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Organized by: @wrldhealthcare #GHCC15 Co-located with: To register, please visit: www.worldcongress.com/medicaid • Call: 800-767-9499 • Fax: 781-939-2543 • email: [email protected] CMS KEYNOTE ADDRESS: Jean Moody Williams Deputy Director, Center for Clinical Standards and Quality CMS SAVE UP TO $600 WHEN YOU REGISTER BY 5/15/15! PLUS! STATE PERSPECTIVES FROM: COVERING THE MOST PRESSING ISSUES: FEATURED SPEAKERS: MEDICAID SUMMIT The 5th Annual GHCC JULY 14-16, 2015 | THE WESTIN CRYSTAL CITY | ARLINGTON, VA Examine Advances in Expansion, Managed Care, and Alternative Demonstrations to Control Costs and Improve Care Quality, Efficiency, and Value Conference Chairperson: Pamela Sedmak President, Chief Executive Officer AETNA MEDICAID William Golden, MD, MACP Medical Director ARKANSAS MEDICAID Lisa D. Lee Commissioner KY DEPARTMENT FOR MEDICAID SERVICES Celia Manlove President ANTHEM BLUE CROSS AND BLUE SHIELD IN KENTUCKY, MEDICAID Scott Streator Vice President, Enterprise Strategy and Planning CARESOURCE JULY 14-16, 2015 WASHINGTON, DC DUAL ELIGIBLES SUMMIT The 3rd Annual GHCC JULY 14-16, 2015 WASHINGTON, DC MEDICARE & MEDICARE ADVANTAGE SUMMIT The 11th Annual GHCC • Arkansas • Colorado • Idaho • Maryland • Kentucky • EXPANSION — Traditional, alternative, and non-expansion states speak about operational structure, the waiver process, care management, costs, and outcomes data • BEHAVIORAL HEALTH — Strategies to integrate care, improve coordination, and decrease the cost of care • DUALS — Updates on State Demonstrations, education, engagement, and care coordination strategies • COST CONTAINING DELIVERY MODELS — Case studies on bundled payments, data driven capitation, Telehealth, and ACOs • CHURN — Tactics to manage churn and create a seamless experience for Medicaid beneficiaries • POLITICAL CLIMATE — Survey of the current temperature from policymakers and the future of Medicaid, exchanges, and expansion Educational Underwriters:
Transcript

Organized by:

@wrldhealthcare#GHCC15

Co-located with:

To register, please visit: www.worldcongress.com/medicaid • Call: 800-767-9499 • Fax: 781-939-2543 • email: [email protected]

CMS Keynote AddreSS: Jean Moody Williams

Deputy Director, Center for Clinical Standards and Quality CMS

S av e u p t o $ 6 0 0 w h e n y o u r e g i S t e r b y 5 / 1 5 / 1 5 !

PluS! StAte PerSPeCtiveS froM:

Covering the MoSt PreSSing iSSueS:

Featured SpeakerS:

medicaid summitthe 5th annual ghCC

July 14-16, 2015 | the WeStin CryStAl City | Arlington, vA

examine advances in expansion, Managed Care, and alternative demonstrations to Control Costs and Improve Care Quality, Efficiency, and Value

Conference Chairperson: Pamela Sedmak President, Chief Executive Officer AetnA MediCAid

William golden, Md, MACP Medical Director ArkAnSAS MediCAid

lisa d. lee Commissioner kY depArtMent for MediCAid ServiCeS

Celia Manlove President AntheM Blue CroSS And Blue Shield in kentuCkY, MediCAid

Scott Streator Vice President, Enterprise Strategy and Planning CAreSourCe

July 14-16, 2015Washington, DCdual eligibles summit

the 3rd Annual ghCC

July 14-16, 2015Washington, DC

medicare & medicare advantage summit

the 11th Annual ghCC

• arkansas • Colorado• idaho

• Maryland• Kentucky

• Expansion — Traditional, alternative, and non-expansion states speak about operational structure, the waiver process, care management, costs, and outcomes data

• BEhavioral hEalth — Strategies to integrate care, improve coordination, and decrease the cost of care

• Duals — Updates on State Demonstrations, education, engagement, and care coordination strategies

• Cost Containing DElivEry MoDEls — Case studies on bundled payments, data driven capitation, Telehealth, and ACOs

• Churn — Tactics to manage churn and create a seamless experience for Medicaid beneficiaries

• politiCal CliMatE — Survey of the current temperature from policymakers and the future of Medicaid, exchanges, and expansion

Educational Underwriters:

To register, please visit: www.worldcongress.com/Medicare • Call: 800-767-9499 • Fax: 781-939-2543 • email: [email protected]

D a y o n E : t u E s D a y , J u l y 1 4 , 2 0 1 512:00 pm – 1:00 pm Workshop Registration

Pre-SuMMit WorKShoP oPtionS:

1:00 pm – 4:15 pm WORKSHOP A: Analyze the Impact of Star Ratings Changes to D-SNPs and Medicare Advantage Plans to Maximize Bonus Potential

WORKSHOP B: Improve the Consumer Experience of Medicaid Beneficiaries on Exchanges

D a y t W o : W E D n E s D a y , J u l y 1 5 , 2 0 1 57:00 am – 8:00 am Summit Registration and Morning Coffee

8:00 am – 8:15 am Government Health Care Congress Welcome and Opening Remarks

8:15 am – 9:15 am CMS KEyNOtE ADDRESS: Discuss the transition to Value through Delivery System Reform

9:15 am – 10:00 am Discuss Collaborations between Medicare and Medicaid Coordinated Plans

10:00 am – 10:30 am Networking and Refreshment Break

10:30 am – 11:15 am CASE StUDy: Engage Dual Eligibles to Improve Outcomes and Reduce Readmissions

11:15 am – 12:00 pm CASE StUDy: Evolve Payment Reform for Federal and State Programs to Improve Quality and Cost Containment

12:00 pm – 12:45 pm Discuss Recent Changes and Strategies to Improve the Future of Long term Care

12:45 pm – 1:45 pm Luncheon

MediCAid SuMMit duAlS SuMMit MediCAre SuMMit

1:45 pm – 2:00 pm Chairperson’s Opening Remarks

2:00 pm – 2:45 pm Integrating Medicaid — Utilize ACOs to Improve Care Coordination and Outcomes

Identify High-Risk and High-Utilizer Members to Improve Engagement and Retention

Navigate the Challenges Surrounding Changing Rules and Requirements as a Result of the 2016 Call Letter

2:45 pm – 3:30 pm CASE StUDy: Examine Challenges and Opportunities to Improve Behavioral Health Coordination Within Medicaid

CASE StUDy: Develop an Actionable Health Risk Assessment to Comply with Regulatory Deadlines

Discover Strategies to Ease the Shift from Fee-for-Service to Value Based Payments

3:30 pm – 4:00 pm Networking and Refreshment Break

4:00 pm – 4:45 pm Discover Strategies to Create Attractive Benefit Designs to Engage the New Medicaid Population

CASE StUDy: Leverage technology to Streamline Care Coordination for the Dual Eligible Population

Investigate the Untapped Potential of an Advanced Illness Program to Impact Quality and Cost

4:45 pm – 5:30 pmIdentify Best Practices to Improve Member Experience and Manage Churn

Compare Medicare-Medicaid Plans and Dual Eligible Special Needs Plans to Make the Best Product Development Decision

ROUNDtABLE DISCUSSIONS

5:30 pm – 6:30 pm Cocktail and Networking Reception

D a y t h r E E : t h u r s D a y , J u l y 1 6 , 2 0 1 57:30 am – 8:00 am Morning Coffee

MediCAid SuMMit duAlS SuMMit MediCAre SuMMit

8:00 am – 8:05 am Chairperson’s Welcome and Review of Previous Day

8:05 am – 9:00 am CASE StUDy: Explore the Impact of Dual Eligible Populations on Quality Measures

9:00 am – 9:45 am Navigate Federal and State Policies for telehealth

CASE StUDy: Connect with the Dual Eligible Population through the Lifeline Initiative

PANEL DISCUSSION: Examine the Financial Benefit of Blended Funding and Value-Based Payment Methods

9:45 am – 10:30 am PANEL DISCUSSION: Consider Medicaid telemedicine Programs to Reduce Costs and Improve Access

Engage Dual Eligible Populations through Innovative Methods Using Providers and Clinical Staff

CASE StUDy: Discover the Clinical and Financial Benefits of the Bundled Payment for Care Improvement Initiative

10:30 am – 11:00 am Networking and Refreshment Break

11:00 am – 11:45 am StAtE EXPANSION KEyNOtE: Assess Care Coordination and Cost Reduction Progress in traditional Expansion States

Partner with Community-Based Organizations to Improve Engagement and Clinical Outcomes

Utilize technology and CMS Quality Initiatives to Improve Quality of Care

11:45 am – 12:30 pm PLAN PERSPECtIVE: Discover Service Delivery Innovation and Cost Containment Initiatives for Medicaid Managed Care in Expansion States

Improve Provider Collaboration and Member Enrollment through Pro-active Programs Differentiate your Organization from Competition

to Improve your Financial Standing and Star Rating

12:30 pm – 1:30 pm Networking Luncheon and Close of Duals Summit

1:30 pm – 2:30 pm ALtERNAtIVE EXPANSION KEyNOtE: Examine Alternative Demonstration Waivers – Arkansas Outlook

CASE StUDy: Improve Enrollment and MemberEngagement through Grassroot Marketing Campaigns

2:30 pm – 3:30 pm CASE StUDy: Assess Innovative Care Management Programs and Costs in Non-Expansion States

Leverage Provider Collaboration to Deliver Higher Patient Satisfaction and Quality of Care

3:30 pm Close of Summit

July 14-16, 2015 the WeStin CryStAl City Arlington, vA

t h e 1 1 t h A n n u a l g h C C medicare & medicare advantaget h e 5 t h A n n u a l g h C C m e d i c a i d s u m m i tt h e 3 r d A n n u a l g h C C d u a l s s u m m i t

Medicaid programs and policy are continuing to transform as we

implement reform mandates. States, payers, and providers are

all working to improve the quality of care and reduce costs for

Medicaid programs.

This July at the 5th Annual Medicaid Summit payers, state and federal

operators, and providers convene to debate and decipher the biggest

issues in Medicaid. This multi-stakeholder event attracts experts from

across the nation to:

• Discuss the shifting policy landscape

• Identify best practices to engage the new Medicaid expansion

population, incorporate Duals, and address churn

• Examine expansion strategies from traditional, alternative, and

non–expansion states

• Discover new care and cost opportunities to make Medicaid more

affordable and sustainable

• Transform behavioral health programs in the Medicaid space to

improve care and reduce costs

TO REgiSTER, please visit www.worldcongress.com/medicaid • Phone: 800-767-9499 Fax: 781-939-2543 • Email: [email protected]

medicaid summitthe 5th annual ghCC

July 14-16, 2015 | the WeStin CryStAl City | Arlington, vA

examine advances in expansion, Managed Care, and alternative demonstrations to Control Costs and improve Care Quality, Efficiency, and Value

Who Should Attend? From health plans• President, medicaid business• ChiefGovernmentProgramsOfficers• vice Presidents, directors, and managers of: – medicaid – government Programs – duals – state Programs – disease management – Pharmacy – network contracting

From Federal and State government:• medicaid directors• medicaid Program and

department managers• Policy analysts and advisors• long term care• Health Plan Operations

From hospitals, integrated Systems, Long term Care, and FQhCs:• ChiefMedicalOfficers• ChiefFinancialOfficers• ChiefOperationsOfficers• vice Presidents, directors, and managers of: – managed care – medicaid – compliance – government affairs

This Summit Also Benefits:• managed care solutions Providers• government Program consultants

and advisors• Home Health companies• data and Health analytics Providers• Outreach and engagement solutions Providers

C o n S i d e r A S P o n S o r S h i P PA C K A g e • Present to Key Players in Your Target Market • Take Advantage of 1-on-1 Sponsor/Attendee Meetings Facilitated On-Site

CAPTURE A TRUE ROI ThROUgh SPOnSORShIP OF ThE FOllOwIng:Agenda Thought leadership • networking Cocktail Reception • Breakfast Symposia • luncheon • Executive networking Breaks

To inquire about Sponsorship, Exhibit, and Executive Networking Opportunities, Contact Dave Capobianco, Vice President, Business Development, World Congress • Phone 781-939-2635 • E-mail [email protected]

EdUCatiOnal UndErwritErs: EXHiBitOrs:

DAy OnE — TUESDAy, JUly 14, 201512:00 pm – 1:00 pm Workshop Registration

pre-SuMMit WorkShopS1:00 pm – 4:15 pm WorKShoP A: Analyze the impact of Star ratings Changes to d-SnPs and Medicare

Advantage Plans to Maximize Bonus Potential As the Star Ratings program evolves, health plans must align their goals and design their products to match those changes. This workshop analyzes the indications of potential changes announced in the Draft Call letter as well as the most recent regulatory changes made in the official 2016 Call letter, and explores the potential of Dual Eligible plans joining the Star Ratings program, and steps to improve ratings.

• Review changes that were stated in the 2016 Call letter to the Star Ratings for Medicare Advantage plans• Discuss the impact that serving low-income and disadvantaged populations has on Star Ratings• Investigate the policy changes made to Medicare and Star Ratings over the years to gauge where potential policy changes could take place• Discuss the potential change to Star Ratings that would include Dual Eligible Plans and D-SnPs• Explore what the model of Star Ratings for Dual Eligible plans would look like to gain a closer look at bonuses and penalties • learn how Dual Eligible members within a Medicare Advantage plan affect Star Ratings• Examine the impact that Dual Eligibles have on the business strategy for Star Ratings and product implementation

nilda González, Hia, CHC, MHP, HCsa AVP Five Stars Operation MMM Holdings, llC

lynn nonnemaker Director, Medicare Policy Cigna

WorKShoP B: improve the Consumer experience of Medicaid Beneficiaries on exchanges The implementation of exchanges has created new opportunities and challenges for the Medicaid and commercial populations. learn how improving eligibility operations, education, and churn transitions can enhance consumer experience, engagement, and stickiness.

• Discuss the issue of churn and how it impacts states, payers, and patients across the country• Discover best practices in churn management• Outline the steps to ensure a seamless transition from commercial to government sponsored insurance• Evaluate the impact consumer experience has on utilization, engagement, and costs• Assess eligibility requirements and the technology that can improve business operations, consumer experience, and seamlessness

Matthew Buettgens Senior Research Associate THe Urban insTiTUTe

scott streator Vice President, Enterprise Strategy and Planning CaresoUrCe

4:15 pm Close of Day One

TO REgiSTER, please visit www.worldcongress.com/medicaid • Phone: 800-767-9499 Fax: 781-939-2543 • Email: [email protected]

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medicaid summitthe 5th annual ghCC examine advances in

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TO REgiSTER, please visit www.worldcongress.com/medicaid • Phone: 800-767-9499 Fax: 781-939-2543 • Email: [email protected]

DAy TwO — wEDnESDAy, JUly 15, 20157:00 am – 8:00 am Summit Registration and Morning Coffee

governMent heAlth CAre CongreSS ShAred SeSSionS — MediCAid, MediCAre, And duAl eligiBleS

8:00 am – 8:15 am government health Care Congress Welcome and opening remarks

Pamela sedmak President and Chief Executive Officer aeTna MediCaid

8:15 am – 9:15 am

Shared SeSSion

CMS Keynote AddreSS: discuss the transition to value through delivery System reformhear directly from CMS as to the Agency’s current initiatives to promote value in the health care system through innovative programs designed to drive smarter, better, and healthier care.

• Review the outcomes of current clinical innovation and quality-related activities specific to achieving smarter spending• Discuss Value Based Purchasing (VBP) initiatives, roadmaps to completion, proposed timelines, and what this means for payers, states, patients, and providers • learn more about transformational clinical practice and quality improvement programs that are connecting value to care coordination, and the role the

government plays in supporting this work

Jean Moody-williams Deputy Director, Center for Clinical Standards and Quality CenTers for MediCare and MediCaid serviCes

9:15 am – 10:00 am

Shared SeSSion

discuss Collaborations between Medicare and Medicaid Coordinated Plansgain an updated perspective from a state and their affiliated health plan on the implementation progress of a dual eligible program that has successfully launched and includes long Term Services and Supports.

• hear examples of program structure and anecdotal impacts Duals programs have on financial and clinical outcomes for states, payers, and providers• Discuss the implementation of waivers for the Duals space

Chris Barrott Idaho MMCP Contract Manager sTaTe of idaHo, deparTMenT of HealTH and Welfare

Beth nelson Director, Medicaid blUe Cross idaHo

10:00 am – 10:30 am Networking and Refreshment Break

10:30 am – 11:15 am

Shared SeSSion

CASe Study: engage dual eligibles to improve outcomes and reduce readmissionsMany argue that developing programs to better coordinate the care of the Dual Eligible population is not enough. This case study features strategies to successfully engage and educate this high-risk population to improve outcomes and prevent readmissions.

• learn how one provider’s engagement program decreased the cost of total care by $400-$600 per member, per month • Discover lessons learned and best practices around integration, education, and care management that reduced readmissions and

improved adherence for Duals• Outline how Duals programs impact payer strategy, health policy, and broader health strategies for providers, plans, and state programs

John C. wood, Md, FaaFP Chairman, Family and Community Medicine, Medical Director, High Risk Population Management lanCasTer general HealTH sysTeM

11:15 am – 12:00 pm

Shared SeSSion

CASe Study: evolve Payment reform for federal and State Programs to improve Quality and Cost ContainmentIn order to keep federally and state funded programs sustainable, states across the nation must consider alternative payment models regardless of expansion status. learn how one Integrated Delivery System in a non-expansion state created a program to control costs and improve care across the continuum for Medicaid and Medicare beneficiaries.

• Discover the policy and financial transformation one state undertook to cap Medicaid spending and improve care• Evaluate the impact this program had on provider operations and care delivery • hear lessons learned regarding legislative constraints, provider push back, and additional opportunities

dan liljenquist Director, Special Projects inTerMoUnTain HealTHCare

TO REgiSTER, please visit www.worldcongress.com/medicaid • Phone: 800-767-9499 Fax: 781-939-2543 • Email: [email protected]

DAy TwO — wEDnESDAy, JUly 15, 2015 (COnTinUED)12:00 pm – 12:45 pm

Shared SeSSion

identify Strategies to improve the future of long term Care long Term Care is typically a high cost driver for Medicaid, Medicare, and Dual Eligible populations. learn how health plans are reducing this cost by implementing engagement programs, delivery transformation, and capitation policies for lTSS programs.

• Analyze one state’s current lTSS transformation work that focuses on community programs, engagement, home care, and capitation• Discover strategies to further engage patients and train case managers to proactively educate patients and families on lTSS programs and services• Reflect on the impact these programs have on quality of life, health care costs, and outcomes

John Cole Chief Operating Officer sHaredHealTH

Jed Ziegenhagen Deputy Medicaid Director, Community Living sTaTe of Colorado, deparTMenT of HealTH Care poliCy and finanCing; MediCaid & CHild HealTH plan (CHp+)

12:45 pm – 1:45 pm Luncheon

the 5th AnnuAl MediCAid SuMMit — PlenAry SeSSionSCARE COORDinATiOn STRATEgiES TO REDUCE ThE COST OF CARE FOR

MEDiCAiD POPUlATiOnS1:45 pm – 2:00 pm Medicaid Chairperson’s opening remarks

Pamela sedmak President and Chief Executive Officer aeTna MediCaid

2:00 pm – 2:45 pm integrating Medicaid — utilize ACos to improve Care Coordination and outcomes

hear in-depth information explaining the innovative strategies one organization put in place to create accountable care for the Medicaid population.

• Evaluate one state’s journey to integrate and coordinate care by contracting with Accountable Care Organizations• Identify innovations in technology that improve data transparency, care coordination, and access across the nation• learn how these programs are better managing costs and outcomes

Katie Fullam Harris Senior Vice President, Government Relations and Accountable Care Strategy MaineHealTH

2:45 pm – 3:30 pm CASe Study: examine Challenges and opportunities to improve Behavioral health

Coordination Within Medicaidlearn how one state is tackling the issues related to behavioral health in Medicaid and further integrating behavioral health to provide more coordinated care.

• Understand the current and proposed policies for coordinating, integrating, and strengthening behavioral health and substance abuse programs• Discover innovative and alternative care models that improve care for Medicaid beneficiaries with co-morbidities• Evaluate policies that create barriers for this group, and review legislation that may create new opportunities for behavioral health

Featured Speaker TBA

3:30 pm – 4:00 pm Networking and Refreshment Break

4:00 pm – 4:45 pm discover Strategies to Create Attractive Benefit designs to engage the new

Medicaid PopulationFor states that have expanded, there is a new population of Medicaid patients with considerably different characteristics. learn how behaviors, utilization, and demographic characteristics have changed in expansion states, and discuss best practices for engaging these new beneficiaries.

• Discover how expansion has changed Medicaid population demographics, utilization, and trend for states that have expanded• gain an understanding of Essential health Benefits Customization and evaluate successful network design• Improve strategies to research and create engagement programs for new beneficiaries• Design successful retention and churn management strategies

scott streator Vice President, Enterprise Strategy and Planning CaresoUrCe

TO REgiSTER, please visit www.worldcongress.com/medicaid • Phone: 800-767-9499 Fax: 781-939-2543 • Email: [email protected]

DAy TwO — wEDnESDAy, JUly 15, 2015 (COnTinUED)4:45 pm – 5:30 pm

identify Best Practices to improve Member experience and Manage Churn Plans and states are both dealing with a high amount of churn between Medicaid and exchanges. learn how health plans and exchanges are tackling the issues associated with churn by improving this population’s overall experience with plans.

• Discuss the challenges associated with churn, and the impact expansion has had on the Medicaid population, exchanges, and state operators• Identify best practices to integrate eligibility with state partners and improve operational efficiency• Improve the churn population’s user experience by using technology, better messaging, and tailored education programs

Jennifer McGuigan Babcock Vice President, Exchange Policy, Director, Strategic Operations assoCiaTion of CoMMUniTy affiliaTed plans (aCap)

5:30 pm – 6:30 pm Cocktail and Networking Reception

DAy ThREE — ThURSDAy, JUly 16, 20157:30 am – 8:00 am Morning Coffee

8:00 am – 8:05 am

Chairperson’s Welcome and review of Previous day sara wedlock

Director, Dual Eligible Products WellCare HealTH plans inC.

8:05 am – 9:00 am

Shared SeSSion

CASe Study: explore the impact of dual eligible Populations on Quality MeasuresDuring this case study, hear from an organization who examined data of over two million Medicare Advantage members across 73 contracts to identify the challenges health plans face based on sociodemographic factors of their members.

• Analyze data that studied Medicare Advantage members to identify quality measure challenges that dual eligible members pose• Review the key factors driving observed health disparities between dual eligible and non-dual eligible populations on outcomes for eight Five Star

quality measures for health plans• Discuss the implications of the findings for a proposed agenda to account for social determinants of health in Medicare Advantage plan quality

performance measurement

rich Bringewatt President, naTional HealTH poliCy groUp Chair, snp allianCe

Christie teigland, Phd Senior Director, Statistical Research inovalon

the 5th AnnuAl MediCAid SuMMit — PlenAry SeSSionS reSuMe9:00 am – 9:45 am

navigate federal and State Policies for telehealth Public health care systems are under increasing pressure to become more integrated and value-based at a time when the number of insured is rapidly expanding. This session explores the promise of digitally connected health technologies for providers, payers, and policy makers to improve care coordination and integration, and achieve greater value in the Medicaid space.

• gain a better awareness of the myriad of state and federal Telehealth related laws and policies, and an understanding of definitions, cross-state licensing issues, and reimbursement requirements

• Understand the business case for Telehealth as a valuable tool for health care transformation for Medicaid• learn about innovative model systems in the U.S. that have successfully incorporated virtual care and monitoring to improve the quality of care,

expand access, and improve the patient experience

Mario Gutierrez Executive Director CenTer for ConneCTed HealTH poliCy

9:45 am – 10:30 am

PAnel diSCuSSion: Consider Medicaid telemedicine Programs to reduce Costs and improve AccessTo improve access to care, reduce improper emergency department utilization, and decrease costs many states and payers are introducing Telemedicine solutions to their Medicaid programs.

• Examine the progress of current Telemedicine pilots• Discuss challenges and proposed solutions to integrating Telemedicine into Medicaid programs• Compare program outcomes and evaluate the impact on cost reduction, access, and quality of care• Evaluate the costs and resources necessary to operationalize and scale Telemedicine programs

Moderator:

Jennifer tracey Medicare-Medicaid Federal Policy Director UniTedHealTHCare CoMMUniTy & sTaTe

Panelists:

lauren Faison Administrator Regional Development, Population Health and Telemedicine TallaHassee MeMorial HealTH sysTeM

Kim a. schwartz Chief Executive Officer roanoke CHoWan CoMMUniTy HealTH CenTer, inC.

TO REgiSTER, please visit www.worldcongress.com/medicaid • Phone: 800-767-9499 Fax: 781-939-2543 • Email: [email protected]

TO REgiSTER, please visit www.worldcongress.com/medicaid • Phone: 800-767-9499 Fax: 781-939-2543 • Email: [email protected]

DAy ThREE — ThURSDAy, JUly 16, 2015 (COnTinUED)AnAlyzE TRADiTiOnAl, AlTERnATiVE, AnD nOn-ExPAnSiOn PROgRAMS

10:30 am – 11:00 am Networking and Refreshment Break

11:00 am – 11:45 am StAte eXPAnSion Keynote: Assess Care Coordination and Cost reduction

Progress in traditional expansion Stateshear one state’s operators share lessons learned from expansion. Examine the progress made and challenges they faced while implementing expansion in terms of costs, quality, and access to care.

• learn what led Kentucky to adopt expansion policies• hear an update on Kentucky’s expansion program — Investigate KYConnect, service utilization, and clinical outcomes• Discover how MCOs fit into the expansion conversation and strategies to improve interactions

Veronica Cecil Chief of Staff, Department for Medicaid Services, Cabinet for Health and Family Services CoMMonWealTH of kenTUCky

lisa d. lee Commissioner kenTUCky deparTMenT for MediCaid serviCes

11:45 am – 12:30 pm PlAn PerSPeCtive: discover Service delivery innovation and Cost Containment

initiatives for Medicaid Managed Care in expansion StatesAfter hearing state perspectives on expansion, learn how one Medicaid plan is responding to expansion. Evaluate the programs launched to reduce the cost of care, increase access, and improve the quality of care through innovative service delivery and technology initiatives.

• Unique challenges of expansion members • gain an understanding of the wellness and preventative health programs being used to decrease long-term costs.• Evaluate early expansion impact data on the cost of care, health status, and outcomes

Celia Manlove President anTHeM blUe Cross and blUe sHield in kenTUCky, MediCaid

12:30 pm – 1:30 pm Networking Luncheon

1:30 pm – 2:30 pm AlternAtive eXPAnSion Keynote:

examine Alternative demonstration Waivers — Arkansas outlookThe introduction of 1115 waivers has changed the game for many states that were not ready to expand Medicaid on traditional terms. hear how one state is proposing to expand and manage Medicaid beneficiaries.

• gain an understanding of the alternative demonstration plan one state is implementing• Evaluate the program in terms of financial structure, care management models, and resources• Review the data and assess the success of care coordination and management programs thus far• learn what parts of this program were accepted by CMS, and which were not

william Golden, Md, MaCP Medical Director arkansas MediCaid

2:30 pm – 3:30 pm CASe Study:

Assess innovative Care Management Programs and Costs in non-expansion StatesSome states have opted not to expand Medicaid, such as Texas. In this session, hear from a managed care provider organization in Texas and learn how non-expansion is impacting outcomes, finances, and access.

• Discover what managed care programs and strategies look like in one non-expansion state• Evaluate the impact non-expansion programs have had on providers and payers• learn how providers and payers can utilize technology to help reduce access and coverage burdens

lara Cline Director, Transitional Coordination CanTex ConTinUing Care neTWork

Patsy tschudy rn, CCM Director, Managed Care CanTex ConTinUing Care neTWork

3:30 pm Close of Summit

TO REgiSTER, please visit www.worldcongress.com/medicaid • Phone: 800-767-9499 Fax: 781-939-2543 • Email: [email protected]

medicaid summitthe 5th annual ghCC

examine advances in expansion, Managed Care, and alternative demonstrations to Control Costs and Improve Care Quality, Efficiency, and Value

Best Value

Prsrt stdU.s. Postage

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World Congress500 West Cummings Park, Suite 5200Woburn, MA 01801HL15049

VENUE INFO THE WESTIN CRYSTAL CITY1800 JEFFERSON DAVIS HIGHWAY ARLINGTON, VIRGINIA, 22202 · PHONE: (703) 486-1111

www.westincrystalcity.comROOM RATE $199 • CUT OFF DATE 6/22/15

Please mention WC Research/World Congress when registering to receive this special rate!

To register, please visit: www.worldcongress.com/Medicaid • Call: 800-767-9499 • Fax: 781-939-2543 • email: [email protected]

Save up to $600 when you regiSter by 5/15/15 !

July 14-16, 2015 | the WeStin CryStAl City | Arlington, vA

event feAtureS: inCluding fACulty rePreSentAtion froM:

as part of the government health Care Congress, registration includes:• Opportunities to network with 250+

government, payers, and providers who focus specificallyinthegovernmentprogramspace

• 3 concurrent summits — medicaid, medicare, and duals — detailing the full view of government programs

• insights from 50+ speakers representing states, health plans, and provider groups

• aetna• acaP• anthem blue

cross and blue shield, medicaid

• arkansas medicaid• blue cross idaho• cantex continuing

care network• caresource• center for

connected Health

• commonwealth of Kentucky, cabinet for Health and Family services

• intermountain Healthcare

• lancaster general Health system

• maryland department of Health and Human services

• roanoke chowan community Health center, inc.

• state of colorado, department of Health care Policy and Financing; medicaid & child Health Plan (cHP+)

• state of idaho, department of Health and Welfare

• tallahassee memorial Healthsystem

• the urban institute• and more…

REGISTRATION FEE: Register By

5/15/2015

Register By

6/19/2015

Register By

7/14/2015StAndArdConference Only $ 1695.00 $ 1995.00 $ 2295.00

Conference Plus Workshop $ 1795.00 $ 2145.00 $ 2495.00Workshop Only $ 100.00 $ 150.00 $ 200.00HeAltH PlAnSConference Only $ 795.00 $ 1095.00 $ 1395.00Conference Plus Workshop $ 895.00 $ 1245.00 $ 1595.00Workshop Only $ 100.00 $ 150.00 $ 200.00CAre PrOviderSConference Only $ 595.00 $ 895.00 $ 1195.00Conference Plus Workshop $ 695.00 $ 1045.00 $ 1395.00Workshop Only $ 100.00 $ 150.00 $ 200.00GOvernMentConference Only $ 295.00 $ 295.00 $ 295.00Conference Plus Workshop $ 395.00 $ 395.00 $ 395.00

Workshop Only $ 100.00 $ 100.00 $ 100.00

Fee for conference includes welcome coffee, lunch, reception, refreshments, and web-based conference documentation available pre- and post-event, accessible through password-protected website. Checks in U.S. funds drawn from U.S. bank payable to: WC Research Inc. No personal checks accepted. Verification may be required for rate approvals. Please contact us should you have any special needs.

SPECIAL TEAM DISCOUNTS: Your organization may send ONE executive FREE for every three delegates registered. All registrations must be made at the same time to qualify. To register your team, contact us at 800-767-9499.

PARTICIPANT SUbSTITUTION AND CANCELLATIONS: Your registration may be transferred to a member of your organization up to 24 hours in advance of the conference. Cancellations received in writing on or before 30 days prior to the start of the event will be refunded, less a $395 administrative charge. No refunds will be made after this date; however, the registration fee less the $395 administrative charge can be credited to another World Congress conference if you register within 6 months from the date of this conference. In case of conference cancellation, World Congress’ liability is limited to refund of the conference registration fee only. World Congress reserves the right to alter this program without prior notice.

SATISFACTION GUARANTEED: World Congress stands behind the quality of its conferences. If you are not satisfied with the quality of the conference, a credit will be awarded towards a comparable World Congress conference of your choice.

wEBsitEworldCongress.com/ Medicaid

REGISTER NOW!E-Mailwcreg@ worldcongress.com

PHOnE800-767-9499781-939-2400 outside the U.S.

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