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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.
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

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
 

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
11:45 Compliance is the New Competitive Advantage – Make it your Opportunity,
not your Obstacle

Sherman Rogers, CEO, Bloom Marketing Group
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
5:15 Conference Concludes

If you are interested in speaking, please contact Conference Producer, Matthew Greenabum.

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