HW15037_brochure

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 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 [email protected]

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/MMcTo Register, Please Visit www.worldcongress.com/MMC • Call 800-767-9499 • Email [email protected]



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:

• TheimpactofMedicaidexpansiononbothstateprogramsand managed care plans

• Long-termcareandthetransitiontoacommunity-basedsetting

• Integratingdualeligiblesintomanagedcaretoimprovecareand lower costs

• AccountablecareorganizationsinMedicaidmanagedcare

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.

IlookforwardtomeetingyouinFebruary.

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:• GovernmentPrograms• StatePrograms• Pharmacy• Medicaid• MemberServices• NetworkContracting• DiseaseManagement• SalesandMarketing• QualityImprovement

From Government:ProjectDirectors,PolicyAnalysts,StateandFederalRegulatoryandQualityAssuranceAuditors,andVicePresidents, Directors, and Managers of:• Medicaid• ManagedCare• QualityCare• HealthPlanOperations• EligibilityPolicy

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• GovernmentAffairs• ManagedCare• HealthServices



alexandria, Va


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 n

silVer sPOnsOr:PlatinuM sPOnsOr:

educatiOnal underwriters:

exhiBitOrs:

DAY ONE — TuEsDAY, FEbRuARY 24, 2015 • PRE-suMMiT wORkshOP7:30am–8:30am

wOrKshOP registratiOn and MOrning cOFFee

8:30am–11:45am

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workshop: eFFectiVely integrAte DuAl eligibles into MAnAgeD cAreDualeligiblesrepresentoneofthemorevulnerableandexpensivepopulationsthatfallunderMedicaid.Recentlytherehasbeenapushtofocusonthispopulationandaddresstheirspecificneeds.Inthisworkshop,explorehowMedicaidplansareintegratingdualeligiblesintomanagedcaretoimprovecareandlowercostsforthesepatients.

• Hearfromanorganizationthathasintegrateddualeligiblesintomanagedcare• DiscoverhowtouseD-SNPsalongwithMedicaid• Discussstrategiesforengagingthedualeligiblepopulation• Receiveanupdateontheprogressofthedualeligibledemonstrations• Learnhowstatesthatchosenottoparticipateinthedemonstrationareworkingtobetterservethispopulation

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

11:45am–12:45pm

lunch On yOur Own/Main suMMit registratiOn

DAY ONE — TuEsDAY, FEbRuARY 24, 2015 • MAiN suMMiT12:45pm–1:00pm chAirperson’s welcoMe AnD opening reMArks

Terry Cunningham Chief Financial Officer AmeriHeAlTH DC

1:00pm–2:00pm

spotlight session

cMs opening keynote: explore the trAnsition to MAnAgeD cAre CMSandthestatesworkinconcerttoensurethebestqualityofcareforthepopulationstheyserve.AsmoreandmorestateselecttointegratemanagedcareintotheirMedicaidprogram,CMSmustevaluatetheseprogramsanddeterminehowtomanageparticipantstoensurehealthcareisdeliveredadequately.

• LearnhowCMSisapproachingthemovetomanagedcare,especiallyinlongtermcare• UnderstandCMS’sexpectationsforstatesandtheirhealthplans

James Golden, PhD Director, Division of Managed Care Plans CenTer For meDiCAiD AnD CHiP ServiCeS, CenTerS For meDiCAre AnD meDiCAiD ServiCeS


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

ToinquireaboutSponsorship,Exhibit,Branding,andExecutiveNetworkingOpportunities,Contact:David Capobianco, Vice President, Business Development, World Congress • 781-939-2635 • [email protected]

DAY ONE — TuEsDAY, FEbRuARY 24, 2015 (CONTiNuED)2:00pm–2:45pm

keynote pAnel Discussion: inVestigAte stAte MeDicAiD expAnsion MedicaidManagedCareisagrowingindustry,andmanagedcareorganizationsneedtohearfromstatesthathavechosentoexpandMedicaid. Inthissession,hearfromstatesthatarebecomingmodelsforothersconsideringmanagedcareexpansion.

• Discoverwhatinfluencedthedecisiontochoosemanagedcareandwhattheyareexpectingfromtheplan• Learnabouteachstate’splanformanagedcareinlongtermcare,carefortheaged,blind,disabled,andduals,andMedicaidexpansion• Understandthetrajectoryofstateprogramsasawholeincludingcoverageformothersandchildren• Explorepopulationsthatvaryfromwhatwasanticipatedpriortoexpansion• Identifyhowthehealthcareneedsofnewpopulationsvaryfromtraditionalprograms

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

2:45pm– 3:15pm netwOrKing and reFreshMent BreaK

3:15pm–4:15pm

keynote pAnel Discussion: explore the heAlth plAn experience with MeDicAiD expAnsion Inthiskeynotepanel,hearaboutthehealthplanexperiencethusfarwithMedicaidexpansion.

• Examinetheoverallhealthplanexperiencewithexpansion• DiscussthefutureofMedicaidmanagedcareasaresultofexpansion• Understandthetrendsthatareemergingintheexpansionpopulation• Explorehowtheplansareinteractingandcollaboratingwithstates

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

4:15pm– 5:00pm

DiscoVer AlternAtiVe ForMs oF expAnsion Assomestateschoosedifferentmethodsofexpandingcarefortheiruninsuredpopulations,morestatesopenthemselvesuptothepossibilityofexpansion.Inthissession,hearwhatthestatesareconsideringdoingtoincreasethenumberofinsured.

• Understandthestructureofthealternativeformofexpansion• Discovermethodsoffundingfortheprogram• Uncoverwhatrolemanagedcareorganizationswillplay

Patricia D. Byrnes Director, Federal Affairs, Government and External Affairs AmeriHeAlTH CAriTAS FAmily oF ComPAnieS

5:00pm– 5:45pm

explore the integrAtion oF behAViorAl heAlth in MeDicAiD MAnAgeD cAreAnincreasingnumberofMedicaidbeneficiariesarelivingwithabehavioralhealthcondition,butmanagedcarestruggleswiththebestwaytocoordinatecare and services

• DiscussstrategiesforintegratingphysicalandmentalhealthservicesforMedicaidmanagedcarebeneficiaries• Collaboratewithoutsideorganizationstoproperlymanagecare

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

5:45pm–6:45pm cOcKtail and netwOrKing recePtiOn Sponsored by:

DAY TwO — wEDNEsDAY, FEbRuARY 25, 20158:00am–8:30am

MOrning cOFFee

8:30am–8:45am chAirperson’s welcoMe AnD reView oF DAy one

Terry Cunningham Chief Financial Officer AmeriHeAlTH DC

8:45am–9:30am cAse stuDy: MAke the chAnge to coMMunity-bAseD cAre For long terM MeDicAiD pAtients

HearhowthestateofFloridaistransitioningitslongtermcarepatientstoacommunitybasedsetting.Understandthemanagedcareorganization’sroleinthisshiftandhowtheyworkwithproviderstoensurehighlevelsofcarewhilereducingcosts.Learnhowmanagedcareorganizations:

• Manageproviders •Reducecostsforstates• Improvequalityofcare •Collaboratewithstatesandproviderstomakecommunity-basedlongtermcarearealityinthestateofFlorida

moderator:

Amy B. Bernstein, ScD, mHSA Policy Director and Contracting Officer mACPAC

Panelist:

Patricia Packard Vice President, LTSS AmeriGrouP FloriDA

9:30am–10:15am cAre coorDinAtion in MeDicAiD MAnAgeD cAre — unDerstAnD best prActices AnD

iMpleMent A cAre plAnCarecoordinationiswidelyusedinmanagedcaretoreducecostsandmanagepatients.Withsomanyapproachestocarecoordination,determiningwhichisthebestforyourorganizationcanbedifficult.

• Identifyhighutilizerswhowouldbenefitmostfromincreasedcarecoordination• Managetransitionsofcaretoimprovecarecoordination •Discusswaystoengagecommunityphysicians• Leveragetechnologytoimproveclinicaloutcomes •Learnbestpracticesforimplementingintegratedcaremodels

Daniel D. Cave Chief Executive Officer, Consumer Care Management Group CenTene CorPorATion

marcia leBlanc, BSBA National LTSS Director AeTnA meDiCAiD

10:15am–10:45am

netwOrKing and reFreshMent BreaK

10:45am– 11:30am iMproVe QuAlity AnD control heAlth cAre costs by ADDressing sociAl

DeterMinAnts oF heAlthSocial,behavioral,andeconomicfactorsplayasignificantroleinthehealthoftheindividual,butthesenon-clinicalfactorsareoftennotadequatelyaddressedwithinManagedMedicaid.Giventhat80%ofhealthoutcomesareattributabletothesesocialdeterminants,incorporatingstrategiestoaddressthesepayoffinimprovingthequalityandcostofhealthcareforMedicaidmembers.

• Understandtheimportanceofaddressingsocial,behavioral,andeconomicbarriersthatimpacthealthoutcomes• Discussstrategiesforcommunityengagementtoimprovehealthcarequality,reducepreventableutilization,andincreasetreatmentadherence• Learnhowtointegratecommunity-basedservicesintomanagedcare

indira Paharia, PsyD, mBA, mS Executive Vice President, Healthcare Strategy, and Services inTeGrA ServiCeConneCT



DAY TwO — wEDNEsDAY, FEbRuARY 25, 2015 (CONTiNuED)11:30am–12:15pm iMproVe MeDicAtion use For the MeDicAiD populAtion through preDictiVe AnAlytics

Theimproperuseofprescriptionmedications,includingnon-adherence,ismorethana$300BannualcostintheU.S.TheACAintroducedbonusincentivesfromCMStohelpimprovedadherenceforMedicarepatients,butdidlittletoimproveadherenceforMedicaidpopulations.Thisoftenundertreatedandmismanagedpopulationisthemostexpensivetocarefor,anditisnosurprisethatorganizationshavehistoricallyfocusedon reducingmedicalcostsinsteadoffocusingonimprovinguseofprescriptionmedications.RxAnte’suniquepredictiveanalyticsanddecisionsupportplatformhasproventobesuccessfulathelpingplansimprovemedicationadherenceintheMedicarepopulation.Inthissession,wewilldiscusshowpayerscanincurmedicalcostsavingsbyproperlyidentifying,prioritizing,andtargetingpatientsforclinicalinterventionsandprovideroutreachesintheMedicaidpopulation.

• UnderstandhowpredictiveanalyticshashelpeddriveimprovedadherenceandqualityratingsinMedicareAdvantageandDualEligiblePopulations• Exploretheimportanceofproviderengagementindrivingpatientbehaviorchange• DiscussthechangingMedicaidenvironmentandevolvingqualitymeasuresandimprovementincentives• Gaininsightintothefinancialvalueandimportanceofadherence,includingexamplesofdiseasestatesinwhichnon-adherencecontributesdirectlytomedicalcosts

Aaron mckethan, PhD President rxAnTe

12:15pm–1:15pm

luncheOn

1:15pm–2:00pm explore the iMpleMentAtion oF Acos in MeDicAiD MAnAgeD cAre

MedicaidhealthplanstraditionallydonotoperateinanACOenvironment,butthistrendisnowemerginginsomemajorhealthplans.

• DiscussthestructureofaMedicaidplanACO• ExplorehowprovidersaremanagedandincentivizedintheACO• LearnthebenefitstothepatientandhowMedicaidACOscanimprovequalityofcare

marie Zimmerman Health Care Policy Director, Department of Human Services minneSoTA

Alicia Cooper Health Care Project Director, Department of Vermont Health Access vermonT

2:00pm–2:45pm utilize teleheAlth to iMproVe Access to cAre For the MeDicAiD populAtion

• DiscoverTelehealth’sroleinmanagingprovidernetworks• ExplorehowTelehealthcanincreaseproviderandpatientengagement• UseTelehealthtoincreasepatients’accesstospecialiststoimproveoutcomesandlowercosts

kathryn kuhmerker Vice President, Medicaid Policy ASSoCiATion For CommuniTy AFFiliATeD PlAnS

2:45pm– 3:30pm integrAte DuAls in the stAte oF VirginiA

AlmosttwoyearshavepassedsincetheimplementationoftheDualsDemonstration.Inthissession,hearanupdatefromthestateofVirginiaaboutitsinvolvementintheDemo,initialfindings,andfutureoutlook.

• LearnhowVirginiawillmanageintegrationandcarecoordination• Discussthemanagedcareorganization’sroleandtheinteractionwiththestate• Hearlessonstodatefromimplementation,includingearlyindicatorsofmemberengagement,quality,andwithholds• ExploretheopportunitiesandbarriersofhealthplanstomeetCMSexpectationsformanagementofthispopulation

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

3:30pm clOse OF suMMit


RegistRation Fee: REGISTERBy

1/30/2015

REGISTERBy

2/24/2015 StandardConferenCe $ 1995.00 $ 2295.00ConferenCe PluS 1 WorkShoP $ 2295.00 $ 2595.00WorkShoP only $ 300.00 $ 300.00health PlanSConferenCe $ 1395.00 $ 1695.00ConferenCe PluS 1 WorkShoP $ 1695.00 $ 1995.00WorkShoP only $ 300.00 $ 300.00hoSPitalS & health SyStemSConferenCe $ 1095.00 $ 1395.00ConferenCe PluS 1 WorkShoP $ 1395.00 $ 1695.00WorkShoP only $ 300.00 $ 300.00GovernmentConferenCe $ 295.00 $ 295.00ConferenCe PluS 1 WorkShoP $ 395.00 $ 395.00WorkShoP only $ 100.00 $ 100.00

Feeforconferenceincludeswelcomecoffee,lunch,reception,refreshments,andweb-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: WCResearchInc.Nopersonalchecksaccepted.Verificationmayberequiredforrateapprovals. Please contact us should you have any special needs.

sPeCiaL teaM DisCoUnts: Your organization may send ONEexecutiveFREEforeverythreedelegatesregistered. All registrations must be made at the same time to qualify. Toregisteryourteam,contactusat800-767-9499.

PaRtiCiPant sUbstitUtion anD CanCeLLations: Yourregistrationmaybetransferredtoamemberofyourorganizationupto24hoursinadvanceoftheconference.Cancellationsreceivedinwritingonorbefore30dayspriortothestartoftheeventwillberefunded,lessa$395administrativecharge.Norefundswillbemadeafterthisdate;however,theregistrationfeelessthe$395administrative charge can be credited to another World Congress conference if you registerwithin6monthsfromthedateofthisconference.Incaseofconferencecancellation, 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 itsconferences.Ifyouarenotsatisfiedwiththequalityoftheconference,acredit will be awarded towards a comparable World Congress conference of your choice.

WeBSiTeWorldCongress.com/ mmC

RegisteR now! [email protected]

Best value

PrSrT STDu.S. Postage

PAiDGallery

World Congress500WestCummingsPark,Suite5200Woburn,MA01801HW15037

VenUe: Hilton alexandria old town 1767 King stReet aLeXanDRia, ViRginia, 22314, 703-837-0440 Room Rate: $189 • Cut-off Date: 2/2/15

PHone800-767-9499781-939-2400outsidetheU.S.

Please mention group code FWC when registering to receive this special rate!



alexandria, Va



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


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 n


HW15037_brochure

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