MMP versus a D-SNP • Explore the short-term and long-term future outlook of D-SNP and MMP plans after the next presidential election Gregory A. LaManna, MPH Director, Medicare and Dual Eligible Product Innovation WellPoint, Inc. 5:30 pm – 6:30 pm Cocktail and Networking Reception C O N S I D E R A S PO N S O R S H I P PA C K A G E To inquire about Sponsorship, Exhibit, and Executive Networking Opportunities, Contact Dave Capobianco, Vice President, Business Development, World Congress Phone 781-939-2635 • E-mail David.Capobianco@worldcongress.com EXHIBITORS:
  • 7. To register, please visit: www.worldcongress.com/duals • Call: 800-767-9499 • Fax: 781-939-2543 • email: wcreg@worldcongress.com Day three — Thursday, July 16, 2015 The 3rd Annual Dual Eligibles Summit – Plenary Sessions 8:00 am – 8:30 am Morning Coffee 8:30 am – 8:45 am Chairperson’s Welcome and Review of Previous Day Sara Wedlock Director, Dual Eligible Products WellCare Health Plans Inc. 8:45 am – 9:30 am CASE STUDY: Connect with the Dual Eligible Population through the Lifeline Initiative Hear from Cigna Health-Spring to understand the challenges, goals, and early achievements of its Lifeline Initiative project, which connects the plan to their Dual Eligible population via cell phone. • Discover the key players in the Lifeline Initiative to make it a successful program • Engage the Dual Eligible population using cell phones and text messages that are Medicaid compliant • Explore the overall goals of the program that are progressive and achievable to improve clinical outcomes Jordan Luke Director, Operations – STARs Cigna-HealthSpring 9:30 am – 10:15 am Engage Dual Eligible Populations through Innovative Methods Using Providers and Clinical Staff Investigate innovative and out-of-the-box methods to communicate and connect with the Dual Eligible population. • Understand what sets this vulnerable population apart from other populations by examining their needs, demographics, and the places to find them • Explore innovative methods such as nurse outreach teams that speak different languages to speak with hard-to-reach members • Leverage collaborations with providers to communicate with members as to why enrollment in a MMP is important Debra Brophy, RN-BC, CCM Case Management Director Illinicare Health 10:15 am – 10:45 am Networking and Refreshment Break 10:45 am – 11:30 am Partner with Community-Based Organizations to Improve Engagement and Clinical Outcomes Learn how to utilize partnerships with community-based organizations, such as churches, shelters, food pantries and more, to reach the vulnerable Dual Eligibles population. • Recognize the differences between Community-Based Organizations and Long-Term Services and Supports to engage the right population • Identify the value proposition for the organizations to determine which partnerships can best help the Dual Eligible members • Examine the Community-Based Organization business strategy to leverage the relationship with the organization Sonia Robins Director, Community Engagement Molina Healthcare, Illinois 11:30 am – 12:15 pm Improve Provider Collaboration and Member Enrollment through Pro-Active Programs In this session, learn how to collaborate with providers to educate them on the importance of engaging the Dual Eligible population. • Discover the benefits of targeting existing members of the plan to pro-actively enroll qualifying beneficiaries in a Medicare-Medicaid Plan • Explore the clinical and member engagement impact of a cooperative and collaborative relationship with primary care providers • Connect with providers to engage with the community and members to build a better means of communication Maria Lackner, MPH Manager, Medicare Products L.A. Care Health Plan 12:15 pm – 1:30 pm Luncheon and Close of Summit
  • 8. WEBSITE WorldCongress.com/ Duals Register Now! E-MAIL wcreg@worldcongress.com Best Value PRSRT STD U.S. Postage PAID Gallery World Congress 500 West Cummings Park, Suite 5200 Woburn, MA 01801 HL15030 VENUE INFO THE WESTIN CRYSTAL CITY 1800 JEFFERSON DAVIS HIGHWAY ARLINGTON, VIRGINIA, 22202 · PHONE: (703) 486-1111 http://www.westincrystalcity.com/ ROOM RATE $199 • CUT OFF DATE 6/22/15 PHONE 800-767-9499 781-939-2400 outside the U.S. Please mention WC Research/World Congress when registering to receive this special rate! To register, please visit: www.worldcongress.com/duals • Call: 800-767-9499 • Fax: 781-939-2543 • email: wcreg@worldcongress.com event features: including faculty representation from: As Part of the Government Health Care Congress, Registration Includes: • Opportunities to network with 250+ government, payers, and providers who focus specifically in the government program space • 3 Concurrent Summits — Medicaid, Medicare, and Duals — detailing the full view of government programs • Insights from 50+ Speakers representing states, health plans, and provider groups • ACAP • Aetna • Anthem Blue Cross and Blue Shield • Blue Cross Idaho • CareMore Health Plan • CareSource • Centene • Center for Connected Health • CMS • Cigna • Fallon Total Care • Humana • Illinicare Health • Intermountain HealthCare • L.A. Care Health Plan • Lancaster General Health • Maryland Department of Health and Human Services • MMM Holdings LLC • Molina Healthcare • Santa Clara Family Health Plan • State of Colorado • State of Idaho • The Urban Institute • WellCare Health Plans • WellPoint, Inc. • and more . . . dual eligibles summit The 3rd Annual GHCC July 14-16, 2015 | THE WESTIN CRYSTAL CITY | Arlington, VA Explore Duals Demonstration Outcomes and Innovative Population Engagement Strategies to Improve Clinical Outcomes Save up to $600 when you register by 4/24/15! Registration Fee: Register By 4/24/2015 Register By 5/29/2015 Register By 7/14/2015Standard Conference Only $ 1695.00 $ 1995.00 $ 2295.00 Conference Plus Workshop $ 1795.00 $ 2145.00 $ 2495.00 Workshop Only $ 100.00 $ 150.00 $ 200.00 Health Plans Conference Only $ 795.00 $ 1095.00 $ 1395.00 Conference Plus Workshop $ 895.00 $ 1245.00 $ 1595.00 Workshop Only $ 100.00 $ 150.00 $ 200.00 care providers Conference Only $ 595.00 $ 895.00 $ 1195.00 Conference Plus Workshop $ 695.00 $ 1045.00 $ 1395.00 Workshop Only $ 100.00 $ 150.00 $ 200.00 Government Conference Only $ 295.00 $ 295.00 $ 295.00 Conference Plus Workshop $ 395.00 $ 395.00 $ 395.00 Workshop Only $ 100.00 $ 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.