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Awards
Agenda
| Pre-Conference Summits | Monday, April 30, 2012 |
Medicaid Managed Care 101: Full Day Summit
| 8:30 | Summit Registration & Morning Coffee |
| 9:00 | Differentiate Medicaid from Other Forms
of Healthcare Chad Westover, Vice President, State Sponsored Business, WellPoint |
| 9:45 | Distinguish Managed Care from Fee for
Service Models Lisa Hatton, LSW, QMRP, Director, Provider Services – MHI, Molina Healthcare |
| 10:30 | Networking & Refreshment Break |
| 10:45 | Discuss the ACA from a Medicaid Managed
Care Perspective Drew Berenato, Director, Office of Exchanges, AmeriHealth Mercy |
| 11:30 | Improve Clinical Outcomes: the Medicaid Managed
Care Quality Strategy in Georgia Janice M. Carson, MD, MSA, Deputy Director, Performance, Quality and Outcomes, Division of Medicaid, Georgia Department of Community Health |
| 12:00 | Luncheon for Participants & Speakers |
| 1:00 | Compare and Contrast Medicaid, Medicare and Commercial Plan Enrollees |
| 1:45 | Define the "Typical" Medicaid Enrollee Jacqueline Lomax-Andrews, Division Director II, Bureau of Coordinated Care, MississippiCAN, Mississippi |
| 2:30 | Networking & Refreshment Break |
| 2:45 | Identify Utilization Habits of the Typical
Medicaid Patients Robert N. Robison, M.D., Medical Director, Molina Healthcare of Ohio |
| 4:00 | Summit Concludes |
Cost Containment Strategies for Dual Eligibles: Full Day Summit
| 8:30 | Summit Registration & Morning Coffee |
| 9:00 | Define the Dual Eligible Population Len Kirschner, MD, MPh, Member, The National Advisory Board, sponsored by Amerigroup |
| 9:45 | Compare Different Management Models States Submitted to CMS |
| 10:30 | Networking & Refreshment Break |
| 10:45 | Discuss Different Financing Models for Dual Eligibles
as Outlined by CMS Rhys W. Jones, MPH, VP, Medicare Policy and Product Development, Specialty Products Group, Amerigroup Corporation |
| 12:00 | Luncheon for Participants & Speakers |
| 1:00 | Collaborate with Medicare Plans for Increased Care
Coordination Moderators: Len Kirschner, MD, MPh, Member, The National Advisory Board, sponsored by Amerigroup Anita Murcko, Partner, Cambiare, LLC |
| 2:30 | Networking & Refreshment Break |
| 2:45 | Put your Learning into Action: Build the Ideal Integration Model |
| 3:30 | Share Your Coordinated Care Model Moderators: Len Kirschner, MD, MPh, Member, The National Advisory Board, sponsored by Amerigroup Anita Murcko, Partner, Cambiare, LLC |
| 4:00 | Summit Concludes |
Maintain Compliance amidst Evolving Regulations: Morning Half Day Summit
| 8:30 | Summit Registration & Morning Coffee |
| 9:00 | Understand How the ACA Will Affect Compliance Programs |
| 9:45 | Integrate Compliance Risks Monitoring as a Part of the Employee Training Program |
| 10:30 | Networking & Refreshment Break |
| 10:45 | Build an Effective Compliance Program to Reduce Fraud and Abuse |
| 12:00 | Luncheon for Participants & Speakers |
Medicaid Managed Care for Pharma Executives: Afternoon Half Day Summit
| 12:30 | Summit Registration |
| 1:00 | Recognize Growth Opportunities for Pharmaceutical Manufacturers Presented through the ACA |
| 1:45 | Evaluate Different Opportunities Depending on Carve In/Carve Out States |
| 2:30 | Networking & Refreshment Break |
| 2:45 | Position Your Brand to Stand Out Among the Competition |
| 3:30 | Focus on Specialty Drugs |
| 4:00 | Summit Concludes |
| Main Conference Day One | Tuesday, May 1, 2012 |
| 8:00 | Registration & Morning Coffee | ||
| 9:00 | Chairperson's Opening Remarks Len Kirschner, MD, MPh, Member, The National Advisory Board, sponsored by Amerigroup |
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| 9:15 | Better Care, Better Health, Lower Costs Richard Gilfillan, MD, Acting Director, Center for Medicare and Medicaid Integration, CMS (invited) |
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| 9:45 | Health Reform Implementation in a Time
of Uncertainty Paul Begala, Political Analyst & Commentator, CNN; Columnist, Newsweek & The Daily Beast |
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| 10:30 | Networking Break | ||
| 11:00 | Medicaid and Health Insurance Exchange Integration Moderator: John Kaelin, Senior Vice President, Health Reform, UnitedHealth Group Julian J. Harris, MD, MBA, MSc, Medicaid Director, Executive Office of Health and Human Services, Massachusetts Amy Allen, Healthcare Reform Planning Director, Department of Community Health, Michigan Deborah Florio, Administrator, Center for Child & Family Health, Rhode Island Department of Human Services |
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| 12:00 | STATE SNAPSHOT: Washington, DC Linda Elam, PhD, MPH, Deputy Director— Medicaid, Department of Health Care Finance |
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| 12:15 | Networking Luncheon | ||
| BENEFIT DESIGN EXCELLENCE | STRENGTHEN YOUR ENROLLMENT & RETENTION STRATEGY | IMPROVE CLINICAL OUTCOMES FOR CHRONIC CARE MANAGEMENT | |
| 1:30 | Identify New Business Opportunities Created by the ACA John Kaelin, Senior Vice President, Health Reform, UnitedHealth Group |
Steps to Take Now to Prepare for
Medicaid Expansion Chad Westover, Vice President, State Sponsored Business, WellPoint |
Silo-Busting Management: Integrating Behavioral and Medical Health Care in the Community Caroline Carney Doebbeling, MD, MSc, FAPM, Chief Medical Officer, MDwise, Inc. |
| 2:00 | Utilize Value-Driven Benefits Design to Change Member Behavior Karen Amstutz, Medical Director, WellPoint |
Educate School Age Children & Expand Outreach Jamie Bruce, MBA, CHC, Chief Development & Marketing Officer, MDwise, Inc. |
Utilize EHRs for Better Care Coordination |
| 2:30 | Utilize Risk Sharing for Optimal Pharma Outcomes |
Fish Where the Fish Are: Meet Potential Enrollees Where They Are Charlisa Watson, MHSA, Vice President, Community Development, UnitedHealth Care Community & State |
Out of the Ashes of a Chronic Illness Demonstration Project Rises a Health Home Peggy Leonard MS, RN-BC, FNP, Senior Vice President, Clinical Services, Hudson Health Plan |
| 3:00 | Networking Break | ||
| 3:30 | Develop Long-Term Services and Supports
(LTSS) Networks in the Era of Healthcare Reform
Implementation Tom Riley, President, COO, Seniorlink |
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| 3:45 | Health Plan CEO Panel: Ensure Member Access
through Robust Provider Networks Moderator: Meg Murray, CEO, Association for Community Affiliated Health Plans Paul Rothman, President, Prestige Health Choice Jay Feldstein, MD, Regional President-Southern Region, AmeriHealth Mercy |
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| 4:30 | STATE SNAPSHOT: Texas Joe Vesowate, Deputy Director, Managed Care Operations for Medicaid and CHIP, Health & Human Services |
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| 4:45 | Bend the Cost Curve through Better Care Integration
for Dual Eligibles Melanie Bella, Director, CMS Medicare-Medicaid Coordination Office |
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| 5:30 | Networking Reception | ||
| Main Conference Day Two | Wednesday, May 2, 2012 |
| 8:00 | Registration & Morning Coffee | ||
| 9:00 | Chairperson's Opening Remarks Vernon K. Smith, Principal, Health Management Associates |
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| 9:15 | STATE SNAPSHOT: Pennsylvania Gary D. Alexander, Secretary, Department of Public Welfare |
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| 9:30 | State Medicaid Directors Panel:
Overcome State Budget Crises Moderator: Vernon K. Smith, Principal, Health Management Associates Vivianne Chaumont, Director, Division of Medicaid & Long-Term Care, Department of Health and Human Services, Nebraska Jerry Dubberly, PharmD, MBA, Chief, Medicaid Division, Georgia Department of Community Health, Georgia Gary D. Alexander, Secretary, Department of Public Welfare Pennsylvania Joe Vesowate, Deputy Director, Managed Care Operations for Medicaid and CHIP, Health and Human Services, Texas |
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| 10:30 | Networking Break | ||
| BENEFIT DESIGN EXCELLENCE | STRENGTHEN YOUR ENROLLMENT & RETENTION STRATEGY | IMPROVE CLINICAL OUTCOMES FOR CHRONIC CARE MANAGEMENT | |
| 11:00 | Carve In or Carve Out: Determine
Where Mental Health Fits Best Anita Murcko, Partner, Cambiare, LLC |
Encourage the PCP/Member Relationship as a Part of Member Retention Laura Wood, Director of Provider Marketing and Member Communications, Network Health |
Encourage Members to Take a
More Active Role in Their Health
Management Deborah Florio, Administrator, Center for Child & Family Health, Rhode Island Department of Human Services Richard Jacobsen, PhD, Project Manager, ACS Inc., Rhode Island Department of Human Services |
| 11:30 | Evaluate the Impact of Patient
Centered Medical Homes on the
Future Benefit Design Vivianne Chaumont, Director, Division of Medicaid & Long-Term Care, Department of Health and Human Services, Nebraska |
Stand Out from the Competition:
Selling to the Duals Jeff Fox, President, Gorman Health Group |
Reduce Avoidable ER Visits Among
the Chronically Ill Jan Smith Reed, Director, Outreach, Molina Healthcare of Ohio Robert N. Robison, MD, Medical Director, Molina Healthcare of Ohio |
| 12:00 | Create the Ideal Benefit Design for Medicaid Expansion | Utilize Mobile Messaging to Cost
Efficiently Connect with Members Chuka Agugua, Relationship Manager, Assurance Wireless |
Expand Lock-In Programs to
Supplement Case Management,
Improve Utilization and Prevent Fraud
and Abuse Kathy Runkle, Associate Vice President of Corporate Investigations, Amerigroup |
| 12:30 | Networking Luncheon | ||
| 1:30 | Utilize Health Homes for Better Care Integration Mary Pat Farkas, Health Insurance Specialist, Disabled and Elderly Health Programs Group, CMS |
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| 2:15 | STATE SPOTLIGHT: New Jersey Valerie Harr, Director, Division of Medical Assistance and Health Services |
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| 2:30 | Evaluate Basic Health Plans Opportunities Thomas Johnson, President & CEO, Medicaid Health Plans of America |
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| 3:15 | Closing Panel: What We'll Be Discussing in 2013 Moderator: Vernon K. Smith, Principal, Health Management Associates Thomas Johnson, President & CEO, Medicaid Health Plans of America Len Kirschner, MD, MPh, Member, The National Advisory Board, sponsored by Amerigroup |
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| 4:00 | Conference Concludes | ||