Agenda at a Glance

The Medicaid managed care landscape is extremely complex and it can be difficult to understand for those that
are new to the space. This summit provides an overview of all of the key elements of Medicaid managed care.

Now that the 2012 elections are a distant memory, health insurance exchanges are a reality and the timelines are extremely tight. This intensive provides you with insight into all of the most important elements of exchanges.

As more states move to managed care, inclusion on managed care formularies is becoming more and more important to pharmaceutical companies. This half-day summit is a must-attend event for any pharmaceutical executive looking to see the interworkings of a Medicaid health plan. Health plans share how they build their formularies and how their processes must change in the upcoming years due to healthcare reform and states shifting to a single formulary.

Predictive modeling is becoming common as we continue to see the benefits. This half-day summit explores uses for predictive modeling to assess and decrease risk when providing care to Medicaid recipients.

	ADMINISTRATIVE & FINANCIAL CONSIDERATIONS	ENROLLMENT, ENGAGEMENT & RETENTION	COMPLEX CARE MANAGEMENT
3:00	Involve Members in the Evaluation Process Ken Pariseau, Manager of Government Affairs, Neighborhood Health Plan of Rhode Island Jacqueline Dowdy, Member Advocate, Neighborhood Health Plan of Rhode Island	Integrate Traditional and Non- Traditional Member Engagement Tools for an Integrated Engagement Strategy Matthew Collins, Senior Medical Director for Medical Affairs, Fallon Community Health Plan	Multidisciplinary and Geographic Team Approach to Case Management for the Seriously Mentally Ill Joe Garten, PhD, Director of Behavioral Health- Medicaid, WellPoint
3:45	Understand (and Overcome!) State Financial Constraints Christian Jensrud, Vice President, Business Development, Amerigroup	Fish Where the Fish Are: Member Engagement Outside of the Office Lynn Bradford, Ph.D., HSPP, Director of Behavioral Health, MDwise, Inc.	Achieve the Triple Aim through Coordinated MTM Programming Eric Berman, DO, MS, Regional Chief Medical Officer, Northern Division, AmeriHealth Mercy Diane H. Jankowski, RN, BSN, CCM, Regional Director of Clinical Services, Northern Division Managed Care, AmeriHealth Mercy
4:30	Does the Medical Home Model Drive Quality and Efficiency? Paul Rothman, President, Prestige Health Choice	Unmanaged to Managed Care in Three Months: How Kentucky became the Focus of Healthcare in 2012 Russell Harper, Director of Government Relations, Coventry Cares of Kentucky	Address Health Disparities and Culturally and Linguistically Appropriate Services Carol Smolij, BSN, RN, CPHQ, Vice President, Clinical & Regulatory Operations, Health Partners of Philadelphia
5:15	Challenges in Achieving Comprehensive and Continuity through Expansion and Exchanges Deborah Florio, Administrator, Rhode Island Executive Office of Health and Human Services Richard Jacobsen, PhD, Project Manager, Xerox State Healthcare/Rhode Island Executive Office of Health and Human Services	Working Within the Guardrails: Creating Marketing Campaigns that Can Be Reconfigured Across State Lines Harry Castleman, Senior Director of Marketing and Communications, BMC HealthNet Plan	Expand Telehealth Technology to Deliver Medicaid Access Solutions Michael Martineau, Senior Product Development Consultant, Telehealth Department, Anthem Blue Cross
6:00	Wine and Cheese Networking Reception

7:45	Breakfast Presentation: Medicaid Per Capita Caps Stephanie Carlton, RN, MBA, Health Policy Advisor, U.S. Senate Finance Committee
7:30	Registration and Morning Coffee
8:30	Chairwoman's Opening Remarks Kathy Kuhmerker, Vice President, Medicaid Policy, Association for Community Affiliated Plans (ACAP)
8:45	State Medicaid Directors' Panel: Implementation of the ACA Moderator: Brian Osberg, Program Director, Best Practices Center, Health Division, National Governors Association Panelists: Linda Elam, PhD, MPH, Deputy Director – Medicaid, Department of Health Care Finance, Government of the District of Columbia Julie B. Weinberg, Director, Medical Assistance Division, New Mexico Human Services Department Julian J. Harris, MD, MBA, MSc., Medicaid Director, Executive Office of Health & Human Services Commonwealth of Massachusetts
9:30	High-Quality Care Delivery for Medicaid: CMS' Approach Stephen Cha, Chief Medical Officer, Centers for Medicare & Medicaid Services (CMS) Camille Dobson, Senior Policy Advisor, Centers for Medicare & Medicaid Services (CMS)
10:00	Networking Break

	ADMINISTRATIVE & FINANCIAL CONSIDERATIONS	ENROLLMENT, ENGAGEMENT & RETENTION	COMPLEX CARE MANAGEMENT
10:30	Understanding Pharmacy Spend and Managing Costs Tim Emert, Director of PharmaHealth Analytics, US Script	Encourage Children to Make Healthier Decisions when Selecting Foods and Changing How Children Think About Exercise Jan Smith Reed, Director, Community Outreach, Molina of Ohio	Lifestyle Adherence through Integrated Care Management Frances Martini, BSN, MBA, Director of Government Clinical Programs, BlueCare, the Medicaid Plan of Blue Cross Blue Shield of Tennessee
11:00	Discuss Different Managed Care Models Susan M. Coakley, Chief Legal Officer, Boston Medical Center HealthNet Plan Meryl Friedman Price, President, Health Policy Matters	Engage Community Partners to Connect with Dual Eligible Populations Charlisa Watson, Vice President, Community Development, UnitedHealth Care	Advanced Analytics and Innovation: Improving Care for Members with Chronic Conditions Karen M. Dale, RN, MSN, Executive Vice President Healthcare Management, DC Chartered Health Plan
11:30	Medicaid Managed Care for People with Disabilities: Policy and Implementation Considerations Ari Ne'eman, Entitlements Chair, National Council on Disability (NCD)	Community Outreach to Increase Physical Activity in Elementary-Aged Children Jamie Bruce, MBA, CHC, Chief Development and Marketing Officer, MDwise	Health Homes: Best Practice Solutions for Effective, Cost-Saving Integrated Care Models or Just Another Layer of Bureaucracy? Margaret (Peggy) Leonard, MS, RN-BC, FNP, Sr. Vice President for Clinical Services, Hudson Health Plan