| 2012 Agenda at Glance
Agenda
The Medicare Congress agenda features the best information on how to stay competitive with ACOs, optimize your Star Ratings, withstand potential audits and sanctions, and shape your business plans in light of the 2012 elections. You won't find a more robust Medicare conference.
SUMMIT DAY: Monday, February 6, 2012 |
A. Full Day ACO Medicare Summit (8:00am - 2:30pm) Lunch Included |
Topics to be Discussed: - Use Technology to Quickly and Effectively Identify Fraud, Abuse, and Waste for ACOs
- ACO Risks and Opportunities for Managed Care Plans
- Managing Complex Chronically Ill Patients with Functional Impairments in an ACO
Speaking Faculty:
Susan Durham, Managing of Benefits & Special Investigations Unit, Sterling Health Plans
Alanna M. Lavelle, MS, AHFI, CPC Senior Director of Investigations, Wellpoint
Jesse Caplan, Member, Epstein Becker Green
Angela Handa, Senior Vice President, Managed Care Sales & Marketing, SeniorBridge |
B. Morning Summit: State of the Art Audit Readiness (8:00am - 12:00pm) Lunch Included |
Topics to be Discussed: - All Hands on Deck – Ensure Your Plan is Audit Ready 24/7
- Prepare for and Survive RADV Audits
Speaking Faculty:
Kelly Barbee, HIA Compliance Coordinator Arkansas Blue Cross and Blue Shield
Scott Weiner, Managing Partner Strategic Health Consulting
Kelly Ubanoski, Vice President, Revenue Program Management, Universal American |
Afternoon Summit (1:00pm - 4:00pm) |
D. Next Generation Medicare Marketing and Sales Summit |
| Reorganization and cost-cutting are common concerns among MCOs. And Medicare Advantage plans now face more challenges than ever, including looming cuts in reimbursements, increased CMS surveillance, and public criticism from politicians and the media. MCOs must constantly monitor and adapt to these challenges in order to safeguard their market share.
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Speaking Faculty:
Susan Durham, Manager of Benefits & Special Investigations Unit Sterling Health Plans
Gene Devine, Vice President HealthPlanCRM
Jack Mackin, VP, Sales Support & OversightUniversal American
Patrick Phillips, Managing Partner HealthPlanCRM
Sean O'Sullivan, Vice President, HealthPlanCRM
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MAIN CONFERENCE: Tuesday, February 7, 2012 |
| 8:00 |
Medicare Congress Registration and Morning Coffee |
| 9:00 |
Chairperson's Opening Remarks
Kevin Mowll, Vice President, Medicare Products, Capital District Physicians Health Plan |
| 9:15 |
A Medicare Advantage Outlook
John Gorman, Chairman and Founder, Gorman Health Group |
| 9:45 |
2012 Election Outlook – Examine Today's Headlines to Find the Real Signals and Implications for ACA Fred Barnes,
Executive Editor, The Weekly Standard, and Commentator, FOX News |
| 10:30 |
Networking Break |
| 11:00 |
Politics As Usual: Debate the 2012 Election's Impact on Healthcare, Medicare, and ACA Introduction:
Murray N. Ross, PhD., Vice President, Kaiser Foundations Health Plan Inc. and Director, Kaiser Permanente Institute for Health Policy
Panelists:
Joseph Antos, Resident Scholar, American Enterprise Institute
Rick Ungar, Healthcare Contributor,Forbes |
| 11:45 |
How Healthplans can Identify and Manage the Chronically Ill Randall Krakauer, MD, National Medical Director, Medicare, Aetna |
| 12:30 |
Networking Luncheon |
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Medicare Marketing and Member Retention |
Complex Care Management that Delivers Clinical and Financial Results |
Medicare Reimbursement and Revenue Enhancement |
| 1:30 |
Create a Marketing Retention Strategy Based on Superior Member Experience
Peter Rodes, Vice President, Strategy, KBM Group Health Services |
Improving Care Where it Matters Most – Strategies to Improve Care Coordination for Dual Eligibles
Leonard Kirschner, MD, MPh, Member, The National Advisory Board on Improving Health Care Services for Seniors and People with Disabilities, sponsored by Amerigroup |
Audit Proof Key Operations for Enrollment, Outbound Verification and Commission Adjudication
Patrick Phillips, Managing Partner, HealthPlanCRM
Sean O'Sullivan, Vice President, HealthPlanCRM
Joe Velasco, Vice President, Business Development, Preferred Care Partners
Kevin McGavick, Director, Sales Operations, United Healthcare |
| 2:15 |
Innovative Partnerships: Creative Strategies to Connect with Potential New Members
Dave Embaugh, Market Head of Sales, Mid America Region, Aetna, Inc. |
Use Prospective Evaluations and Data
Mining to Proactively Identify and Treat
Chronic Care Conditions Charles J. Russo, Regional Executive Director, United Healthcare – Medicare & Retirement
Paula Lempart-Stanfa, Director, Market Consultation OptumInsight |
The Full-Spectrum, Rules-Based Approach to Compliance Ed Cotter, CSO, Matrix Medical |
| 3:00 |
Networking Break |
| 3:30 |
Focus Medicare Marketing Outreach Efforts through Research and Data Analysis Herb Haigh, President, Ameri-Plus Select Services |
Innovative Ways to Engage Seniors Around Critical Junctures Jan Berger, Chief Medical Officer, Silverlink Communications Natalee Rizzo, Senior Director, Medicare Market, Silverlink Communications |
Leverage Technology to Aid in (Proactive) Compliance Kirk Ogrosky, Partner, Arnold + Porter LLP;
Founder, Medicare Fraud Strike
Force; former member, HEAT
Fraud Prevention |
| 4:15 |
Ten Marketing Tactics to Stay One Step In Front of the Competition With a Shorter Open Enrollment Period Linda Armstrong, Executive VP & Practice
Leader, DMW Direct |
Rising Star: Increase Your Rating in the Three Hardest Categories
Brad Tice, Chief Clinical Officer, Pharm MD |
Encounter Management Beyond Data Submission Diana Benli, Director, Product Management, Dynamic Healthcare Systems |
| 5:00 |
Networking Reception |
MAIN CONFERENCE: Wednesday, February 8, 2012 |
| 8:00 |
Continental Breakfast Roundtable Discussion on What the Current Economic Instability Means for Medicare
Murray N. Ross, PhD., Vice President, Kaiser Foundations Health Plan Inc. and Director, Kaiser Permanente Institute
for Health Policy |
| 9:00 |
Chairperson's Opening Remarks
Kevin Mowll, Vice President, Medicare Products Capital District Physicians Health Plan |
| 9:15 |
Crisis Into Opportunity: Keeping your Business Going (and Growing) While Sanctioned Robert Fahlman, Chairman & CEO, Arcadian Health Plan |
| 10:00 |
Annual Wall Street Report – Economic Outlook for Medicare Advantage Health Plans
Chris Rigg,Senior Managed Care Analyst, Susquehanna Financial Group Court Houseworth, Managing Director,Cain Brothers |
| 10:45 |
Networking Break |
| 11:15 |
The Value of Outcomes Studies to Drive Formulary Decisions, Improve Quality, and Lower Costs
Glenda Owens, Senior Field Scientist, Health Outcomes and PharmacoEconomics (HOPE), Endo Pharmaceuticals
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| 11:45 |
Compliance is the New Competitive Advantage – Make it your Opportunity, not your Obstacle Sherman Rogers, CEO, Bloom Marketing Group
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| 12:15 |
Luncheon |
| 1:15 |
Reach for the Stars – Identify the Differences between 5 Star Plans and Everyone Else
Gretchen Jacobson, Principal Policy Analyst - Program on Medicare Policy, Kaiser Family Foundation
Kristian Marquez, Senior Director, Clinical & Quality Outcomes Medassurant |
| 2:00 |
Top Rated: Medical Homes, ACOs, and Other Tools that can Improve your Star Rating Paul Cotton, Director of Federal Affairs, National Committee for Quality Assurance |
| 2:45 |
Networking Break |
| 3:15 |
Value-Based Payment Models: What Works, What Doesn't, and Why
Scott Sarran, Chief Medical Officer Blue, Cross Blue Shield of Illinois |
| 4:00 |
Health Rebooted: How Taking Technology All the Way will Solve Both the Cost and Quality Problems Charles Mackay
CPHQ, former Health Insurance Specialist, Centers for Medicare & Medicaid Services |
| 4:45 |
Debate – What Products Will Be Popular in The Future?
Speakers:
Kevin Mowll,
Vice President, Medicare Products
Capital District Physicians Health Plan
Scott Sarran, Chief Medical Officer, Blue Cross Blue Shield of Illinois
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| 5:15 |
Conference Concludes |
If you are interested in speaking, please contact Conference Producer, Matthew Greenabum.
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