the world congress medicare summit
DESCRIPTION
The 2014 Medicare Summit will feature a comprehensive, timely offering of sessions focused on key issues currently impacting the industry including the Dual Eligible population, ACOs, the sustainable growth rate, Medicare Advantage and star ratings. As the landscape of healthcare policy and reform continues to change at a rapid pace, it is imperative for hospitals, health systems, physicians, administrators, and health plans to stay well-informed so they can remain profitable. http://www.worldcongress.com/events/HL14026/TRANSCRIPT
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K E Y N O T E F A C U L T Y F E A T U R I N G :
Suzanne Brennan Medicaid Director COLORAdO HEALTH CARE POLICY ANd FINANCING
Bill Hagan Chief Growth Officer UNITEdHEALTH GROUP
Julie Hamos Director ILLINOIS dEPARTmENT OF HEALTHCARE ANd FAmILY SERvICES
Lindy Hinman Chief Operating Officer CONNECT FOR HEALTH COLORAdO
Heather Howard Director, Health Reform Assistance Network ROBERT WOOd JOHNSON FOUNdATION
Pam Sedmak President, Chief Executive Officer, Medicaid AETNA
Henry A. Waxman U.S. HOUSE OF REPRESENTATIvES
Scott Leitz Chief Executive Officer mNSURE
maryAnne Lindebald Medicaid Director WASHINGTON HEALTH CARE AUTHORITY
Chuck milligan Deputy Secretary, Health Care Financing, STATE OF mARYLANd dEPARTmENT OF HEALTH ANd mENTAL HYGIENE
Judith A. monroe, md, FAAFP Deputy Director, State, Tribal, Local, and Territorial Support Efforts, CENTERS FOR dISEASE CONTROL ANd PREvENTION
Richard K. Onizuka, Phd Chief Executive Officer WASHINGTON HEALTH BENEFIT ExCHANGE
Aneesh Kumar Head, Consumer Engagement Strategy AETNA
Peter van Loon Chief Operating Officer ACCESS HEALTH CT
Save $300 on your regiStration fee when you regiSter by June 6, 2014
To RegisTeR, please visiT www.woRldcongRess.com/gov • phone: 800-767-9499 • Fax: 781-939-2543 • email: [email protected]
Supporting organizationS and publicationS
HEALTH PLAN MARKET TRENDS LETTERStrategic Insights on the Future of the Health Insurance Industry
m E d I C A R E :
• HEAR how quality
initiatives are driving
health plan business
• LEARN from top
health plans on the
future of Medicare
Advantage
• UNdERSTANd
the future of
the Sustainable
Growth Rate
organized by
Silver SponSor
educational underwriterS
July 15-17, 2014 • Tysons Corner MarrioTT • Tysons Corner, VaMedicare SuMMitThe 10th Annual
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day one – tueSday, July 15, 2014 – pre-congreSS workShop12:30 pm – 1:30 pm Workshop Registration
1:30 pm – 5:00 pm woRkshop: an introduction to the affordable care act as it Relates to
medicare, medicaid, and the health insurance marketplacesThis workshop provides an overview of the major provisions and anticipated impacts of the Patient Protection and Affordable Care Act (ACA) related to Medicare, Medicaid, and Health Insurance Marketplaces. A basic overview of the Medicare and Medicaid programs and the private health insurance marketplaces is provided, leading into a detailed discussion of the ACA Medicaid expansion, creation and implementation of the ACA health insurance marketplaces, and ACA provisions reforming elements of Medicare. Topics to be addressed include:
• Medicaidexpansionandhealthworkforceconcerns• ImpactonvulnerablepopulationsinstateswherenoMedicaidexpansionistakingplace• ACAprovisionsrelatedtoMedicaretargetingqualityandefficiencyonthedeliveryof
health care• ExplanationoftheACAhealthinsurancemarketplacerulesforprovidingqualified
health plans that cover essential health benefits• Subsidiesprovidedforeligibleindividualstopurchaseinsurancethroughthemarketplace
Workshop Leaders: Nancy Lopez, JD, MPH, Lead Research Scientist, GeorGe WasHiNGtoN UNiversity
Nancy Lopez is a senior research scientist and professorial lecturer in the Department of Health Policy at The George Washington University School of Public Health and Health Services. She specializes in legal and policy matters related to health insurance marketplaces, private health insurance, and health reform imple mentation. Her research has been used to produce analyses and papers regarding state and federal health insurance marketplaces; various aspects of the Affordable Care Act; health care fraud; and reimbursement policies of state Medicaid programs and private insurance for obesity treatment or prevention. Ms. Lopez is currently managing multiple projects related to the design of qualified health plans being offered in the marketplaces.
Juliette Forstenzer espinosa, Ma, JD, LLM Assistant Research Professor, GeorGe WasHiNGtoN UNiversity
Juliette Forstenzer Espinosa is an Assistant Research Professor at George Washington University School of Public Health and Health Services, Department of Health Policy and is the Founder and Executive Director of the Health Care Rights Initiative (HCRI) – a national non-profit dedicated to patient education and advocacy. Ms. Espinosa specializes in the regulatory implementation of the Affordable Care Act (ACA). Ms. Espinosa has led dozens of workshops and trainings on health reform topics related to Medicare, Medicaid, employer-based insurance coverage, and private insurance market reforms.
5:00 pm – 6:00 pm Opening Night Reception
day two – wedneSday, July 16, 2014 – Main congreSS7:15 am – 8:15 am Main Congress Registration and Welcome Coffee
8:15 am – 8:25 am
Chairperson’s Welcome and Opening Remarks Carl Mercurio
President and Head of Research CorPorate researCH GroUP
8:25 am – 9:10 am
CONGRESSIONAL OPENING KEYNOTE AddRESS: The Future Outlook of medicare, medicaid, and Government Sponsored Health Care and the Affordable Care ActCongressmanWaxmanplanstoretireattheendof2014.Hehasworkedtirelessly,inofficefor20terms,forhealthcarereform.Fewpeoplehaveabetterideaofwhatthefutureholdsforhealthcarethanhim.Asheexitsofficehewillhonestly,andopenlysharewhatthefutureholdsforMedicaid,Medicare,thehealthinsuranceexchanges,andhealthreform.InthisKeynoteAddress,hearfromaveteranoftheHillonexactlywherehealthcareisheadedincluding:• HowmuchmoneywillbeappropriatedtowardMedicare,Medicaid,andgovernmentsponsoredcare?• Whatregulationsareonthehorizon?• WhatdoesachangingpoliticalenvironmentmeanforhealthcareinAmerica?• Wherecanyouexpecttoseecuts,increasesinfunding,andthemostdramaticchangestothehealthcaresystem?
Henry Waxman (D-Ca) U.s. HoUse oF rePreseNtatives
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To RegisTeR, please visiT www.woRldcongRess.com/gov • phone: 800-767-9499 • Fax: 781-939-2543 • email: [email protected]
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day two – wedneSday, July 16, 2014 – Main congreSS (continued)9:10 am – 9:55 am
CdC KEYNOTE AddRESS: Changing the Health of AmericaWecanchangeahealthplan,wecanchangeahospital,andwecanchangeanentirehealthcaresystem;butifwedon’tchangehowpeopletakecareofthemselvesandengageinhealthcare, we will never change the health of America.
• Hearanoverviewofcurrentsuccessfulhealthprograms—Reducingobesity,heartdisease,etc.• Learnaboutpoliciesthegovernmentplanstoputinplacethatwillimpacthealthcare• DiscussstrategiestochangethecultureofhealthinAmerica
Judith a. Monroe, MD, FaaFP Deputy Director, State, Tribal, Local, and Territorial Support Efforts, CeNters For Disease CoNtroL aND PreveNtioN Director, oFFiCe For state, tribaL, LoCaL aND territoriaL sUPPort (ostLts)
9:55 am – 10:30 am
discuss the Importance of Patient Engagement in Government Sponsored Health CareTheAffordableCareActcallsformanychangesinthewayhealthsystemsandhealthplansconducttheirbusiness,butwhataboutthepatient?Inthissessionhear:
• Howhealthplansareengagingtheirpatients• Whatstrategiesareworkingforpatientsingovernmentsponsoredcare• Insightsonhowyourorganizationcanbetterengageitspatients
aneesh Kumar Head, Consumer Engagement Strategy aetNa
10:30 am – 11:00 am Networking and Refreshment Break
11:00 am – 12:30 pm
State Updates on the duals demonstrationsInthissession,hearfrommultiplestatesthatareapartofthedualsdemonstrationandhowtheyareapproachingtheiralignmentsindifferentways.HearfromastatethatisworkingonanFFSmodel,astateworkingonacapitatedmodel,andastateworkingonbothmodels.Bytheendofthissession,understand:
• Thechallengesthedemonstrationsarefacingandhowtheyaremanagingtoovercomethosechallenges• Thesuccessesandopportunitiestheyareexperiencing• WhattheindustryshouldprepareforwhenitcomestohandlingdualsModerator:
Dolly oberoi Chief Executive Officer C2 aND tHe HeaLtH exCHaNGe LearNiNG PortaL (HeLP)
Panelists:
Julie Hamos Director iLLiNois DePartMeNt oF HeaLtHCare aND FaMiLy serviCes
Maryanne Lindebald Medicaid Director WasHiNGtoN HeaLtH Care aUtHority
sandra terrell Chief Operating Officer NortH CaroLiNa DePartMeNt oF HeaLtH aND HUMaN serviCes
12:30 pm – 1:30 pm Luncheon
1:30 pm – 2:15 pm
Innovate for Quality in medicareDoingmorewithlessisthenewnameofthegameinMedicare.Explorewaystoenhancequalityandreducecosts.
• Discoverqualityandinnovationtools• DiscussACOchallengesandsuccesses• Realizethebenefitsofpopulationmanagementstrategies
randall Krakauer, MD, FaCP, FaCr Vice President, National Medical Director, Medical Strategy aetNa
To RegisTeR, please visiT www.woRldcongRess.com/gov • phone: 800-767-9499 • Fax: 781-939-2543 • email: [email protected]
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day two – wedneSday, July 16, 2014 – Main congreSS (continued)2:15 pm – 3:00 pm PANEL dISCUSSION: Consider the Future of the Sustainable Growth Rate
ManysaytheSustainableGrowthRateisn’tworking.However,whatwoulditsreplacementbe?Inthissession,hear:
• Fundamentalconcernswiththecurrentsystem• ThebestoptionsforreplacingtheSGR• WhatanewsystemwouldmeanforprovidersandtheMedicaresystemasawholeModerator:
Cristina boccuti, Ma, MPP Senior Associate, Program on Medicare Policy Kaiser FaMiLy FoUNDatioN
Panelists:
Cynthia brown Vice President, Government Affairs aMeriCaN MeDiCaL assoCiatioN
stuart Guterman Vice President CoMMoNWeaLtH FUND
3:00 pm – 3:30 pm Networking and Refreshment Break
3:30 pm – 4:15 pm Market InsIght sessIons
If you have a topic area, product, or solution that you would like to showcase in the Market Insight Discussions, please contact David Capobianco, Vice President of Business Development, at 781-939-2635 or [email protected]
mARKET INSIGHTS —CHOOSE FROm 2 OPTIONS: OPTION A: “Try Before You Buy” — market Testing Your medicare Efforts Prior to ExecutionManynewproductandhealthplanlaunchesfailtoliveuptoourexpectationsasweinsufficientlytesthowwelltheseproductswillperformpriortolaunch.Andevenwithpre-testing,manyexistingresearchmethodsareinsufficientintellingushowtheseproductswillperforminacompetitivemarketplace.Learnhowtouseamock-upmarketplacetoevaluatenewplanMedicaredesigns,products,andservices,andbetterunderstandhowMedicareconsumersbehavewhenpurchasing.LearnhowBlueCrossBlueShieldofRhodeIslandpartneredwithStonegateAdvisors,aresearchanddataanalyticscompanyfocusedsolelyonthehealthandwellnessindustry,tousetheirproprietaryPlanFastmarketplacetotestaportfolioofMedicareproductstobetterunderstandwhatconsumersbuy,howtheybuy,andwhytheymakethechoicestheydo.
• BetterunderstandhowtheMedicareconsumerthinks •Identifypotentialissuesandpitfallsbeforetheyhappen• Knowmorethanyourcompetitors •Significantlyincreasethechanceofsuccess
Marc Pierce President and Founder stoNeGate aDvisors
mARKET INSIGHTS —CHOOSE FROm 2 OPTIONS: OPTION B: Case Studies from the First Year of the Exchange• Hearcasestudiesfromplansthatparticipatedinyearone• Learnexchangesalesbestpractices• Learnhowtoleveragedistributiontomaximizeresults
brooke ivey Vice President of Sales and Account Management bLooM iNsUraNCe aGeNCy
4:15 pm – 4:20 pm Session Transition Time
To RegisTeR, please visiT www.woRldcongRess.com/gov • phone: 800-767-9499 • Fax: 781-939-2543 • email: [email protected]
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4:20 pm – 5:45 pm
HEALTH PLAN KEYNOTE AddRESS: Plan Perspectives on the Business of Health Care in a Time of ReformPlansfacemanynewchallengesinhealthcare.Theymustdomorewithlessineverypartoftheirbusiness.Findingopportunitiesamongstthechallengeshasbecometheirbusiness. Inthissession,hearapresentationfromeachindustryexpert,andthenengageinafacilitatedQ&Awithencouragedaudienceparticipation.
• Hearhowplansaremanagingtheirbusinessinatimeofexpansionandreform• Discoverhowplansaremanagingtheirprovidersthroughinnovativenewapproaches• LearnhowplanleadersseethefutureofMedicare,Medicaid,Duals,andthehealthinsuranceexchangesandhowtheybelieveitwillimpacttheirbusinessandthebusinessofhealthcare
bill Hagan Chief Growth Officer UNiteDHeaLtH GroUP
Pam sedmak Chief Executive Officer, Medicaid aetNa
additional thought Leaders tba
5:45 pm – 6:45 pm Close of Day Two, Cocktail and Networking Reception
day three – thurSday, July 17, 2014 – Main congreSS 7:30 am – 8:00 am Morning Coffee
8:00 am – 8:05 am
Chairperson’s Welcome and Review of day Two Carl Mercurio
President and Head of Research CorPorate researCH GroUP
8:05 am – 9:15 am
ExCHANGE KEYNOTE dISCUSSION: Operating an Exchange — Current Status of the ExchangesManystateshaveexperienceddifficultieslaunchingtheexchanges.Othershavebeensuccessful.Understandingthechallengesandlearningfromthesuccesseshelpallofthestateandfederalexchanges improve their operations in the long run. In this high-level overview, hear four state perspectives on:
• Currentoperationalchallengesandsuccesses•Networkadequacy•Fundingthestateexchanges•Newproductsfortheexchanges
Moderator:
rob san Martin Director, Public Sector aKaMai teCHNoLoGies
Panelists:
Lindy Hinman Chief Operating Officer CoNNeCt For HeaLtH CoLoraDo
scott Leitz Chief Executive Officer MNsUre
richard K. onizuka, PhD Chief Executive Officer, WasHiNGtoN HeaLtH beNeFit exCHaNGe
Peter van Loon Chief Operating Officer aCCess HeaLtH Ct
9:15 am – 10:15 am
mEdICAId dIRECTORS’ KEYNOTE PANEL dISCUSSION: A view of medicaid Expansion and the Future of medicaidMedicaidisrapidlychanginginstatesthatareexpanding,andinthestatesthathavechosennottoexpand.InthisKeynotePanelDiscussion,MedicaidDirectorsfromavarietyofstatesdiscussthechanging environment and initiatives being implemented to ensure sustainable success.
• Discusshowstatesarehandlingexpansionandwhatprogresshasbeenmadein2014• Learnthemethodsstatesareusingtohandlemanagedcare,quality/accessinitiatives• RealizehowthedirectorsplantocreatesustainabilityintheirprogramsModerator:
Chuck Milligan Deputy Secretary, Health Care Financing, state oF MaryLaND, DePartMeNt oF HeaLtH aND MeNtaL HyGieNe
Panelists:
suzanne brennan Medicaid Director CoLoraDo HeaLtH Care PoLiCy aND FiNaNCiNG
Julie Hamos Director iLLiNois DePartMeNt oF HeaLtHCare aND FaMiLy serviCes
Maryanne Lindebald Medicaid Director WasHiNGtoN HeaLtH Care aUtHority
10:15 am – 10:45 am Networking and Refreshment Break
To RegisTeR, please visiT www.woRldcongRess.com/gov • phone: 800-767-9499 • Fax: 781-939-2543 • email: [email protected]
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To RegisTeR, please visiT www.woRldcongRess.com/gov • phone: 800-767-9499 • Fax: 781-939-2543 • email: [email protected]
day three – thurSday, July 17, 2014 – Main congreSS (continued)10:45 am – 11:30 am
Winning in medicare Advantage: How a Single State Blue Achieved Unparalleled Success in a Rapidly Evolving marketBlueCrossBlueShieldofMichiganhashadgreatsuccesswithMedicareAdvantage.Inthissessionhearaseniorleader:
• DescribehowtheMedicareAdvantagemarkethasevolvedandwhyMedicareAdvantagewillbecomeincreasinglyimportanttopayorsoverthenextdecade• DemonstratehowasinglestateBlueplanhasachievedsuccessinthismarket• IdentifykeyopportunitiestoimproveperformanceinyourownMedicareAdvantageplan
Julie smith Vice President, Federal Business bLUe Cross bLUe sHieLD MiCHiGaN
11:30 am – 11:35 am Session Transition
11:35 am – 12:20 pm
discuss the Future of medicare AdvantageAsplansareaskedtodomorewithless,manyfindthemselvesconfrontedwithdifficultchoices.Wherecancutsbemadeandsavingsberealizedwhilemanagingmorewithless?
• Learnhowplansaremanagingtheirnetworksunderthenewconstraints• Discussinnovativestrategiesformanagingcostswhilestillprovidinghigh-levelcare• GainvaluableinsightandopinionsregardingthefutureofMedicareAdvantage
Jane Galvin Managing Director, Regulatory Affairs bLUe Cross aND bLUe sHieLD assoCiatioN
randall Krakauer, MD, FaCP, FaCr Vice President, National Medical Director, Medical Strategy, aetNa
12:20 pm – 1:30 pm Luncheon
roundtable diScuSSion groupS1:30 pm – 3:30 pm
Duringtheseinteractiveroundtablediscussions,attendeeshavetheopportunitytoengageininformaldiscussionswiththemeeting’sexpertspeakingfacultyanddiversenetworkofpeersparticipatinginthemeeting.Learnfromstateexperts,industryleaders,andoneanotherontheissuesthatyoucareaboutmost.Participateinavarietyofroundtablediscussionstonetwork,exchangeideas,identifynewopportunities,anddevelopsolutionstocommonobstacles.
Several more roundtables are scheduled to be added in the coming months. Participate in the current roundtables, check back for future roundtables, or submit an idea for a roundtable and see your topic added to the program!
3:30 pm Close of Congress
TOPIC #1: TOPIC #3: Care Coordination/Behavioral Health• DiscusshowstatesareredesigninghowtheycoordinatecareforMedicaidpatients• Sharebestpracticesforintegratingbehavioralhealth
into patient care plans
Facilitator: Molly siegel
Project Manager, Care Coordination Entities iLLiNois DePartMeNt oF HeaLtHCare aND FaMiLy serviCes
Navigating Federal Insurance Exchange Laws• Understandthelawsimpactingyourorganization• RealizefuturelawsthatcouldhaveanimpactFaciliators:
Juliette Forstenzer espinosa, Ma, JD, LLM Assistant Research Professor GeorGe WasHiNGtoN UNiversity
Nancy Lopez, JD, MPH Lead Research Scientist GeorGe WasHiNGtoN UNiversity
TOPIC #2: TOPIC #4: Strategies to Reduce Readmissions• ExploredifferentMedicarereadmissionsstrategies• LearnaboutthePACTprogramforreducingallreadmissions
Facilitator: Jodi smith
Head, PACT Program Kaiser PerMaNeNte HeaLtH PLaN oF CoLoraDo
Accountable Care OrganizationsDiscussavarietyofACOmodels,including:
• MedicaidACOs• MedicareACOs• CommercialACOs
Faciliator: rob Houston, Mba, MPP
Program Officer CeNter For HeaLtH Care strateGies
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July 15-17, 2014 • Tysons Corner MarrioTT • Tysons Corner, Va
the Medicare SuMMit
To RegisTeR, please visiT www.woRldcongRess.com/gov • phone: 800-767-9499 • Fax: 781-939-2543 • email: [email protected]
sponsoRship and execUTive neTwoRking oppoRTUniTiesBenefit from face-to-face corporate marketing, branding, and relationship building by participating in the World Congress Government Health Care Congress
as an active supporter and sponsor. To inquire about Sponsorship and Executive Networking Opportunities, Please contact
David Capobianco, VP, Business Development, World Congress • Call 781-939-2635 or email [email protected]
Silver Sponsor
Exhibitors
Educational Underwriters
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