| 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 |
| 9:15 |
Better Care, Better Health, Lower Costs
Richard Gilfillan, MD, Acting Director, Center for Medicare
and Medicaid Integration, CMS (invited) |
| 9:45 |
Health Reform Implementation in a Time
of Uncertainty
Paul Begala, Political Analyst & Commentator, CNN;
Columnist, Newsweek & The Daily Beast |
| 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 |
| 12:00 |
STATE SNAPSHOT: Washington, DC
Linda Elam, PhD, MPH, Deputy Director—
Medicaid, Department
of Health Care Finance |
| 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 |
| 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 |
| 4:30 |
STATE SNAPSHOT: Texas
Joe Vesowate, Deputy Director,
Managed Care Operations for Medicaid
and CHIP, Health & Human Services |
| 4:45 |
Bend the Cost Curve through Better Care Integration
for Dual Eligibles
Melanie Bella, Director, CMS Medicare-Medicaid Coordination Office |
| 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 |
| 9:15 |
STATE SNAPSHOT: Pennsylvania
Gary D. Alexander, Secretary, Department of Public Welfare |
| 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 |
| 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 |
| 2:15 |
STATE SPOTLIGHT: New Jersey
Valerie Harr, Director, Division
of Medical Assistance and Health Services |
| 2:30 |
Evaluate Basic Health Plans Opportunities
Thomas Johnson, President & CEO, Medicaid Health Plans of America |
| 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 |
| 4:00 |
Conference Concludes |
|