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


Welcome Remarks iconWelcome Remarks

Preview Available

Welcome Remarks

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


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


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.

  • Margaret O'Kane, Founder and President, National Committee for Quality Assurance (NCQA)
  • Andrey Ostrovsky, MD, FAAP, MD, FAAP, Managing Partner, 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

  • 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


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

  • 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

  • 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.

  • 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

  • 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

  • Susan Barnidge, Assistant Director, Health Care U.S., U.S. Government Accountability Office
  • Leslie Gordon, Assistant Director, U.S. Government Accountability Office