SESSIONS CONFERENCE DAY 1 - 21/05/2018 Registration and Morning Coffee 8:00am - 9:00am
Medicaid Managed Care Congress May 21-23, 2018 Hyatt Regency Baltimore Inner Harbor Baltimore, Maryland, USA
Fraud, Waste & Abuse in Medicaid Managed Care 12:45pm - 1:30pm
The Current Managed Care Landscape Nationwide 9:00am - 9:45am
Participants Speaker: Alexander Shekhdar - Vice President, Federal and State Policy, Medicaid Health Plans of America (MHPA)
The National Health Care Anti-Fraud Association (NHCAA) will host this panel discussion on the topic of health care fraud, waste and abuse, specifically regarding Medicaid managed care. Join the NHCAA’s CEO and three key NHCAA member representatives and seasoned anti-fraud professionals who work for insurers that hold Medicaid managed care contracts as they address the leading issues and trends in the FWA space as it pertains to MC. Moderator:
Update on Regulatory Developments and Government Initiatives on the Hill
Louis Saccoccio, CEO, National Health Care Anti-Fraud Association
9:45am - 10:30am
Panelists:
Morning Networking Break
Richard Munson, Vice President, Investigations, UnitedHealthcare
10:30am - 11:15am
Nicholas Messuri, Vice President, Fraud Prevention & Recovery, DentaQuest
The Impact of Patient Reported Outcomes on Regulators and Payers
Katherine Leff, Director, Special Investigations Unit, CareSource
11:15am - 12:00pm
Participants
Participants
Moderator: Louis Saccoccio - CEO, National Health Care Anti-Fraud Association
Speaker: Christine McSherry - Executive Director, Jett Foundation
MLTSS Integration, State-Wide Update 12:00pm - 12:45pm
DSNP 3:15pm - 4:00pm Track I: Specialty Populations and Programs
Opiate Health Homes 3:15pm - 4:00pm Track II: Addressing the Opioid Epidemic
Duals Demonstration Programs: What's Next? 4:00pm - 4:45pm Track I: Specialty Populations and Programs
Treating Complex Populations within Opioid Addiction 4:00pm - 4:45pm Track II: Addressing the Opioid Epidemic
Panelist: Richard Munson - Vice President, Investigations, UnitedHealthcare Panelist: Nicholas Messuri - Vice President, Fraud Prevention & Recovery, DentaQuest Panelist: Katherine Leff - Director, Special Investigations Unit, CareSource
Networking Lunch 1:30pm - 2:30pm
Monitoring EPSDT and Data Sharing with MCOs 2:30pm - 3:15pm Track I: Specialty Populations and Programs
Participants Colleen Sonosky - Associate Director of Children's Health Services, DC Department of Health Care Finance
Strategies to Manage the Opioid Crisis 2:30pm - 3:15pm Track II: Addressing the Opioid Epidemic
Participants John Lovelace - President Government Programs, UPMC Health Plan
888-670-8200 (U.S. Toll-free), +1 941-554-3500 (International)
lifesciences.knect365.com/ medicaidmanagedcarecongress/
[email protected]
SCHEDULE CONFERENCE DAY 1 - 21/05/2018
Medicaid Managed Care Congress May 21-23, 2018 Hyatt Regency Baltimore Inner Harbor Baltimore, Maryland, USA
TIME
TRACK I: SPECIALTY POPULATIONS AND PROGRAMS
TRACK II: ADDRESSING THE OPIOID EPIDEMIC
8:00AM
8:00am - Registration and Morning Coffee
8:00am - Registration and Morning Coffee
9:00AM
9:00am - The Current Managed Care Landscape Nationwide
9:00am - The Current Managed Care Landscape Nationwide
9:45am - Update on Regulatory Developments and Government Initiatives on the Hill
9:45am - Update on Regulatory Developments and Government Initiatives on the Hill
10:00AM
10:30am - Morning Networking Break
10:30am - Morning Networking Break
11:00AM
11:15am - The Impact of Patient Reported Outcomes on Regulators and Payers
11:15am - The Impact of Patient Reported Outcomes on Regulators and Payers
12:00PM
12:00pm - MLTSS Integration, State-Wide Update
12:00pm - MLTSS Integration, State-Wide Update
12:45pm - Fraud, Waste & Abuse in Medicaid Managed Care
12:45pm - Fraud, Waste & Abuse in Medicaid Managed Care
1:00PM
1:30pm - Networking Lunch
1:30pm - Networking Lunch
2:00PM
2:30pm - Monitoring EPSDT and Data Sharing with MCOs
2:30pm - Strategies to Manage the Opioid Crisis
3:00PM
3:15pm - DSNP
3:15pm - Opiate Health Homes
4:00PM
4:00pm - Duals Demonstration Programs: What's Next?
4:00pm - Treating Complex Populations within Opioid Addiction
888-670-8200 (U.S. Toll-free), +1 941-554-3500 (International)
lifesciences.knect365.com/ medicaidmanagedcarecongress/
[email protected]
SESSIONS CONFERENCE DAY 2 - 22/05/2018 Registration and Morning Coffee 8:00am - 9:00am
Medicaid Managed Care Congress May 21-23, 2018 Hyatt Regency Baltimore Inner Harbor Baltimore, Maryland, USA
Networking Luncheon: State Medicaid Roundtable Discussions 1:00pm - 2:00pm
Participants
Chairperson's Opening Remarks 2:00pm - 2:15pm Track A: MLTSS
John Lovelace - President Government Programs, UPMC Health Plan
Chairperson's Opening Remarks Opening Keynote Address
2:00pm - 2:15pm Track B: Behavioral Health Integration
Fran Martini, RN, BSN, MBA - Director, Population Health Management, BCBS Tennessee
The Role of the Case Manager to Improve Member Engagement with Their Health 2:15pm - 3:00pm Track D: Member & Patient Engagement
Participants
9:15am - 9:45am
Chairperson's Opening Remarks Keynote Panel Discussion: The Future of Medicaid and Medicaid Expansion
2:15pm - 3:00pm Track C: Social Determinants of Health
Participants
Chairman's Opening Remarks 9:00am - 9:15am
Applying SDOH to Triple Aim
Merrill Friedman - Senior Director, Disability Policy Engagement, Anthem, Inc.
2:00pm - 2:15pm Track C: Social Determinants of Health
Participants
The Evolution of Long Term Care Integration: Then and Now
Panelist: Jeff Myers - President and CEO, Medicaid Health Plans of America
Jennifer Babcock - Vice President for Medicaid Policy and Director of Strategic Operations, Association for Community Affiliated Plans
3:00pm - 3:45pm Track A: MLTSS
Panelist: Margaret Murray - CEO, Association for Community Affiliated Plans (ACAP)
Christine Nye - Senior Fellow, NORC at University of Chicago
9:45am - 10:30am
Participants
Moderator: Clay Farris - Senior Healthcare Executive, Mostly Medicaid
Participants Bill Moss (Invited) - Assistant Secretary, Aging & LongTerm Support Administration (ALTSA)
Chairperson's Opening Remarks
Morning Networking Break
2:00pm - 2:15pm Track D: Member & Patient Engagement
SMI Services: Housing Case Study for BEH SMI Populations
10:30am - 11:00am
Participants
3:00pm - 3:45pm Track B: Behavioral Health Integration
Clay Farris - Senior Healthcare Executive, Mostly Medicaid
Participants
Utilizing Waiver Programs to Treat Complex Populations for Better Outcomes 11:00am - 11:30am
*Other panelists to be added
Utilizing Digital Communications in Managed Care to Improve Engagement & Outcomes 11:30am - 12:00pm
Medicaid Director Panel Discussion 12:00pm - 1:00pm
Participants Moderator: Vernon Smith, Ph.D. (Invited) - Senior Advisor, Health Management Associates Panelist: Jon Hamdorf - Interim Division Director & State Medicaid Director, Kansas Departmetn of Health & Environment Panelist: Dennis Schrader - Medicaid Director, Maryland Department of Health Panelist: Claudia Schlosberg - Medicaid Director , District of Columbia Department of Health Care Finance
888-670-8200 (U.S. Toll-free), +1 941-554-3500 (International)
Automating LTSS Financial Eligibility to Reduce Fraud
Moderator: Mollie Hertel - Senior Research Scientist, NORC at University of Chicago Panelist: Blythe FitzHarris, Ph.D., LCSW - Chief Clinical Officer, Mercy Maricopa Integrated Care
2:15pm - 3:00pm Track A: MLTSS Due to the LTSS financial eligibility process being costly, complex and time-consuming, states are turning to automated tools to pre-emptively detect unreported assets and analyze financial transactions to recognize asset transfers during the requisite fiveyear look-back period. Learn how Illinois and New Jersey successfully use our Program Integrity solution and Medicaid Genius to combat fraud and abuse and reduce costs.
Participants Barbara Selter - Vice President, Business Development, Health Services, Maximus
Treating Substance Use Disorder in BEH Population
Innovations in Addressing the Special Health Care Needs of Children to improve outcomes, access to health care services, and other needed supports 3:00pm - 3:45pm Track C: Social Determinants of Health
Participants Moderator: Cheryl Austein Casnoff - Senior Fellow, NORC at University of Chicago Panelist: Mary Dale Peterson - President and CEO, Driscoll Children's Health Plan at Driscoll Children's Hospital Panelist: Mike Boeder - Director, Care4Kids, Children's Community Health Plan, Wisconsin
2:15pm - 3:00pm Track B: Behavioral Health Integration
lifesciences.knect365.com/ medicaidmanagedcarecongress/
[email protected]
SESSIONS CONFERENCE DAY 2 - 22/05/2018
Medicaid Managed Care Congress May 21-23, 2018 Hyatt Regency Baltimore Inner Harbor Baltimore, Maryland, USA
“Touching” Complex Populations via Digital Health Innovation
Member Engagement Strategies and Best Practices for Clinical Outcomes
3:00pm - 3:45pm Track D: Member & Patient Engagement
4:15pm - 5:00pm Track D: Member & Patient Engagement
Participants Afternoon Networking Break 3:45pm - 4:15pm Track A: MLTSS
Kavita Singh PharmD (Invited) - Clinical Specialist, Pharmacy Transition of Care, Memorial Hospital Miramar Fabio Vogel, PharmD, BCPS (Invited) - Clinical Coordinator, Pharmacy, Memorial Hospital Miramar
Afternoon Networking Break 3:45pm - 4:15pm Track B: Behavioral Health Integration
Afternoon Networking Break 3:45pm - 4:15pm Track C: Social Determinants of Health
Afternoon Networking Break 3:45pm - 4:15pm Track D: Member & Patient Engagement
MLTSS for the Intellectual and Developmental (IDD) Population 5:00pm - 5:45pm Track A: MLTSS
Navigating Billing for Behavioral Health in “Carve Out” States 5:00pm - 5:45pm Track B: Behavioral Health Integration
Housing Case Study with CareOregon MLTSS Payment Systems & the Complaints/ Appeals Process
5:00pm - 5:45pm Track C: Social Determinants of Health
4:15pm - 5:00pm Track A: MLTSS
Participants
Participants
Eric Hunter - President and CEO, CareOregon Rebecca Ramsay - Executive Director, CareOregon
Carolyn Yocom - Director, Health Care Team, U.S Government Accountability Office (GAO)
Late Breaking Presentation Aligning Clinical Outcomes with Financial Efficiency in BEH and PC Integration 4:15pm - 5:00pm Track B: Behavioral Health Integration
5:00pm - 5:45pm Track D: Member & Patient Engagement
Opening Remarks 5:45pm - 6:00pm
Addressing Social Determinants of Health for the Justice-Involved Population/Case Studies/ Solutions
Cocktail Reception 6:00pm - 7:00pm
4:15pm - 5:00pm Track C: Social Determinants of Health
Participants Moderator: Lois Simon - Principal Research Scientist, NORC at University of Chicago Panelist: Brianna Ennslin - Director of Public Policy, Molina Healthcare of New Mexico Panelist: Sarah Spiekermeier - Implementation Program Manager, University of Arizona Health Plans
888-670-8200 (U.S. Toll-free), +1 941-554-3500 (International)
lifesciences.knect365.com/ medicaidmanagedcarecongress/
[email protected]
SCHEDULE CONFERENCE DAY 2 - 22/05/2018
Medicaid Managed Care Congress May 21-23, 2018 Hyatt Regency Baltimore Inner Harbor Baltimore, Maryland, USA
TIME
TRACK A: MLTSS
TRACK B: BEHAVIORAL HEALTH INTEGRATION
TRACK C: SOCIAL DETERMINANTS OF HEALTH
TRACK D: MEMBER & PATIENT ENGAGEMENT
8:00AM
8:00am - Registration and Morning Coffee
8:00am - Registration and Morning Coffee
8:00am - Registration and Morning Coffee
8:00am - Registration and Morning Coffee
9:00AM
9:00am - Chairman's Opening Remarks
9:00am - Chairman's Opening Remarks
9:00am - Chairman's Opening Remarks
9:00am - Chairman's Opening Remarks
9:15am - Opening Keynote Address
9:15am - Opening Keynote Address
9:15am - Opening Keynote Address
9:15am - Opening Keynote Address
9:45am - Keynote Panel Discussion: The Future of Medicaid and Medicaid Expansion
9:45am - Keynote Panel Discussion: The Future of Medicaid and Medicaid Expansion
9:45am - Keynote Panel Discussion: The Future of Medicaid and Medicaid Expansion
9:45am - Keynote Panel Discussion: The Future of Medicaid and Medicaid Expansion
10:00AM
10:30am - Morning Networking Break
10:30am - Morning Networking Break
10:30am - Morning Networking Break
10:30am - Morning Networking Break
11:00AM
11:00am - Utilizing Waiver Programs to Treat Complex Populations for Better Outcomes
11:00am - Utilizing Waiver Programs to Treat Complex Populations for Better Outcomes
11:00am - Utilizing Waiver Programs to Treat Complex Populations for Better Outcomes
11:00am - Utilizing Waiver Programs to Treat Complex Populations for Better Outcomes
11:30am - Utilizing Digital Communications in Managed Care to Improve Engagement & Outcomes
11:30am - Utilizing Digital Communications in Managed Care to Improve Engagement & Outcomes
11:30am - Utilizing Digital Communications in Managed Care to Improve Engagement & Outcomes
11:30am - Utilizing Digital Communications in Managed Care to Improve Engagement & Outcomes
12:00PM
12:00pm - Medicaid Director Panel Discussion
12:00pm - Medicaid Director Panel Discussion
12:00pm - Medicaid Director Panel Discussion
12:00pm - Medicaid Director Panel Discussion
1:00PM
1:00pm - Networking Luncheon: State Medicaid Roundtable Discussions
1:00pm - Networking Luncheon: State Medicaid Roundtable Discussions
1:00pm - Networking Luncheon: State Medicaid Roundtable Discussions
1:00pm - Networking Luncheon: State Medicaid Roundtable Discussions
2:00PM
2:00pm - Chairperson's Opening Remarks
2:00pm - Chairperson's Opening Remarks
2:00pm - Chairperson's Opening Remarks
2:00pm - Chairperson's Opening Remarks
2:15pm - Automating LTSS Financial Eligibility to Reduce Fraud
2:15pm - Treating Substance Use Disorder in BEH Population
2:15pm - Applying SDOH to Triple Aim
2:15pm - The Role of the Case Manager to Improve Member Engagement with Their Health
3:00pm - The Evolution of Long Term Care Integration: Then and Now
3:00pm - SMI Services: Housing Case Study for BEH SMI Populations
3:00pm - “Touching” Complex Populations via Digital Health Innovation
3:45pm - Afternoon Networking Break
3:45pm - Afternoon Networking Break
3:00pm - Innovations in Addressing the Special Health Care Needs of Children to improve outcomes, access to health care services, and other needed supports
3:00PM
3:45pm - Afternoon Networking Break
3:45pm - Afternoon Networking Break
888-670-8200 (U.S. Toll-free), +1 941-554-3500 (International)
lifesciences.knect365.com/ medicaidmanagedcarecongress/
[email protected]
SCHEDULE CONFERENCE DAY 2 - 22/05/2018
Medicaid Managed Care Congress May 21-23, 2018 Hyatt Regency Baltimore Inner Harbor Baltimore, Maryland, USA
TIME
TRACK A: MLTSS
TRACK B: BEHAVIORAL HEALTH INTEGRATION
TRACK C: SOCIAL DETERMINANTS OF HEALTH
TRACK D: MEMBER & PATIENT ENGAGEMENT
4:00PM
4:15pm - MLTSS Payment Systems & the Complaints/Appeals Process
4:15pm - Aligning Clinical Outcomes with Financial Efficiency in BEH and PC Integration
4:15pm - Addressing Social Determinants of Health for the Justice-Involved Population/Case Studies/Solutions
4:15pm - Member Engagement Strategies and Best Practices for Clinical Outcomes
5:00PM
5:00pm - MLTSS for the Intellectual and Developmental (IDD) Population
5:00pm - Navigating Billing for Behavioral Health in “Carve Out” States
5:00pm - Housing Case Study with CareOregon
5:00pm - Late Breaking Presentation
5:45pm - Opening Remarks
5:45pm - Opening Remarks
5:45pm - Opening Remarks
5:45pm - Opening Remarks
6:00pm - Cocktail Reception
6:00pm - Cocktail Reception
6:00pm - Cocktail Reception
6:00pm - Cocktail Reception
6:00PM
888-670-8200 (U.S. Toll-free), +1 941-554-3500 (International)
lifesciences.knect365.com/ medicaidmanagedcarecongress/
[email protected]
SESSIONS CONFERENCE DAY 3 - 23/05/2018 Registration and Morning Coffee
Medicaid Managed Care Congress May 21-23, 2018 Hyatt Regency Baltimore Inner Harbor Baltimore, Maryland, USA
8:00am - 8:55am
Keynote Panel Discussion: Medicaid Long Term Services and Supports, Creating Quality Measures and an Integrated Model for Long Term Care
Chairperson's Opening Remarks
11:00am - 11:45am
8:55am - 9:00am
Participants John Lovelace - President Government Programs, UPMC Health Plan
*Other panelists to be added
Participants Moderator: Claudia Schlosberg - Medicaid Director , District of Columbia Department of Health Care Finance
Interactive Session Feedback, CMS Proposed Rule: Optimizing State Quality Rating Systems for Medicaid Managed Care
Panelist: G. Lawrence Atkins - Executive Director, MLTSS Association
9:00am - 10:30am
Panel Discussion: Managed Care Mergers, Acquisitions & Partnerships: Trends, Developments and What to Watch in 2018
Pursuant to the requirements of the May 2016 Managed Care Final Rule (CMS-2390-F), the first significant regulatory update for managed care in over a decade, in this session CMS will be offering opportunity for comment from states and other stakeholders to identify performance measures and a methodology for a Medicaid (and CHIP) managed care quality rating system that is built around transparency; alignment of systems of care; and consumer and stakeholder engagement.
11:45am - 12:30pm
*Panelists to be added
Participants Moderator: Alexander Shekhdar - Vice President, Federal and State Policy, Medicaid Health Plans of America (MHPA)
Attendees to this session will: •
•
• •
Hear an Introduction and Overview of Managed Care Quality Rating Systems by CMS Chief Quality Officer & Director, Division of Quality and Health Outcomes CMS Understand the purpose of the Interactive Design Session- Focus on Medicaid and CHIP Quality Rating System Opportunities Take part in a Kaizen-like interactive design session with QRS scenarios Visit each 4-5 easel stations to react, provide comments, questions, and recommendations on each scenario presented to a team of CMS Facilitators
Conference Concludes 12:30pm - 12:35pm
Participants Speaker: Karen Matsuoka. Ph.D. - Chief Quality Officer Director, Division of Quality and Health Outcomes, Center for Medicaid and CHIP Services Centers for Medicare & Medicaid Services
Morning Networking Break 10:30am - 11:00am
888-670-8200 (U.S. Toll-free), +1 941-554-3500 (International)
lifesciences.knect365.com/ medicaidmanagedcarecongress/
[email protected]
SCHEDULE CONFERENCE DAY 3 - 23/05/2018
Medicaid Managed Care Congress May 21-23, 2018 Hyatt Regency Baltimore Inner Harbor Baltimore, Maryland, USA
TIME 8:00AM
8:00am - Registration and Morning Coffee 8:55am - Chairperson's Opening Remarks
9:00AM
9:00am - Interactive Session Feedback, CMS Proposed Rule: Optimizing State Quality Rating Systems for Medicaid Managed Care
10:00AM
10:30am - Morning Networking Break
11:00AM
11:00am - Keynote Panel Discussion: Medicaid Long Term Services and Supports, Creating Quality Measures and an Integrated Model for Long Term Care 11:45am - Panel Discussion: Managed Care Mergers, Acquisitions & Partnerships: Trends, Developments and What to Watch in 2018
12:00PM
12:30pm - Conference Concludes
888-670-8200 (U.S. Toll-free), +1 941-554-3500 (International)
lifesciences.knect365.com/ medicaidmanagedcarecongress/
[email protected]
