Medicaid Managed Care

Apr 23, 2020 ‐ Apr 24, 2020


The 5th Annual Medicaid Managed Care Leadership Summit brings together state & federal legislators, Medicaid Managed Care health plans, providers and community-based organizations to navigate regulatory uncertainty, overcome financing barriers, and improve care delivery.

Standard: $500.00

Sessions

Welcome Remarks iconWelcome Remarks

Preview Available

Welcome Remarks

Apr 23, 2020 9:00am ‐ Apr 23, 2020 9:15am

Speaker(s):
  • Andrey Ostrovsky, MD, FAAP, Former Chief Medical Officer;Managing Partner, US Medicaid Program;Social Innovation Ventures

Multi-Perspective Panel: Keys to Medicaid/Medicare Integration in a Managed Care Environment

Apr 23, 2020 9:30am ‐ Apr 23, 2020 10:15am

Learning Objectives:

• Hear advancements in integrating care for Dually Eligible Individual from stakeholders across the managed care ecosystem
• Hear an update on current financial alignment demonstrations
• Assess new innovations in LTSS
• Gain insights into the core elements of integrated care as well as an update on initiatives at the National Pace Association

Speaker(s):

Fireside Chat with the NCQA iconFireside Chat with the NCQA

Preview Available

Fireside Chat with the NCQA

Apr 23, 2020 10:30am ‐ Apr 23, 2020 11:10am

Join a Fireside chat, followed by audience Q&A discussion on timely topics including the move towards electronic quality measures and SDOH initiatives and the impact on the Medicaid population.

Speaker(s):
  • Margaret O'Kane, Founder and President, National Committee for Quality Assurance (NCQA)
  • Andrey Ostrovsky, MD, FAAP, Former Chief Medical Officer;Managing Partner, US Medicaid Program;Social Innovation Ventures

Keynote Panel: State Medicaid Director Insights into Program Developments in Managed Care

Apr 23, 2020 11:25am ‐ Apr 23, 2020 12:10pm

Learning Objectives:

• What are the key priorities identified by state Medicaid programs for 2020?
• Understand how states are thinking about pending litigation for the ACA and its potential for far-reaching consequences for Medicaid
• Hear how different states are innovating to address challenges and overcome barriers in their Medicaid populations
• Discuss contract expectations for community-based organizations

Speaker(s):
  • Merrill Friedman, Senior Director of Disability Policy Engagement, Federal Affairs, Anthem Inc.
  • Karen E. Kimsey, Director, Virginia Deparment of Medical Assistance Services
  • Tracy Johnson, Medicaid Director, Colorado Department of Health Care

Case Study – Supporting the Medicaid Population as a Part of their Continuum of Care

Apr 23, 2020 12:40pm ‐ Apr 23, 2020 1:25pm

Learning Objectives:

• Learn about the implementation of WellSpan’s programs supporting the Medicaid population, including the Omega Bed Program, Arches to Wellness and ALPHA
• Focus on the outcomes of the programs, including reduction of length of stay in the hospital through addressing discharge barriers
• Discuss roadblocks in the process and learnings from overcoming them, including the valuable community partnerships that supported success

Speaker(s):

Henry’s Groceries for Health – Better Outcomes through Better Nutrition

Apr 23, 2020 2:40pm ‐ Apr 23, 2020 3:25pm

Learning Objectives:

• Learn about Henry Ford’s innovative home delivery pilot program, in partnership with a local food bank, to assist food-insecure clinic patients for a full year
• Discuss research and analytics methods used to assess changes in healthcare utilization, biometrics, and total cost of care
• Discuss current approaches to scale and spread this successful program to help other vulnerable patients under HFHS’s care

Speaker(s):
  • Susan Hawkins, FACHE, Senior Vice President of Population Health, Henry Ford Health System

Behavioral Health Needs and Crisis Stabilization at the Point of the Care

Apr 23, 2020 3:40pm ‐ Apr 23, 2020 4:24pm

Learning Objectives:

• Understand the monetary and social cost of poor care coordination with BEH patients in need of care
• How can you ensure intervention at the point of crisis to improve outcomes?
• Create a 360-degree continuum of care to improve outcomes, control cost and decrease ER utilization

Speaker(s):
  • Dr. Andrew F. Cleek, Chief Program Officer, McSilver Institute for Poverty Policy & Research NYU
  • Boris Vilgorin, MPA, Health Care Strategy Officer, McSilver Institute for Poverty Policy & Research NYU

Keynote Roundtable: Medicaid Association Leadership Perspectives on the Current & Future Managed Care Landscape

Apr 23, 2020 4:40pm ‐ Apr 23, 2020 5:30pm

Hear about actions that Medicaid Managed Care Organizations are taking now to support providers during the COVID-19 crisis and the impact that those actions might have in 6-9 months. Learn about the potential regulatory and policy changes that may need to be made to mitigate any unintended consequences of these efforts.


Speaker(s):
  • Elena Nicolella, Executive Director, New England States Consortium Systems Organization
  • Meg Murray, Chief Executive Officer, Association of Community Affiliated Plans
  • Craig Kennedy, Chief Executive Officer, Medicaid Health Plans of America

Fireside Chat with the Administration of Community Living (ACL)

Apr 24, 2020 9:00am ‐ Apr 24, 2020 9:45am

Learning Objectives:

• Learn how the ACL is preparing CBOs to interface with healthcare ecosystems to deliver person-centered care
• Explore current ACL initiatives that enable CBOs and healthcare networks to positively impact health outcomes, cost and member satisfaction
• Identify programs currently funded by the ACL via CBOs including Evidence Based Programs and other social services that complement clinical care to enhance care coordination and management

Speaker(s):
  • Sharon R. Williams, CMCE, Chief Executive Officer, Williams Jaxon Consulting, LLC
  • Kelly Cronin, Deputy Administrator, Innovation and Partnership, HHS Administration for Community Living

GAO Reviews of Program Integrity and Oversight in Managed Care

Apr 24, 2020 10:00am ‐ Apr 24, 2020 10:45am

Learning Objectives:

• Get an overview of current federal and state management practices
• Understand challenges related to provider screening and enrollment and eligibility determinations
• Hear State practices to improve oversight & federal compliance

Speaker(s):
  • Susan Barnidge, Assistant Director, Health Care U.S., U.S. Government Accountability Office
  • Leslie Gordon, Assistant Director, U.S. Government Accountability Office
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