#event-name# Workshops

Pre-Conference Workshops

Wednesday, June 25, 2008

AM WORKSHOPS
8:00	Morning Workshop Registration and Morning Coffee
8:30	AM Workshops Begin
10:00	30 Minute Networking Break
12:00	Workshop Concludes/Lunch for Morning Workshop Attendees
	Fraud and Abuse Management, and Successful Compliance Programs
How to prove accountability and control costs How to manage successful compliance programs under the False Claims Act Reimbursement issues How conduct internal compliance audits What should you look for in a good fraud and abuse process? How to find good contractors to determine billing issues?
Barbara Edwards, Principal, HEALTH MANAGEMENT ASSOCIATES Clifford Barnes, Shareholder, EPSTEIN BECKER & GREEN
Who Should Attend: This workshop is designed for professionals responsible for government policy relations and compliance such as Compliance Officers, Policy Directors and Directors of Government Relations and Contracting at State Medicaid Agencies and Managed Care Organizations
	Medicaid Marketing and Outreach Programs: How to Operate Your Plan to Persuade People to Join and Further Engage Current Members
How to effectively reach the public How to encourage the public to join your program Implementing value added benefits Developing innovative programs where you reach out to the members before they get to the disease management stage How do you encourage members to participate in routine care? How do health plans involve consumers in every day operations? What grassroots programs are being used? Utilizing technology for member outreach
Melissa Boudreault, Director of Commonwealth Care, MASSACHUSETTS CONNECTOR HEALTH INSURANCE AUTHORITY Linda Hines, RN, MS, Vice President Medical Management, VIRGINIA PREMIER HEALTH PLAN, INC Lucy H. Ricketts, Director, Public Affairs and Cultural & Linguistic Services, PASSPORT HEALTH PLAN
Who Should Attend: This workshop is designed for professionals from State Medicaid Offices and Medicaid Managed Care Plans responsible for quality, branding, marketing, outreach, and member education and outreach
PM WORKSHOP
12:30	Registration for Afternoon Workshop
1:00	Workshop Begins
2:30	30 Minute Networking Break
4:30	Workshop Concludes
	Attracting Providers to Work with the Medicaid Market: Keeping Your Lifeline Open
In the past, providers have been willing to accept lower reimbursement for Medicaid because it is offset by their commercial beneficiaries. However, with the pressure on commercial health plans, it’s becoming more and more difficult for Medicaid health plans to contract with providers. Attend this half day workshop to work on strategies for gaining access to providers.
What can health plans do to help providers work with the Medicaid population more efficiently and easily What are plans doing with websites and eligibility? How plans are facilitating the ease of the claims administration, authorizations, electronic funds transfers How to implement pay for performance for Medicaid providers Facilitating accurate and timely payments to providers Ensuring network adequacy Provider network education and contracting
Alan Finkelstein, MD, Chief Dental Officer, AMERICHOICE UNITED HEALTH Robert Robidou, Director, Managed care Contracting, COOK CHILDRENS HEALTH PLAN
Who Should Attend: This workshop is designed for professionals from State Medicaid Offices and Medicaid Managed Care Plans who are responsible for working directly with providers, provider network education and contracting, and provider payment.

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