This document announces and provides an agenda for the 3rd Annual Dual Eligibles Summit to be held July 14-16, 2015 in Arlington, VA. The summit will explore outcomes of dual eligible demonstration programs and innovative strategies for engaging dual eligible populations to improve clinical outcomes. Topics will include the impact of Star Ratings changes on D-SNPs and Medicare Advantage plans, improving the consumer experience of Medicaid beneficiaries on exchanges, and case studies on engaging dual eligibles and improving care coordination. The summit is intended for health plan executives, government program managers, and other healthcare professionals serving dual eligible populations.
This document provides an agenda for the 3rd Annual Dual Eligibles Summit taking place July 14-16, 2015 in Arlington, VA. The summit will explore outcomes of dual eligible demonstration programs and strategies for improving clinical outcomes through increased engagement of the dual eligible population. Topics will include analyzing the impact of Star Ratings changes on D-SNPs, improving the consumer experience of Medicaid beneficiaries on exchanges, state demonstrations for dual eligibles, and case studies on engaging dual eligibles and reducing readmissions. Keynote speakers are from CMS and health plans involved in dual eligible programs. The summit is intended for health plans, providers, government agencies, and other organizations serving dual eligible populations.
This document provides information about an upcoming conference on Medicaid programs to be held from July 14-16, 2015 in Arlington, VA. The conference will examine advances in Medicaid expansion, managed care, and alternative demonstrations to control costs and improve care quality, efficiency, and value. It will feature presentations and case studies from state Medicaid directors, health plans, and other experts on topics like engaging Medicaid expansion populations, integrating care for dual eligibles, innovative care models, and addressing issues like churn. Attendees will include representatives from health plans, government agencies, hospitals, and other healthcare providers. The conference is co-located with related summits on Medicare/Medicare Advantage programs and dual eligibles.
Dementia state plan and innovations in caregiver support and dementia care rexnayee
This document summarizes Virginia's efforts to support caregivers of individuals with dementia through the FAMILIES program. It describes how Virginia adapted the New York University Caregiver Intervention model and implemented it in 2014 with funding from the Administration for Community Living. The goal was to provide counseling to 120 caregivers over 7 sessions, involving family and friends to help reduce caregiver stress. Initial outcomes show reductions in caregiver depression, burden, and healthcare utilization from baseline to post-intervention. Lessons learned include the importance of counselor training and support. The program demonstrates Virginia's innovations in supporting dementia caregivers.
The document provides an overview of Arroyo Fresco Community Health Center's operations, including its mission, vision, values, patient and clinical data, employee satisfaction, and financial performance. It finds that while some metrics have improved, there are still opportunities to enhance patient satisfaction and retention, employee satisfaction and retention, clinical excellence, and the organization's financial position. Recommendations include increasing screening rates, appointment availability, and consistency of care; improving employee benefits and recognition programs; and pursuing more grant funding, partnerships, and investment opportunities.
This document provides an overview and update on Arizona's Medicaid program (AHCCCS). It discusses:
1) The growth in AHCCCS enrollment over time from 1985 to 2016.
2) Spending by provider type, with most spending going to hospitals, physicians, and pharmacy.
3) Efforts to integrate behavioral and physical healthcare at the plan, system, and individual levels over time.
4) Proposed funding amounts and measures for Arizona's Delivery System Reform Incentive Payment program to encourage care integration.
PBF Conceptual Framework and Illustration with The Case of NigeriaRBFHealth
A presentation by Dinesh Nair, delivered during "Transforming Health Systems Through Results-Based Financing," an event held during the Third Global Symposium on Health Systems Research in Cape Town on September 30, 2014. This event was hosted by the Health Results Innovation Trust Fund at The World Bank, in partnership with the PBF Community of Practice in Africa.
The document discusses Virginia's health and human services programs and delivery system. It provides an overview map of the various state agencies and programs involved, including Medicaid, social services, behavioral health, public health, and more. It emphasizes moving from a program-focused model to a more coordinated, customer-centric model to better serve individuals and families. Key challenges discussed include demographic changes, technological shifts, workforce issues, balancing specialization and integration, and coordinating complex federal, state and private systems and requirements.
This document presents a new organizational strategy for Arroyo Fresco Community Health Center. It provides an overview of Arroyo Fresco, including its mission, values, challenges, and current operations. The proposed strategy aims to increase net profits by decreasing patient care costs, addressing workforce gaps, and improving patient satisfaction, community relations, and employee benefits. Specific recommendations include seeking additional funds, creating healthcare apps, acquiring more clinics, and providing learning opportunities for staff. Projections estimate reductions in expenses, emergency visits and readmissions through implementing this new strategy over the next 5 years.
This document provides an agenda for the 3rd Annual Dual Eligibles Summit taking place July 14-16, 2015 in Arlington, VA. The summit will explore outcomes of dual eligible demonstration programs and strategies for improving clinical outcomes through increased engagement of the dual eligible population. Topics will include analyzing the impact of Star Ratings changes on D-SNPs, improving the consumer experience of Medicaid beneficiaries on exchanges, state demonstrations for dual eligibles, and case studies on engaging dual eligibles and reducing readmissions. Keynote speakers are from CMS and health plans involved in dual eligible programs. The summit is intended for health plans, providers, government agencies, and other organizations serving dual eligible populations.
This document provides information about an upcoming conference on Medicaid programs to be held from July 14-16, 2015 in Arlington, VA. The conference will examine advances in Medicaid expansion, managed care, and alternative demonstrations to control costs and improve care quality, efficiency, and value. It will feature presentations and case studies from state Medicaid directors, health plans, and other experts on topics like engaging Medicaid expansion populations, integrating care for dual eligibles, innovative care models, and addressing issues like churn. Attendees will include representatives from health plans, government agencies, hospitals, and other healthcare providers. The conference is co-located with related summits on Medicare/Medicare Advantage programs and dual eligibles.
Dementia state plan and innovations in caregiver support and dementia care rexnayee
This document summarizes Virginia's efforts to support caregivers of individuals with dementia through the FAMILIES program. It describes how Virginia adapted the New York University Caregiver Intervention model and implemented it in 2014 with funding from the Administration for Community Living. The goal was to provide counseling to 120 caregivers over 7 sessions, involving family and friends to help reduce caregiver stress. Initial outcomes show reductions in caregiver depression, burden, and healthcare utilization from baseline to post-intervention. Lessons learned include the importance of counselor training and support. The program demonstrates Virginia's innovations in supporting dementia caregivers.
The document provides an overview of Arroyo Fresco Community Health Center's operations, including its mission, vision, values, patient and clinical data, employee satisfaction, and financial performance. It finds that while some metrics have improved, there are still opportunities to enhance patient satisfaction and retention, employee satisfaction and retention, clinical excellence, and the organization's financial position. Recommendations include increasing screening rates, appointment availability, and consistency of care; improving employee benefits and recognition programs; and pursuing more grant funding, partnerships, and investment opportunities.
This document provides an overview and update on Arizona's Medicaid program (AHCCCS). It discusses:
1) The growth in AHCCCS enrollment over time from 1985 to 2016.
2) Spending by provider type, with most spending going to hospitals, physicians, and pharmacy.
3) Efforts to integrate behavioral and physical healthcare at the plan, system, and individual levels over time.
4) Proposed funding amounts and measures for Arizona's Delivery System Reform Incentive Payment program to encourage care integration.
PBF Conceptual Framework and Illustration with The Case of NigeriaRBFHealth
A presentation by Dinesh Nair, delivered during "Transforming Health Systems Through Results-Based Financing," an event held during the Third Global Symposium on Health Systems Research in Cape Town on September 30, 2014. This event was hosted by the Health Results Innovation Trust Fund at The World Bank, in partnership with the PBF Community of Practice in Africa.
The document discusses Virginia's health and human services programs and delivery system. It provides an overview map of the various state agencies and programs involved, including Medicaid, social services, behavioral health, public health, and more. It emphasizes moving from a program-focused model to a more coordinated, customer-centric model to better serve individuals and families. Key challenges discussed include demographic changes, technological shifts, workforce issues, balancing specialization and integration, and coordinating complex federal, state and private systems and requirements.
This document presents a new organizational strategy for Arroyo Fresco Community Health Center. It provides an overview of Arroyo Fresco, including its mission, values, challenges, and current operations. The proposed strategy aims to increase net profits by decreasing patient care costs, addressing workforce gaps, and improving patient satisfaction, community relations, and employee benefits. Specific recommendations include seeking additional funds, creating healthcare apps, acquiring more clinics, and providing learning opportunities for staff. Projections estimate reductions in expenses, emergency visits and readmissions through implementing this new strategy over the next 5 years.
The document outlines a strategic plan for the Weber-Morgan Health Department (WMHD) for 2014-2018. It includes goals to improve operations, enhance and retain staff, enhance relationships, increase outreach, address key health issues, and increase emergency preparedness. Strategies include developing policies for efficient vehicle use, pursuing annual division goals, enhancing training and development programs for staff, strengthening partnerships, expanding community engagement, addressing priority health conditions, and preparing for public health emergencies. The plan links the goals to the 10 essential services of public health and the state health improvement plan.
Innovations of virginias aaa vg co_a - medicare fraudrexnayee
This document provides information about Medicare fraud and the Senior Medicare Patrol (SMP) program. It discusses how Medicare fraud affects taxpayers and beneficiaries by wasting funds and increasing costs. The SMP mission is to empower Medicare beneficiaries to prevent, detect, and report healthcare fraud, errors, and abuse through outreach and education. The document outlines the parts of Medicare, common types of fraud and abuse, and provides steps beneficiaries can take to detect and report suspected fraud, including reviewing statements for unauthorized services and contacting the SMP program for help.
This document discusses building community health worker programs. It begins with objectives to describe the value of CHWs to healthcare executives and boards, how to integrate a CHW program cost-effectively, and tools for implementation. It then discusses the history and role of CHWs, how their interventions can produce cost savings, and strategies for formulating the CHW role within an organization. The document outlines considerations for implementation including stakeholder engagement and best practices. It presents two case studies of CHW programs at Wooster Community Hospital and Parkview Health.
August 2013 PLUS Health care reform and people with HIVPositive_Force
Health care reform aims to expand access to care through the expansion of Medicaid eligibility and the creation of private health insurance marketplaces with subsidies. For people living with HIV/AIDS, this means transitions from existing programs like Ryan White to new forms of coverage through Medicaid expansion or Covered California. However, some populations are left out of the reform, including undocumented immigrants. California is implementing reforms through the expansion of Medi-Cal eligibility and the creation of Covered California. Transition assistance will be needed to help people living with HIV/AIDS and providers navigate the new systems and address ongoing needs.
Sumar Program's Universal Coverage: Achievements & New Goals Towards 2020RBFHealth
A presentation by Martín Sabignoso of Argentina's Ministry of Health delivered at the RBF Health Seminar, QOn the Road to Effective Universal Health Coverage: What’s New in Argentina’s Use of Performance Incentives? on June 11, 2015.
A presentation by Ben Bellows, delivered at the RBF Health Seminar, The Role of Vouchers in Serving Disadvantaged Populations and Improving Quality of Care.
Dr. Ronald Yee - 2015 CACHC Conference Presentationcachc
This document discusses the Triple Aim framework for healthcare systems put forth by the Institute for Healthcare Improvement. The Triple Aim aims to simultaneously improve patient experience of care, improve population health, and reduce per capita healthcare costs. Examples are provided from community health centers in the US that have successfully implemented initiatives addressing all three aims, such as comprehensive social services programs, risk-stratified patient care management, and value-based payment models. The presentation concludes by encouraging Canadian community health centers to apply the principles of the Triple Aim through data-driven innovation, patient engagement, local partnerships, and continuous quality improvement efforts.
The Health Systems Administration program at Georgetown has its students complete case projects for a fictional community, Middleboro. Throughout the program we created several deliverables: Community Profile, Community Health Assessment, Strategic Plan, Marketing Plan, and Business Plan.
This document summarizes information from a webinar hosted by the Centers for Medicare and Medicaid Services (CMS) about the Strong Start initiative. The initiative has two main strategies: 1) reducing early elective deliveries before 39 weeks through partnerships and an awareness campaign, and 2) testing enhanced prenatal care models through cooperative agreements to improve outcomes and lower costs for Medicaid-covered births. States, providers, managed care organizations, and conveners are eligible to apply. The webinar provided details on CMS's goals for the initiative and the roles and requirements for various partners, especially states.
Informatics and healthcare disparities 2014dcarla904
The document discusses health disparities and barriers to healthcare access in the United States. It notes that factors like financial concerns, geography, literacy, race, culture and others can contribute to population-specific differences in disease burden and access to care. Some populations experience disproportionately higher rates of chronic illnesses and mortality from certain causes. Efforts are needed to improve access, reduce disparities, and accelerate quality improvement, especially around preventive care and patient safety, in order to ensure all patients receive high-quality care.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Community Health Worker Models: A focus on Sustainability MIKE PARKCORE Group
This document provides information about AMP Health, an organization that aims to strengthen community health systems by building management capacity within ministries of health. Some key points:
- AMP Health places mid-career professionals in ministries of health for 2 years to provide leadership and management training and support.
- The goal is to increase the effectiveness of national community health programs and develop sustainable leadership capacity within governments.
- AMP Health has recently launched programs in Kenya and will begin work in Malawi in the next quarter, focusing on areas like community health worker strategy, data use, and advocacy.
- Over the next 5 years, AMP Health aims to see a 25% increase in community health worker investments
This document provides an agenda and overview for a meeting titled "Bridging the Gap". The meeting aims to discuss how Aging Service Access Points (ASAPs) can demonstrate their value to health care organizations and bridge the knowledge gap between them. It outlines ASAPs' role in care coordination and care transitions programs in Massachusetts. Examples of current partnerships between ASAPs and health care entities to improve care coordination through programs like Community Care Linkages and a Community Resource Coordinator position embedded at a provider are presented.
The Kaiser Permanente Homeless Navigator Pilot Program in Woodland Hills, California connects homeless patients with community resources to help them find housing and other services, placing over 576 homeless patients in shelters and programs since 2012. The program uses a team approach involving medical, social work, and community staff. It has been successful in transforming lives and ending homelessness for many patients.
Building for the Future: An Update on the Work of the CA Future Health Workfo...commteam
The document summarizes the work of the California Future Health Workforce Commission (CFHWC) and its Behavioral Health Subcommittee. The CFHWC was established by foundations to develop a strategic plan to address California's future health workforce needs. The Behavioral Health Subcommittee is focusing on strategies to enhance behavioral health education, support career pipelines for unlicensed staff, remove licensing barriers, and advance integrated care models. The subcommittee's vision is that all Californians have access to coordinated behavioral and physical healthcare that addresses social determinants of health.
1. The document discusses key elements of access and equity in healthcare, including definitions of access, dimensions of access, and barriers to access.
2. It also outlines steps that can be taken to promote health equity, such as identifying how health disparities affect groups and showing respect for all people.
3. The use of healthcare technology is described, noting that technology aims to provide better care, achieve health equity, improve recording of data and healthcare delivery. Areas of health technology include diagnostic imaging, medical devices, and transplantation services.
This document discusses the challenges facing rural healthcare in the United States. It notes that rural residents generally have worse health outcomes and less access to care compared to urban residents, due to issues like physician and specialist shortages. Many rural hospitals are financially vulnerable and at risk of closure. The document outlines advocacy efforts by the National Rural Health Association to raise awareness of the crisis of rural hospital closures and develop legislative solutions to stabilize rural healthcare.
This document summarizes an upcoming conference on patient flow. It provides details on:
- The 14th Annual Patient Flow Summit being held September 28-29, 2015 in Boston to discuss improving patient throughput, capacity, and key metrics like readmission rates and length of stay.
- Opportunities to save up to $600 by registering by June 26, 2015.
- A schedule of workshops and presentations on topics like managing patient throughput using data, redesigning the discharge process, and case studies on observation status and reducing readmissions.
- Speakers include administrators and clinicians from hospitals and health systems around the country.
- Continuing education credits are available for attendees. Sponsorship opportunities are
Amatciems é uma vila remota na Letônia conhecida por sua paisagem natural espetacular. Por menos de 200.000 euros, você pode comprar uma casa nesse paraíso, onde as construções são projetadas para se harmonizar com a natureza. A comunidade internacional de Amatciems valoriza a simplicidade e a vida em harmonia com a flora e fauna locais.
The document outlines a strategic plan for the Weber-Morgan Health Department (WMHD) for 2014-2018. It includes goals to improve operations, enhance and retain staff, enhance relationships, increase outreach, address key health issues, and increase emergency preparedness. Strategies include developing policies for efficient vehicle use, pursuing annual division goals, enhancing training and development programs for staff, strengthening partnerships, expanding community engagement, addressing priority health conditions, and preparing for public health emergencies. The plan links the goals to the 10 essential services of public health and the state health improvement plan.
Innovations of virginias aaa vg co_a - medicare fraudrexnayee
This document provides information about Medicare fraud and the Senior Medicare Patrol (SMP) program. It discusses how Medicare fraud affects taxpayers and beneficiaries by wasting funds and increasing costs. The SMP mission is to empower Medicare beneficiaries to prevent, detect, and report healthcare fraud, errors, and abuse through outreach and education. The document outlines the parts of Medicare, common types of fraud and abuse, and provides steps beneficiaries can take to detect and report suspected fraud, including reviewing statements for unauthorized services and contacting the SMP program for help.
This document discusses building community health worker programs. It begins with objectives to describe the value of CHWs to healthcare executives and boards, how to integrate a CHW program cost-effectively, and tools for implementation. It then discusses the history and role of CHWs, how their interventions can produce cost savings, and strategies for formulating the CHW role within an organization. The document outlines considerations for implementation including stakeholder engagement and best practices. It presents two case studies of CHW programs at Wooster Community Hospital and Parkview Health.
August 2013 PLUS Health care reform and people with HIVPositive_Force
Health care reform aims to expand access to care through the expansion of Medicaid eligibility and the creation of private health insurance marketplaces with subsidies. For people living with HIV/AIDS, this means transitions from existing programs like Ryan White to new forms of coverage through Medicaid expansion or Covered California. However, some populations are left out of the reform, including undocumented immigrants. California is implementing reforms through the expansion of Medi-Cal eligibility and the creation of Covered California. Transition assistance will be needed to help people living with HIV/AIDS and providers navigate the new systems and address ongoing needs.
Sumar Program's Universal Coverage: Achievements & New Goals Towards 2020RBFHealth
A presentation by Martín Sabignoso of Argentina's Ministry of Health delivered at the RBF Health Seminar, QOn the Road to Effective Universal Health Coverage: What’s New in Argentina’s Use of Performance Incentives? on June 11, 2015.
A presentation by Ben Bellows, delivered at the RBF Health Seminar, The Role of Vouchers in Serving Disadvantaged Populations and Improving Quality of Care.
Dr. Ronald Yee - 2015 CACHC Conference Presentationcachc
This document discusses the Triple Aim framework for healthcare systems put forth by the Institute for Healthcare Improvement. The Triple Aim aims to simultaneously improve patient experience of care, improve population health, and reduce per capita healthcare costs. Examples are provided from community health centers in the US that have successfully implemented initiatives addressing all three aims, such as comprehensive social services programs, risk-stratified patient care management, and value-based payment models. The presentation concludes by encouraging Canadian community health centers to apply the principles of the Triple Aim through data-driven innovation, patient engagement, local partnerships, and continuous quality improvement efforts.
The Health Systems Administration program at Georgetown has its students complete case projects for a fictional community, Middleboro. Throughout the program we created several deliverables: Community Profile, Community Health Assessment, Strategic Plan, Marketing Plan, and Business Plan.
This document summarizes information from a webinar hosted by the Centers for Medicare and Medicaid Services (CMS) about the Strong Start initiative. The initiative has two main strategies: 1) reducing early elective deliveries before 39 weeks through partnerships and an awareness campaign, and 2) testing enhanced prenatal care models through cooperative agreements to improve outcomes and lower costs for Medicaid-covered births. States, providers, managed care organizations, and conveners are eligible to apply. The webinar provided details on CMS's goals for the initiative and the roles and requirements for various partners, especially states.
Informatics and healthcare disparities 2014dcarla904
The document discusses health disparities and barriers to healthcare access in the United States. It notes that factors like financial concerns, geography, literacy, race, culture and others can contribute to population-specific differences in disease burden and access to care. Some populations experience disproportionately higher rates of chronic illnesses and mortality from certain causes. Efforts are needed to improve access, reduce disparities, and accelerate quality improvement, especially around preventive care and patient safety, in order to ensure all patients receive high-quality care.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Community Health Worker Models: A focus on Sustainability MIKE PARKCORE Group
This document provides information about AMP Health, an organization that aims to strengthen community health systems by building management capacity within ministries of health. Some key points:
- AMP Health places mid-career professionals in ministries of health for 2 years to provide leadership and management training and support.
- The goal is to increase the effectiveness of national community health programs and develop sustainable leadership capacity within governments.
- AMP Health has recently launched programs in Kenya and will begin work in Malawi in the next quarter, focusing on areas like community health worker strategy, data use, and advocacy.
- Over the next 5 years, AMP Health aims to see a 25% increase in community health worker investments
This document provides an agenda and overview for a meeting titled "Bridging the Gap". The meeting aims to discuss how Aging Service Access Points (ASAPs) can demonstrate their value to health care organizations and bridge the knowledge gap between them. It outlines ASAPs' role in care coordination and care transitions programs in Massachusetts. Examples of current partnerships between ASAPs and health care entities to improve care coordination through programs like Community Care Linkages and a Community Resource Coordinator position embedded at a provider are presented.
The Kaiser Permanente Homeless Navigator Pilot Program in Woodland Hills, California connects homeless patients with community resources to help them find housing and other services, placing over 576 homeless patients in shelters and programs since 2012. The program uses a team approach involving medical, social work, and community staff. It has been successful in transforming lives and ending homelessness for many patients.
Building for the Future: An Update on the Work of the CA Future Health Workfo...commteam
The document summarizes the work of the California Future Health Workforce Commission (CFHWC) and its Behavioral Health Subcommittee. The CFHWC was established by foundations to develop a strategic plan to address California's future health workforce needs. The Behavioral Health Subcommittee is focusing on strategies to enhance behavioral health education, support career pipelines for unlicensed staff, remove licensing barriers, and advance integrated care models. The subcommittee's vision is that all Californians have access to coordinated behavioral and physical healthcare that addresses social determinants of health.
1. The document discusses key elements of access and equity in healthcare, including definitions of access, dimensions of access, and barriers to access.
2. It also outlines steps that can be taken to promote health equity, such as identifying how health disparities affect groups and showing respect for all people.
3. The use of healthcare technology is described, noting that technology aims to provide better care, achieve health equity, improve recording of data and healthcare delivery. Areas of health technology include diagnostic imaging, medical devices, and transplantation services.
This document discusses the challenges facing rural healthcare in the United States. It notes that rural residents generally have worse health outcomes and less access to care compared to urban residents, due to issues like physician and specialist shortages. Many rural hospitals are financially vulnerable and at risk of closure. The document outlines advocacy efforts by the National Rural Health Association to raise awareness of the crisis of rural hospital closures and develop legislative solutions to stabilize rural healthcare.
This document summarizes an upcoming conference on patient flow. It provides details on:
- The 14th Annual Patient Flow Summit being held September 28-29, 2015 in Boston to discuss improving patient throughput, capacity, and key metrics like readmission rates and length of stay.
- Opportunities to save up to $600 by registering by June 26, 2015.
- A schedule of workshops and presentations on topics like managing patient throughput using data, redesigning the discharge process, and case studies on observation status and reducing readmissions.
- Speakers include administrators and clinicians from hospitals and health systems around the country.
- Continuing education credits are available for attendees. Sponsorship opportunities are
Amatciems é uma vila remota na Letônia conhecida por sua paisagem natural espetacular. Por menos de 200.000 euros, você pode comprar uma casa nesse paraíso, onde as construções são projetadas para se harmonizar com a natureza. A comunidade internacional de Amatciems valoriza a simplicidade e a vida em harmonia com a flora e fauna locais.
This document provides information about the 12th Annual Observation Management Summit being held on April 28-29, 2015 in Chicago, Illinois. The summit will focus on strategies for improving patient throughput, capacity, length of stay, and balancing costs for observation units. It includes an agenda with sessions on topics like navigating CMS rules, determining observation status, developing effective protocols, and the financial aspects of observation services. The document promotes pre-summit workshops on April 28th focused on building efficient observation units and improving financial outcomes. Continuing education credits will be offered for physicians and nurses.
O documento descreve 36 cláusulas de um "contrato implícito" que as pessoas aceitam manter o atual sistema, apesar de reconhecerem seus problemas. As cláusulas incluem aceitar a busca do conforto como objetivo supremo, confiar nas indústrias farmacêuticas e financeiras, e não questionar a concentração do poder e da riqueza. No final, sugere que as pessoas têm o poder de mudar o sistema se pararem de mantê-lo acriticamente.
This document provides information about three healthcare summits taking place from July 14-16, 2015 at the Westin Crystal City in Arlington, Virginia. The summits are the 11th Annual Medicare and Medicare Advantage Summit, the 5th Annual Medicaid Summit, and the 3rd Annual Dual Eligibles Summit. The document outlines the agenda for each day of the summits, which will include keynote speakers from CMS, case studies, and panels on various healthcare topics such as quality measures, payment reform, care coordination, and engaging Medicaid and dual eligible populations. Registration information is provided as well as a call for sponsorship opportunities.
The document discusses the four principles of spirituality according to India:
1) Everyone you encounter is there for a reason, to teach you something or help you grow.
2) Whatever happened was meant to happen and cannot be changed, as events lead to lessons that help us move forward.
3) New things in life begin at the right moment, when we are ready for them.
4) When something ends, it allows for evolution, so it is best to let go and move on once something is over.
This document contains a collection of jokes targeting various groups through insensitive humor. The jokes primarily focus on mocking physical attributes such as weight and hair color. They rely on stereotypes and promote harmful assumptions.
This document provides information about the 8th Annual Leadership Summit on Medicaid Managed Care taking place on February 24-25, 2015 in Alexandria, Virginia. The summit will explore how states and managed care plans are collaborating to manage costs and ensure quality in an expanding managed care environment for Medicaid recipients. The agenda includes sessions on Medicaid expansion, integrating dual eligibles and long term care into managed care, care coordination best practices, and using telehealth and social determinants of health to improve care and reduce costs. Featured speakers represent state Medicaid programs, managed care plans, and the Centers for Medicare and Medicaid Services.
This document summarizes an upcoming conference on oncology market access under new payment and delivery models. The two-day conference in Philadelphia will feature experts from pharmaceutical companies, health plans, hospitals, and patient organizations discussing topics such as new clinical guidelines, the evolving management of cancer care costs by payers, payer-manufacturer relationships, changes in health insurance design, shifts in sites of cancer care, oncology medical homes, and bundled payments. Attendees will learn about successful initiatives and have opportunities to network.
This document provides information about an opening keynote at the World Congress Summit on Bundled Payments taking place on January 27-28, 2016 in Atlanta, Georgia. The keynote will feature several speakers discussing value-based purchasing and the transformation of healthcare, including representatives from Centura, Catholic Health Initiatives, UPMC Health Plan, Golden Living, Brooks Rehabilitation, and Cleveland Clinic. Workshops will also be held on leveraging mobile technologies to reduce readmissions and creating efficient and scalable telehealth and remote patient monitoring programs. The summit aims to help healthcare organizations develop successful strategies for episode-based payment through partnerships and physician engagement.
This document summarizes an upcoming conference on the Patient-Centered Medical Home (PCMH) model of care. The two-day conference will include a pre-summit workshop on building a solid foundation for the PCMH model, and a main summit examining critical elements of team-based care, technology integration, and financial sustainability in the PCMH. Speakers will include medical directors and executives discussing strategies for implementing the PCMH model, engaging staff and patients, utilizing technology and analytics, and exploring value-based payment methods. The goal is for attendees from hospitals, health systems, and physician practices to share best practices on establishing successful PCMHs that improve quality of care.
The 3rd Physician Liaison Summit – Chicago provides real-life examples and strategies for liaisons to strengthen their programs, capture referrals, and increase hospital/health system revenue. This meeting provides proven methods and best practices from your local peers who are leaders in the field as they share insight and tips on how to adapt and implement these same methods into your hospital/health system. Conveniently located, this Midwest Summit is a must-attend meeting for all physician liaisons – whether new to the role, or in a leadership position with years of experience.
Discover how to use analytics to drive objectives and results.
Establish value both internally and in referrers' offices.
Prepare for the future of the liaison role.
http://www.worldcongress.com/events/HL14020/
Insurer's Customer Experience and Member Retention SummitWorldCongress
So you enrolled some of the 8 million health insurance consumers that were granted access to care under the Affordable Care Act and a number of other members during the inaugural AEP… Now what?
Topics include:
A focus on consumer experience as a differentiator in the market.
Shared sessions with providers surrounding member health, experience, and strategies to improve overall health outcomes through additive engagement programs for your members.
Strategies to retrain and revolutionize your call center operations to increase touch points with members, offer reform and policy advice, and include a sales aspect to persuade members to stay with your organization.
Advancements in technology that allow carriers to identify members at risk of cancelling their policies, and ways to personalize retention communications to prevent these cancelations.
Tips to navigate the rapidly changing post-reform landscape, and adapt to fluctuating legislation provisions and mandate extensions.
http://www.worldcongress.com/events/HW14084/
This document advertises an upcoming conference called the "Innovations in Wellness and Population Health Management Summit" being held on July 21, 2015 in Boston, MA. The summit will explore best practices for implementing wellness programs and disease management to improve population health and lower costs. Topics will include behavior change initiatives using technology, strategies for incorporating consumer data, and examining which populations benefit most from wellness interventions. Speakers from organizations like Aetna, Geisinger Health Plan, and Partners HealthCare will discuss successful wellness programs and evaluating their effectiveness. Attendees will include professionals from health plans, hospitals, health systems focused on population health, wellness, and disease management.
The document summarizes an upcoming Physician Liaison Summit on innovative strategies for driving referrals and building relationships. The two-day summit in Philadelphia in December 2015 will include workshops and presentations on topics such as utilizing social media and digital marketing to increase referrals, improving communications with patients and providers, understanding what referring providers value, and using data analytics to target key physicians and prove the value of liaison programs. Attendees will include representatives from hospitals, health systems, and provider organizations seeking to enhance their referral and physician relationship programs.
World Congress Patient Engagement SummitWorldCongress
Patient Engagement has long been a buzzword for clinicians and health care organizations — however true engagement strategies and patient-centered care designs have fallen flat for many organizations or become simply a theoretical vision. In order to meet Meaningful Use standards and most importantly improve clinical outcomes for patients, providers must actually engage and incorporate patients into the equation for better health outcomes.
Join us at the World Congress Patient Engagement Summit as we leave behind theory and bring about actionable change with actionable solutions to engage patients and move the needle on clinical outcomes and community health. Collaborate with multiple stakeholders and learn how some of the nation’s most innovation hospitals and health systems are engaging the most complex and vulnerable patient populations through communication strategies, community involvement, and technology.
http://www.worldcongress.com/events/HL14021/
This document provides information about the "mHealth + Telehealth World" conference taking place from July 20-22, 2015 in Boston, MA. The conference will discuss implementing and expanding connected health programs, exploring examples of connected health success and outcomes, and engaging providers and consumers. Speakers will address topics like return on investment of connected health, reimbursement models, choosing technology solutions, bridging care across settings, increasing provider participation, evaluating mobile apps, consumer engagement strategies, and empowering consumers.
This document summarizes an upcoming conference on physician liaison programs. The conference will be held on August 11-12, 2015 in Chicago and focus on strategies for hospitals and health systems to expand new business and grow physician referrals through effective liaison programs. Key topics to be discussed include implementing strong physician onboarding processes, understanding how program structure by service line or geography affects outreach, using data analytics to increase referrals and reduce leakage, and adapting liaison roles to changes from mergers and acquisitions. The conference is aimed at professionals from Midwestern hospitals and health systems who manage liaison, business development, physician relations and marketing functions.
The document summarizes an upcoming conference for physician advisors, case managers, and medical directors. It provides details on registration, locations, speakers, and sessions covering topics like defining the physician advisor role, improving clinical documentation, navigating payer challenges, and leveraging case management. Attendees can earn up to 12 continuing education credits. The conference is organized by the National Association of Physician Advisors and will take place from March 16-17, 2015 in Orlando, Florida.
This document provides information about the mHealth + Telehealth World 2014 conference to be held July 22-24, 2014 in Boston, MA. The conference will focus on increasing efficiency, encouraging engagement, and ensuring sustainability of connected health programs through the combined use of mHealth and telehealth technologies. It outlines the conference agenda which includes sessions on creating sustainable business models, understanding legislation and regulations, overcoming security issues, and transitioning programs from pilots to standard practice. It invites health executives from various sectors to attend and learn strategies to successfully utilize mHealth and telehealth.
The World Congress Summit on Patient Solution Services and Hub Design WorldCongress
The document advertises the World Congress Summit on Patient Solution Services and Hub Design taking place August 19-20, 2014 in Philadelphia, PA. The summit will provide strategies for pharmaceutical companies to implement patient assistance and hub programs to support patients beyond just the pill. Attendees will learn about integrating support with nonprofit organizations, benchmarking metrics for successful hubs, improving speed to therapy through technology, and understanding the role of hubs in engaging patients along their treatment journey. Registration information and speaker details are provided.
This document provides information about the Physician Liaison Summit - South conference happening May 18-19, 2015 in Houston, Texas. The summit will feature speakers from southern hospitals and health systems discussing strategies for building referrals, boosting revenue, and increasing effective communication. Attendees will learn how to restructure liaison programs, use marketing and sales techniques, track referrals, and manage physician engagement. A pre-summit workshop on May 18th will focus on restructuring liaison programs for enhanced success.
This document provides information about the 12th Annual Observation Management Summit taking place on April 28-29, 2015 in Chicago, Illinois. It is organized by the National Association of Physician Advisors (NAPA) and offers continuing education credits. The summit will focus on strategies for improving patient throughput, capacity, length of stay, and balancing costs in observation units. There will be presentations from industry experts on topics like financial aspects of observation services, navigating status determinations, and achieving peak performance. Pre-summit workshops on April 28th will address laying the foundation for efficient observation units and improving financial outcomes. Participants can also join sessions via a live-streaming webcast.
Dao Consulting Services is a public health consulting company that works with Federally Qualified Health Centers (FQHCs) to improve care for vulnerable populations. They have experience facilitating NCQA Patient-Centered Medical Home certification, improving healthcare quality measures, and managing healthcare programs. Their services include developing quality improvement programs, assessing medical home applications, and implementing strategies to address disparities and promote intercultural competence.
The World Congress Summit - Leverage EHRs for Prescriber EngagementWorldCongress
This World Congress EHR Summit focuses on improving patient access by focusing on Health Information Technology and Health Information Management since the demand for Personal Health Management and Health Information Exchanges through ePrescribing and EHR portals has increased. Leverage Federal Quality Initiatives by supporting Meaningful Use through Electronic Health Records (EHRs)
The document provides information about the World Congress 9th Annual Leadership Summit on reducing total cost of care and improving outcomes through clinical integration of supply chain, contracting, and data analysis. The summit will take place January 26-27, 2015 in New Orleans, LA. Featured speakers will discuss strategies for integrating supply chain, utilizing big data and automation, reducing costs through alternative purchasing strategies, and leveraging relationships. Attendees will include supply chain professionals from hospitals, health systems, and suppliers. The agenda includes sessions on reverse engineering value analysis, integrating supply chain standards, building internal data solutions, and using sensors and tracking in supply chain operations.
This document provides information about the 3rd World Congress Summit on Patient Advocacy being held on October 27-28, 2015 in Alexandria, Virginia. The summit will focus on developing collaborative partnerships between pharmaceutical companies and patient advocacy groups to ensure patient involvement, awareness, and access to information. It includes the agenda, speaker information, registration details and call for sponsors. The goal of the summit is for industry professionals to learn strategies for engaging and empowering patients throughout their healthcare journey and bringing the patient voice into their organizations.
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 5/15/15!
Educational Underwriters:
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
7:30 am – 8:00 am Morning Coffee
medicaid summit duals summit medicare summit
8:00 am – 8:05 am Chairperson’s Welcome and Review of Previous Day
8:05 am – 9:00 am CASE STUDY: Explore the Impact of Dual Eligible Populations on Quality Measures
9:00 am – 9:45 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
9:45 am – 10:30 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
10:30 am – 11:00 am Networking and Refreshment Break
11:00 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
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
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:Educational Underwriters:
4. Day One — Tuesday, July 14, 2015
12:00 pm –
1:00 pm Workshop Registration
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
Rohit Gupta
Compliance Officer
Inland Empire Health Plan
(IEHP)
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
John Cole
Chief Operating Officer
SharedHealth
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
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
7:30 am –
8:00 am
Morning Coffee
8:00 am –
8:05 am Chairperson’s Welcome and Review of Previous Day
Sara Wedlock
Director, Dual Eligible Products
WellCare Health Plans Inc.
8:05 am –
9:00 am
Shared
Session
CASE STUDY: Explore the Impact of Dual Eligible Populations on Quality Measures
During this case study, hear from an organization who examined data of over two million Medicare Advantage members across 73 contracts to identify the
challenges health plans face based on sociodemographic factors of their members.
• Analyze data that studied Medicare Advantage members to identify quality measure challenges that dual eligible members pose
• Review the key factors driving observed health disparities between dual eligible and non-dual eligible populations on outcomes for eight Five Star
quality measures for health plans
• Discuss the implications of the findings for a proposed agenda to account for social determinants of health in Medicare Advantage plan quality
performance measurement
Rich Bringewatt
President, National Health Policy Group
Chair, SNP Alliance
Christie Teigland, PhD
Senior Director, Statistical Research
Inovalon
The 3rd Annual Dual Eligibles Summit – Plenary Sessions
9:00 am –
9:45 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
9:45 am –
10:30 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
10:30 am –
11:00 am
Networking and Refreshment Break
11:00 am –
11:45 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
8. 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 (continued)
The 3rd Annual Dual Eligibles Summit – Plenary Sessions
11:45 am –
12:30 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
12:30 pm –
1:30 pm
Luncheon and Close of Summit
9. WEBSITE
WorldCongress.com/
Duals
Register Now! E-MAIL
wcreg@worldcongress.com
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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 5/15/15!
Registration Fee: Register By
5/15/2015
Register By
6/19/2015
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.