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- 1. T h eW o r l d C o n g r e s s 8 t h A n n u a l L e a d e r s h i p S u m m i t o nT h e W o r l d C o n g r e s s 8 t h A n n u a l L e a d e r s h i p S u m m i t o n Medicaid Managed Care February 24-25, 2015 Hilton Alexandria Old Town ALEXANDRIA,VA Establish Collaboration to Manage Cost and Ensure Quality in an Expanding Managed Care Environment To Register, Please Visit www.worldcongress.com/MMC • Call 800-767-9499 • Email wcreg@worldcongress.com Zane A. Chrisman Plan Management, Attorney Specialist, Insurance Department Arkansas Brian Keisling Director,Actuarial Division, Medical Services Administration,Department of Community Health Michigan Pamela J. Parker, MPA Special Needs Purchasing, Office of Medicaid, Director Policy Consultant, Department of Human Services, Minnesota Elizabeth E. Smith, RN Coordinated Care Program Analyst, Division of Integrated Care and Behavioral Services, Department of Medical Assistance Services, Virginia Marie Zimmerman Health Care Policy Director,Department of Human Services Minnesota Patricia D. Byrnes Director, Federal Affairs, Government and External Affairs AmeriHealth Caritas Family of Companies Jonathan Copley Executive Director CareSource Terry Cunningham Chief Financial Officer AmeriHealth DC Patricia Packard Vice President, LTSS Amerigroup Florida Abenaa Udochi Senior Vice President, Executive Director, State Government Programs, Chief Marketing Officer Affinity Health Plan James Golden, PhD Director, Division of Managed Care Plans Center for Medicaid and CHIP Services Centers for Medicare and Medicaid Services organized by:silver sponsor:Platinum sponsor: Partners:Educational Underwriters: featured state medicaid program speakers: CMS Keynote: Explore the Transition to Managed Care Featured Medicaid managed care plan speakers: www.worldcongress.com/MMC To Register, Please Visit www.worldcongress.com/MMC • Call 800-767-9499 • Email wcreg@worldcongress.com
- 2. www.worldcongress.com/MMC To Register, PleaseVisit www.worldcongress.com/MMC • Call 800-767-9499 • Email wcreg@worldcongress.com Dear Esteemed Colleague, As health care reform transforms the industry, new obstacles continue to arise for government health programs. At the 8th Annual Leadership Summit on Medicaid Managed Care, hear from health plans, managed care organizations, and states on how they are adapting to expansion and new care standards and altering strategies to overcome developing challenges. Hear presentations, participate in panel discussions, and join hands-on workshops covering important topics in Medicaid managed care, including: • The impact of Medicaid expansion on both state programs and managed care plans • Long-term care and the transition to a community-based setting • Integrating dual eligibles into managed care to improve care and lower costs • Accountable care organizations in Medicaid managed care Don’t miss the opportunity to network with peers and thought leaders while learning effective strategies to improve quality of care and control costs in an expanding managed care environment. I look forward to meeting you in February. Sincerely, Terry Cunningham Chief Financial Officer AmeriHealth DC Chairperson, 8th Medicaid Managed Care Summit who should attend? From Medicaid Managed Care Plans & Health Plans: Chief Executive Officer, Chief Operating Officer, Chief Financial Officer, Chief Medical Officer, and Vice Presidents, Directors, and Managers of: • Government Programs • State Programs • Pharmacy • Medicaid • Member Services • Network Contracting • Disease Management • Sales and Marketing • Quality Improvement From Government: Project Directors, Policy Analysts, State and Federal Regulatory and Quality Assurance Auditors, and Vice Presidents, Directors, and Managers of: • Medicaid • Managed Care • Quality Care • Health Plan Operations • Eligibility Policy From Community Care Facilities, Hospitals, Home Health Agencies, Long Term Care Providers: Chief Executive Officer, Chief Financial Officer, Chief Operations Officer, and Vice Presidents and Directors of: • Compliance • Government Affairs • Managed Care • Health Services Medicaid Managed Care February 24-25, 2015 Hilton Alexandria Old Town ALEXANDRIA,VA Establish Collaboration to Manage Cost and Ensure Quality in an Expanding Managed Care Environment 8 T h e W o r l d C o n g r e s s 8 t h A n n u a l L e a d e r s h i p S u m m i t o nT h e W o r l d C o n g r e s s 8 t h A n n u a l L e a d e r s h i p S u m m i t o n silver sponsor:platinum sponsor: Educational Underwriters: Exhibitors:
- 3. DAY ONE —Tuesday, February 24, 2015 • pre-Summit workshop 7:30 am – 8:30 am Workshop Registration and Morning Coffee 8:30 am – 11:45 am Thereisa15minutecoffeeandnetworking breakfrom10:00am–10:15am WORKSHOP: Effectively Integrate Dual Eligibles into Managed Care Dual eligibles represent one of the more vulnerable and expensive populations that fall under Medicaid. Recently there has been a push to focus on this population and address their specific needs. In this workshop, explore how Medicaid plans are integrating dual eligibles into managed care to improve care and lower costs for these patients. • Hear from an organization that has integrated dual eligibles into managed care • Discover how to use D-SNPs along with Medicaid • Discuss strategies for engaging the dual eligible population • Receive an update on the progress of the dual eligible demonstrations • Learn how states that chose not to participate in the demonstration are working to better serve this population Leena Sharma Senior State Advocacy Manager Community Catalyst Jason Silva, JD, PMP Senior Compliance Analyst, Medicare-Medicaid, Dual Eligible Demonstrations Health Net, Inc. Pamela J. Parker, MPA Special Needs Purchasing, Office of Medicaid Director Policy Consultant, Department of Human Services Minnesota 11:45 am – 12:45 pm Lunch on Your Own/Main Summit Registration DAY ONE — Tuesday, February 24, 2015 • main summit 12:45 pm – 1:00 pm Chairperson’s Welcome and Opening Remarks Terry Cunningham Chief Financial Officer AmeriHealth DC 1:00 pm – 2:00 pm spotlight Session CMS OPENING KEYNOTE: Explore the Transition to Managed Care CMS and the states work in concert to ensure the best quality of care for the populations they serve. As more and more states elect to integrate managed care into their Medicaid program, CMS must evaluate these programs and determine how to manage participants to ensure health care is delivered adequately. • Learn how CMS is approaching the move to managed care, especially in long term care • Understand CMS’s expectations for states and their health plans James Golden, PhD Director, Division of Managed Care Plans Center for Medicaid and CHIP Services, Centers for Medicare and Medicaid Services www.worldcongress.com/MMC To Register, Please Visit www.worldcongress.com/MMC • Call 800-767-9499 • Email wcreg@worldcongress.com CO N S I D E R A S P O N S O R S H I P PAC KAG E CAPTURE A TRUE ROI Through Sponsorship of the Following: Agenda Thought Leadership • Networking Cocktail Reception • Breakfast Symposia • Luncheon • Executive Networking Breaks To inquire about Sponsorship, Exhibit, Branding, and Executive Networking Opportunities, Contact: David Capobianco, Vice President, Business Development, World Congress • 781-939-2635 • David.Capobianco@worldcongress.com
- 4. DAY ONE —Tuesday, February 24, 2015 (continued) 2:00 pm – 2:45 pm KEYNOTE PANEL DISCUSSION: Investigate State Medicaid Expansion Medicaid Managed Care is a growing industry, and managed care organizations need to hear from states that have chosen to expand Medicaid. In this session, hear from states that are becoming models for others considering managed care expansion. • Discover what influenced the decision to choose managed care and what they are expecting from the plan • Learn about each state’s plan for managed care in long term care, care for the aged, blind, disabled, and duals, and Medicaid expansion • Understand the trajectory of state programs as a whole including coverage for mothers and children • Explore populations that vary from what was anticipated prior to expansion • Identify how the health care needs of new populations vary from traditional programs Moderator: Chris Pettit, FSA, MAAA Consulting Actuary Milliman, Inc. Panelists: Zane A. Chrisman Plan Management, Attorney Specialist, Insurance Department Arkansas Brian Keisling Director, Actuarial Division, Medical Services Administration, Department of Community Health Michigan 2:45 pm – 3:15 pm Networking and Refreshment Break 3:15 pm – 4:15 pm KEYNOTE PANEL DISCUSSION: Explore the Health Plan Experience with Medicaid Expansion In this keynote panel, hear about the health plan experience thus far with Medicaid expansion. • Examine the overall health plan experience with expansion • Discuss the future of Medicaid managed care as a result of expansion • Understand the trends that are emerging in the expansion population • Explore how the plans are interacting and collaborating with states Moderator: Joan Henneberry Managing Principal, Health Management Associates Managing Director, HMA COMMUNITY STRATEGIES Panelists: Jonathan Copley Executive Director CareSource John W. Koehn President Amerigroup New Jersey, Inc. Jeff M. Myers President, Chief Executive Officer Medicaid Health Plans of America (MHPA) Abenaa Udochi Senior Vice President, Executive Director, State Government Programs, Chief Marketing Officer Affinity Health Plan 4:15 pm – 5:00 pm Discover Alternative Forms of Expansion As some states choose different methods of expanding care for their uninsured populations, more states open themselves up to the possibility of expansion. In this session, hear what the states are considering doing to increase the number of insured. • Understand the structure of the alternative form of expansion • Discover methods of funding for the program • Uncover what role managed care organizations will play Patricia D. Byrnes Director, Federal Affairs, Government and External Affairs AmeriHealth Caritas Family of Companies 5:00 pm – 5:45 pm Explore the Integration of Behavioral Health in Medicaid Managed Care An increasing number of Medicaid beneficiaries are living with a behavioral health condition, but managed care struggles with the best way to coordinate care and services • Discuss strategies for integrating physical and mental health services for Medicaid managed care beneficiaries • Collaborate with outside organizations to properly manage care Moderator: Jeremy Riddle Vice President, Clinical Operations Cenpatico Panelists: Julie A. Bailey-Steeno, PhD, LCSW Director, BHCM LifeSynch, a HUMANA company David Brody, MD Medical Director, Denver Health Medicaid Plan Inc. & Managed Care Plans; Professor of Medicine, University of Colorado School of Medicine Justine Larson, MD, MPH Consulting Psychiatrist, Integrated Care Program, Community Clinics, Inc. Assistant Professor, Johns Hopkins School of Medicine 5:45 pm – 6:45 pm Cocktail and Networking Reception Sponsored by:
- 5. DAY two —Wednesday, February 25, 2015 8:00 am – 8:30 am morning coffee 8:30 am – 8:45 am Chairperson’s Welcome and Review of Day One Terry Cunningham Chief Financial Officer AmeriHealth DC 8:45 am – 9:30 am CASE STUDY: Make the Change to Community-Based Care for Long Term Medicaid Patients Hear how the state of Florida is transitioning its long term care patients to a community based setting. Understand the managed care organization’s role in this shift and how they work with providers to ensure high levels of care while reducing costs. Learn how managed care organizations: • Manage providers • Reduce costs for states • Improve quality of care • Collaborate with states and providers to make community-based long term care a reality in the state of Florida Moderator: Amy B. Bernstein, ScD, MHSA Policy Director and Contracting Officer MACPAC Panelist: Patricia Packard Vice President, LTSS Amerigroup Florida 9:30 am – 10:15 am Care Coordination in Medicaid Managed Care — Understand Best Practices and Implement a Care Plan Care coordination is widely used in managed care to reduce costs and manage patients. With so many approaches to care coordination, determining which is the best for your organization can be difficult. • Identify high utilizers who would benefit most from increased care coordination • Manage transitions of care to improve care coordination • Discuss ways to engage community physicians • Leverage technology to improve clinical outcomes • Learn best practices for implementing integrated care models Daniel D. Cave Chief Executive Officer, Consumer Care Management Group Centene Corporation Marcia LeBlanc, BSBA National LTSS Director Aetna Medicaid 10:15 am – 10:45 am Networking and Refreshment Break 10:45 am – 11:30 am Improve Quality and Control Health Care Costs by Addressing Social Determinants of Health Social, behavioral, and economic factors play a significant role in the health of the individual, but these non-clinical factors are often not adequately addressed within Managed Medicaid. Given that 80% of health outcomes are attributable to these social determinants, incorporating strategies to address these pay off in improving the quality and cost of health care for Medicaid members. • Understand the importance of addressing social, behavioral, and economic barriers that impact health outcomes • Discuss strategies for community engagement to improve health care quality, reduce preventable utilization, and increase treatment adherence • Learn how to integrate community-based services into managed care Indira Paharia, PsyD, MBA, MS Executive Vice President, Healthcare Strategy, and Services Integra ServiceConnect www.worldcongress.com/MMC To Register, Please Visit www.worldcongress.com/MMC • Call 800-767-9499 • Email wcreg@worldcongress.com
- 6. DAY two —Wednesday, February 25, 2015 (continued) 11:30 am – 12:15 pm Improve Medication Use for the Medicaid Population through Predictive Analytics The improper use of prescription medications, including non-adherence, is more than a $300B annual cost in the U.S. The ACA introduced bonus incentives from CMS to help improved adherence for Medicare patients, but did little to improve adherence for Medicaid populations. This often undertreated and mismanaged population is the most expensive to care for, and it is no surprise that organizations have historically focused on reducing medical costs instead of focusing on improving use of prescription medications. RxAnte’s unique predictive analytics and decision support platform has proven to be successful at helping plans improve medication adherence in the Medicare population. In this session, we will discuss how payers can incur medical cost savings by properly identifying, prioritizing, and targeting patients for clinical interventions and provider outreaches in the Medicaid population. • Understand how predictive analytics has helped drive improved adherence and quality ratings in Medicare Advantage and Dual Eligible Populations • Explore the importance of provider engagement in driving patient behavior change • Discuss the changing Medicaid environment and evolving quality measures and improvement incentives • Gain insight into the financial value and importance of adherence, including examples of disease states in which non-adherence contributes directly to medical costs Aaron McKethan, PhD President RxAnte 12:15 pm – 1:15 pm Luncheon 1:15 pm – 2:00 pm Explore the Implementation of ACOs in Medicaid Managed Care Medicaid health plans traditionally do not operate in an ACO environment, but this trend is now emerging in some major health plans. • Discuss the structure of a Medicaid plan ACO • Explore how providers are managed and incentivized in the ACO • Learn the benefits to the patient and how Medicaid ACOs can improve quality of care Marie Zimmerman Health Care Policy Director, Department of Human Services Minnesota Alicia Cooper Health Care Project Director, Department of Vermont Health Access Vermont 2:00 pm – 2:45 pm Utilize Telehealth to Improve Access to Care for the Medicaid Population • Discover Telehealth’s role in managing provider networks • Explore how Telehealth can increase provider and patient engagement • Use Telehealth to increase patients’ access to specialists to improve outcomes and lower costs Kathryn Kuhmerker Vice President, Medicaid Policy Association for Community Affiliated Plans 2:45 pm – 3:30 pm Integrate Duals in the State of Virginia Almost two years have passed since the implementation of the Duals Demonstration. In this session, hear an update from the state of Virginia about its involvement in the Demo, initial findings, and future outlook. • Learn how Virginia will manage integration and care coordination • Discuss the managed care organization’s role and the interaction with the state • Hear lessons to date from implementation, including early indicators of member engagement, quality, and withholds • Explore the opportunities and barriers of health plans to meet CMS expectations for management of this population Cheryl D. Gallon, MBA, CHIE Humana Executive Director VA Dual Eligible Program Elizabeth E. Smith, RN Coordinated Care Program Analyst, Division of Integrated Care and Behavioral Services, Department of Medical Assistance Services Virginia Lisa Speller-Davis, RN Manager, Community Outreach Anthem HealthKeepers Medicare Medicaid Plan 3:30 pm Close of Summit www.worldcongress.com/MMC To Register, Please Visit www.worldcongress.com/MMC • Call 800-767-9499 • Email wcreg@worldcongress.com
- 7. Registration Fee: RegisterBy 1/30/2015 Register By 2/24/2015Standard Conference $ 1995.00 $ 2295.00 Conference Plus 1 Workshop $ 2295.00 $ 2595.00 Workshop only $ 300.00 $ 300.00 Health Plans Conference $ 1395.00 $ 1695.00 Conference Plus 1 Workshop $ 1695.00 $ 1995.00 workshop only $ 300.00 $ 300.00 Hospitals Health Systems Conference $ 1095.00 $ 1395.00 Conference Plus 1 Workshop $ 1395.00 $ 1695.00 workshop only $ 300.00 $ 300.00 Government Conference $ 295.00 $ 295.00 Conference Plus 1 Workshop $ 395.00 $ 395.00 workshop only $ 100.00 $ 100.00 Fee for conference includes welcome coffee, lunch, reception, refreshments, and web- based conference documentation available pre- and post-event, accessible through password-protected website. Checks in U.S. funds drawn from U.S. bank payable to: WC Research Inc. No personal checks accepted. Verification may be required for rate approvals. Please contact us should you have any special needs. SPECIAL TEAM DISCOUNTS: Your organization may send ONE executive FREE for every three delegates registered. All registrations must be made at the same time to qualify. To register your team, contact us at 800-767-9499. Participant Substitution and Cancellations: Your registration may be transferred to a member of your organization up to 24 hours in advance of the conference. Cancellations received in writing on or before 30 days prior to the start of the event will be refunded, less a $395 administrative charge. No refunds will be made after this date; however, the registration fee less the $395 administrative charge can be credited to another World Congress conference if you register within 6 months from the date of this conference. In case of conference cancellation,World Congress’ liability is limited to refund of the conference registration fee only. World Congress reserves the right to alter this program without prior notice. Satisfaction guaranteed: World Congress stands behind the quality of its conferences. If you are not satisfied with the quality of the conference, a credit will be awarded towards a comparable World Congress conference of your choice. WEBSITE WorldCongress.com/ MMC 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 HW15037 Venue: Hilton Alexandria Old Town 1767 KING STREET ALEXANDRIA, VIRGINIA, 22314, 703-837-0440 Room Rate: $189 • Cut-off Date: 2/2/15 PHONE 800-767-9499 781-939-2400 outside the U.S. Please mention group code FWC when registering to receive this special rate! Medicaid Managed Care February 24-25, 2015 Hilton Alexandria Old Town ALEXANDRIA,VA Establish Collaboration to Manage Cost and Ensure Quality in an Expanding Managed Care Environment To Register, Please Visit www.worldcongress.com/MMC • Call 800-767-9499 • Email wcreg@worldcongress.com top reasons to attend: • Examine the impact of Medicaid expansion from both the health plan and state perspectives • Explore alternative forms of expansion • Discover ways to effectively integrate dual eligibles into Medicaid managed care • Hear case studies with a focus on: * The Illinois Care Coordination Mandate * Making the Change to Community-Based Care for Long Term Medicaid Patients • Network with industry leaders from state Medicaid programs as well as Medicaid managed care plans To Register, Please Visit www.worldcongress.com/MMC • Call 800-767-9499 • Email wcreg@worldcongress.com T h e W o r l d C o n g r e s s 8 t h A n n u a l L e a d e r s h i p S u m m i t o nT h e W o r l d C o n g r e s s 8 t h A n n u a l L e a d e r s h i p S u m m i t o n www.worldcongress.com/MMC To Register, Please Visit www.worldcongress.com/MMC • Call 800-767-9499 • Email wcreg@worldcongress.com