Institute for International Research

Monday, June 19th, 2006

A

9:00

Effective communication is key to recruiting and retaining health plan members. This workshop provides proven strategies for communicating with Medicaid members. Experts present their unique efforts to communicate to members and offer tools, examples and suggestions for other Medicaid plans. Specifically workshop leaders discuss:

• Enhancing outreach efforts to improve member retention and enrollment
• Improving member service and achieving high satisfaction levels by cutting the wait time
• Implementing outreach efforts to improve awareness and continuity of care
• Developing and managing mobile outreach program to locate new members and educate current members

Who Should Attend
Executives from State Medicaid Offices and Medicaid Managed Care Plans responsible for branding, marketing, outreach, and member retention.

Workshop Faculty
Rosemary Aponte, Director of Marketing
Susan Beane, MD, Senior Vice President, Chief Medical Officer
Chris Dimitriyadi, Director of Enrollment/Recertification and Retention
Ray Nieves, Director, Members Service Director
AFFINITY HEALTH PLAN

B

1:00

As States and Plans move towards risk based reimbursement and away from traditional fee for service reimbursement, appropriateness of rates and efficiency of the rate setting process become increasingly important. In this workshop, experts review challenges and opportunities with rate setting and optimal reimbursement structures for Medicaid Managed Care.

I Actuarial Soundness Requirements
II Streamlining the Rate Setting Process
III Ensuring Appropriate Reimbursement

Who Should Attend
Executives responsible for rate setting and reimbursement strategies at State Medicaid Agencies and Medicaid Managed Care Plans including Directors of Finance, Rate Setting, Chief Financial Officers, and Chief Actuaries.

Workshop Faculty
Bruce Johnson, Technical Director, Division of Integrated Health Systems, CMSO
CENTERS FOR MEDICARE & MEDICAID SERVICES

John Kaelin, VP, Risk Adjusted Rates
AMERICHOICE

Michael E Nordstrom, Actuary
MERCER GOVERNMENT HUMAN SERVICES CONSULTING

Anne Olson, Rate Setting Manager
WISCONSIN DEPARTMENT OF HEALTH & FAMILY SERVICES