Medicare Congress

2011 Medicare Brochure

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2011 Agenda

DAY ONE - Monday, JANUARY 24. 2011
MORNING WORKSHOPS
8:00 Workshop Registration & Morning Coffee
9:00 Workshop Begins - Workshop 1
10:30-11:00 Mid-Morning Networking Break
12:30 Luncheon for Morning Workshop Participants and Registration for Afternoon Workshops
WS1: RADV Audit Boot Camp! - Everything You Need to Prepare for and Survive RADV Audits
Workshop Leader Kelly Ubanoski, Vice President, Revenue Management of Medicare, UNIVERSAL AMERICAN

AFTERNOON WORKSHOPS
1:30 Afternoon Workshops Begin - Workshop 2 & 3
3:00-3:30 Afternoon Networking Break
5:00 Workshop Conclude
WS2: Special Needs Plans: Prepare for NCQA Review and Approval Process and New CMS Regulations for SNPs
WS3: Build Up Your Sales and Marketing Strategies to Grow Sustain Your Plan
Workshop Leader Charles Russo, Executive Director, UNITED HEALTH CARE
 

DAY TWO - TUESDAY, JANUARY 25, 2011
MORNING WORKSHOPS
7:00 Registration & Morning Coffee
8:00 Chairperson's Welcome, Kevin R. Mowll, VP, Medicare Products, CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN

KEYNOTE
8:15 The Future of Private Medicare: Assessing the Impact of Reform
Susan Dentzer, Editor-in-Chief, HEALTH AFFAIRS
Murray N. Ross, Vice President,KAISER FOUNDATION HEALTH PLAN INC, &
Director, KAISER PERMANECTE INSTITUTE FOR HEALTH POLICY

PANEL DISCUSSION
9:00 CMS Update - Review of Major Initiatives at CMS, the Implementation of the Star Rating System, Marketing and Sale Regulations, and More
Don Berwick, Administrator, CMS (invited)
Jonathan Blum, Director, Center for Medicare Management Acting Director, Center for Drug and Health Plan Choice, CMS
9:30 WALL ST ADDRESS Annual Wall Street Report - Economic Outlook for Medicare Advantage Health Plans
Joshua Raskin, Managing Director, BARCLAYS CAPITAL
10:15 Networking Break
KEYNOTE
10:45 How Do Health Plans Deliver More with Less?
John Gorman, Chief Executive Officer, GORMAN HEALTH GROUP
11:30 HEALTH PLAN DEBATE No Really, How Do Health Plans Deliver More with Less?
John Rother, Executive Vice President, Policy & Strategy, AARP
12:30 Networking Luncheon
Afternoon Tracks
1:30 Afternoon Tracks Begin
I
MEDICARE PRODUCT DEVELOPMENT SALES & MARKETING
II
MEDICARE PLAN MEDICAL & REVENUE MANAGEMENT
1:30 - 2:10
Examine the Impact of Medicare Part D Reform to Identify New Business Opportunities

Glenda S. Owens, Vice President, Pharmacy Services, Arcadian
Health Plan
Nancy V. Sheehan, Vice President of Program Management and Operations, Blue Cross and Blue Shield Northern Plains Alliance		 Leverage Medical and Revenue Management to Improve Healthcare and Achieve Optimal Reimbursement

Stuart Levine, MD, CMO, Healthcare Partners
Dirk Wales, SVP and CMO, Texas Health Spring
Tom Brodmerkel, Executive Vice President, Matrix Health
2:15 - 2:55
Obtain Strategies to Excel Under a Shorter Marketing and Enrollment Period

Steve Pearse, Sales & Enrollment Manager, FAMILY CARE HEALTH PLA NS
 Use Proactive Risk Adjustment to Optimize Your Revenue

Mital Panera, VP of Medicare Revenue Management, Freedom Health and Optimum Health
3:00 - 3:25 Networking Break
3:30 - 4:10

Position Your Plan as an Attractive Boomer Destination to Increase New Member Acquisition

Linda Armstrong, Executive Vice President, DMW Direct

 Conquer the Star Challenge – Demonstrate Value to Achieve High Ratings in the Star Rating System

William J. Anderson, MD, Vice President, Clinical Integration, Health Spring
4:15 - 4:55
Evaluate the Relevance of Your Medicare Plan Website to Maximize Your Value

Alan Mittermaier, President, HEALTHMETRIX Research
Stephen P. Fera, Vice President, Government & Social Mission Programs, Independence Blue Cross
Jason Madrak, Head, Consumer Segment Marketing, Aetna, Inc		 Create a Strategy to Achieve Integrated Medical Management

Richard Bernstein, MD, FACP, Chief Medical Officer, VNS CHOICE
5:00 Networking Reception in Exhibit Hall

MANAGE DUAL ELIGIBLES TO IMPROVE CARE AND CONTROL COSTS
6:00 Dinner Workshop Registration
6:15 - 9:00 Workshop Dinner
 

DAY THREE - WEDNESDAY, JANUARY 26, 2011
MORNING WORKSHOPS
7:00 CONTINENTAL BREAKFAST: Insights Into the Market – Debate How Federal Budget Issues Will Impact Medicare
8:00 Chairperson's Recap of Day Two
Kevin Mowll, Vice President, Medicare Products, Capital District Physician's Health

KEYNOTE
8:15 Medicare And Health Reform – What Will Changes Mean For The Beneficiary?

Tricia Neuman, Vice President, Kaiser Family Foundation
PANEL DISCUSSION
8:45 The Future of Health Care Delivery: How to Re-engineer the Care Model Towards Patient – Centered Medical Homes to Prepare for an ACO Future

Moderator: Anthony Rodgers, Head of Innovation Center, CMS (invited)
Donald Crane, President and CEO, California Association of Physicians
Michael O'Neil, SVP Strategic Development, Health Spring
Mark A. Kelley, MD, EVP, Henry Ford Health System,
CEO, Henry Ford Medical Group
PILOT PROGRAM CASE STUDY
8:45 Specialist Focused Medical Home in an ACO

Moderator: Pete Sauer, Vice President & General Manager, Fresenius Medical Care Health Plan
10:00 Hospital –Physician Clinical and Economic Integration for Patient-Centered Medical Homes and ACO Models

Moderator: Pal Evans, CMO, Tucson Medical Center
10:30 Networking Break
11:00 Adopt New Tools and Techniques to Fight Medicare Fraud

Moderator: Kirk Ogrosky, Partner, Arnold & Porter LLP(HEAT)
Afternoon Tracks
11:30 Afternoon Tracks Begin
I
MEDICARE PRODUCT DEVELOPMENT SALES & MARKETING
II
MEDICARE PLAN MEDICAL & REVENUE MANAGEMENT
11:30 - 12:10
Utilize Market Research and Data Analysis to Strengthen Your Marketing Plan

Rich Hamer, CEO, Deft Research		 Understand and Manage New Medical Loss Ratio Thresholds to Ensure Compliance

Commissioner Sandy Praeger, Chair of the Health Insurance Committee, NAIC
12:15 - 1:10 Luncheon
1:15 - 1:55
Construct a Long Term Strategy for Your Special Needs Plan

Leonard Kirshner, MD, MPH, Member, The National Advisory
Board on Improving Health Care Services for Seniors and People with Disabilities, sponsored by AMERIGROUP
 Adopt Advanced Technologies to Improve Medical Adherence, Quality Management, and Medical Management

Jed Weissberg, MD, Senior Vice President, Quality & Care Delivery Excellence, Kaiser Permanente
Thomas M. Deas, MD, Board Member, North Texas Specialty Physicians
2:00 - 2:40

Develop Strategies to Boost Success in Your Medicare Supplement Business

Herb Haigh, President, AMERI-PLUS SELECT SERVICES
Al Sochor, Vice President and Director or Marketing, OLD SURETY LIFE INSURANCE COMPANY

 Manage End of Life Care for the Chronically Ill to Contain Costs and Enhance Quality of Care

Kevin Mowll, Vice President, Medicare Products, Capital District
Physician's Health Plan
2:45 CLOSING PANEL - 2011 Fast Forward - What Will We Be Talking About in January 2012?
John Gorman, CEO, Gorman Health Group
Jed Weissberg, MD, Senior Vice President, Quality & Care Delivery Excellence, Kaiser Permanente		 Murray N. Ross, PhD, Vice President, Kaiser Foundation
Health Plan Inc, & Director, Kaiser Permanente Institute for Health Policy
3:15 CLOSE OF THE MEDICARE CONGRESS
       
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