Presentations from the 2014 Medicaid Managed Care Conference


EDITOR’S NOTE: Below are presentations from the 2014 Medicaid Managed Care Conference Monday, October 20 and Tuesday October 21, 2014 held at the Embassy Suites Convention Center in Washington DC. The theme this year was “Innovations in Managing Costs & Delivery System Reform – Strategies for Enrollment, Operations, Quality Care and Cost Containment as Medicaid Becomes the Nation’s Largest Insurer.

A special thanks to the esteemed presenters and conference delegates. The presentations are listed below by topic name in order of presentation. Simply click the hyperlinked TOPIC to view the presentation PDF.

Day One

TOPIC: Perspectives on Medicaid Managed Care

  • Presenter: Carolyn Yocom, Director, Health Care Team, US Government Accountability Office (GAO)

TOPIC: Innovation & Desperation: Best Practices in Managed Long Term Services and Supports

  • Presenter: Nancy Everitt, MBA, PMP, President & CEO, HEOPS, Inc.

TOPIC: Examining New York State’s Performance Metrics for Measuring Quality and Efficiency

  • Presenter: Mary Beth Conroy, MPH, Director, Bureau of Health Informatics, Office of Quality & Patient Safety, New York State Department of Health

TOPIC: Health Care Reform & Medicaid Lessons Learned from an Early Expansion State: Washington, DC

  • Presenter: Claudia Schlosberg, Director, Healthcare Policy & Medicaid Director, District of Columbia Department of Health Care Finance

TOPIC: Medicaid Expansion in Arkansas

  • Presenter: Zane Chrisman, Plan Management & Attorney Specialist, Arkansas Health Connector

TOPIC: Safety Net Health Plans Tackle Social Issues

  • Presenters: Meg Murray, CEO and Deborah Kilstein, VP QM and Operational Support, Association of Community Affiliated Plans (ACAP)

TOPIC: How to Establish and Sustain an Innovative Medicaid Provider Network

  • Presenter: Patricia Darnley, President & Chief Executive Officer, Gateway Health Plan

TOPIC: Achieving Actuarial Soundness in an Increasing Regulatory Environment

  • Presenter: Jeremy Palmer, FSA, MAAA, Principal & Consulting Actuary, Milliman

TOPIC: Coordinated Care Organizations: Completing the ACA

  • Presenter: Jeff Heatherington, President & Chief Executive Officer, FamilyCare Health Plans

TOPIC: Community Outreach Workers as an Extension of Care Management

  • Presenter: Keith MacCannon, Director, Marketing, Outreach & Community Relations, AmeriHealth District of Columbia

TOPIC: Sharing Risk to Drive Engagement and Innovation within a Medicaid ACO

  • Presenter: Russ Elbel, Medicaid Program Director, SelectHealth

TOPIC: Setting Capitation Rates in a Changing Medicaid Market

  • Presenter: Jennifer Gerstorff, FSA, MAAA, Milliman

Day Two

TOPIC: Using Managed Care to Develop Integrated Delivery Systems, The Real Home Run

  • Presenter: Michael Gelder, Senior Health Policy Advisor to Governor Pat Quinn, Illinois Office of the Governor

TOPIC: Improving Quality While Reducing Costs: Examining Clinical Quality, Measurements, Accountability Data, MCO Partnerships & Encounter Data

  • Presenter: J. Ruth Kennedy, Medicaid Director, State of Louisiana Department of Health and Hospitals

TOPIC: Medicaid Managed Care: Moving Forward

  • Presenter: Barbara Edwards: Director, Disabled & Elderly Health Programs Group, Centers for Medicare & Medicaid Services (CMS)

TOPIC: Connecticut Medicaid – Moving Forward by Taking a Step Back

  • Presenter: Ellen Andrews, PhD, Executive Director, Connecticut Health Policy Project

TOPIC: Medicaid Managed Care in Nebraska

  • Presenter: Heather Leschinsky, Administrator, Managed Care & HCBS (Division of Medicaid), State of Nebraska Department of Health & Human Services

TOPIC: Examining High-Cost Patient Care: How Can the New System Afford to Support High-Cost Patients & Implementation Strategies for Success

  • Presenter: Cheryl Roberts, Deputy Director, Medicaid Programs, Virginia Department of Medical Assistance Services

TOPIC: Examining Outreach, Enrollment and Retention Strategies for New and Vulnerable Medicaid Populations: Innovative Approaches

  • Presenter(s): Christian Heiss, Senior Program Officer, Center for Health Care Strategies

TOPIC: Examining Outreach, Enrollment and Retention Strategies for New and Vulnerable Medicaid Populations: Lessons Learned from the New York Health Home Experience

  • Presenter: Rachel Davis,  Senior Program Officer, Center for Health Care Strategies

 

 

2014 Medicaid Managed Care Conference

Embassy Suite Convention Center Hotel, Washington, DC ∙ October 20 – 21, 2014

TOPIC: US Government Accountability Office’s (GAO) Perspective on Medicaid Managed Care

Presenter: Carolyn Yocom, Director, Health Care Team
US Government Accountability Office (GAO)

TOPIC: Innovation and Desperation: Best Practices in Managed Long Term Services and Supports

Presenter: Nancy Everitt, MBA, PMP, President & CEO
HEOPS, Inc.

Examining New York State’s Performance Metrics for Measuring Efficiency with Medicaid Managed Care

Presenter: Mary Beth Conroy, MPH, Director, Bureau of Health Informatics, Office of Quality & Patient Safety
New York State Department of Health

TOPIC: Examining State Exchanges: How Exchanges, Health Plans and Managed Care Organizations Have Moved Past the

Implementation Delays, Technology Problems & Member Outreach/Enrollment Issues of 2014

Presenter: Claudia Schlosberg, Director, Healthcare Policy & Medicaid Director
District of Columbia Department of Health Care Finance

TOPIC: Examining State Exchange Programs: Managing the Qualified Medicaid Health Plan Selection Process

Presenter: Zane Chrisman, Plan Management & Attorney Specialist
Arkansas Health Connector

TOPIC: Safety Net Health Plans’ Innovations to Address the Whole Person via Better Integration within Medicaid

Presenter: Margaret Murray, Chief Executive Officer
Association of Community Affiliated Plans (ACAP)

TOPIC: How to Establish and Sustain an Innovative Medicaid Provider Network

Presenter: Patricia Darnley, President & Chief Executive Officer
Gateway Health Plan

TOPIC: Achieving Actuarial Soundness in an Increasing Regulatory Environment

Presenter: Jeremy Palmer, FSA, MAAA, Principal & Consulting Actuary
Milliman

TOPIC: Aligning Medicaid Managed Care Business with Accountable Care Organizations

Presenter: Jeff Heatherington, President & Chief Executive Officer
FamilyCare Health Plans

TOPIC: Community Outreach Workers as an Extension of Care Management

Presenter: Keith MacCannon, Director, Marketing, Outreach & Community Relations
AmeriHealth District of Columbia

TOPIC: Sharing Risk to Drive Engagement and Innovation within a Medicaid ACO

Presenter: Russ Elbel, Medicaid Program Director
SelectHealth

TOPIC: Setting Actuarially Sound Capitation Rates in a Challenging and Changing Medicaid Healthcare Market

Presenter(s): Jennifer Gerstorff and Jeremy Palmer

Milliman

DAY TWO

TOPIC: Using Managed Care to Develop Integrated Delivery Systems, The Real Home Run

Presenter: Michael Gelder, Senior Health Policy Advisor to Governor Pat Quinn
Illinois Office of the Governor

TOPIC: Examining Clinical Quality, Measurements, Accountability Data, MCO Partnerships & Encounter Data

Presenter: J. Ruth Kennedy, Medicaid Director
State of Louisiana Department of Health and Hospitals

TOPIC: CMS Perspective: How Healthcare Reform has Changed the Landscape in the Past Year & What Lies Ahead in 2015

Presenter: Barbara Edwards: Director, Disabled & Elderly Health Programs Group
Centers for Medicare & Medicaid Services (CMS)

TOPIC: The Year in Review for Long-Term Care Management – Successes, Challenges, Lessons Learned, and How to Move

Forward into 2015 and Beyond!

Presenter: Ellen Andrews, PhD, Executive Director
Connecticut Health Policy Project

Presenter: Heather Leschinsky, Administrator, Managed Care & HCBS (Division of Medicaid)
State of Nebraska Department of Health & Human Services

TOPIC: Examining High-Cost Patient Care: How Can the New System Afford to Support High-Cost Patients & Implementation Strategies for Success

Presenter: Cheryl Roberts, Deputy Director, Medicaid Programs
Virginia Department of Medical Assistance Services

TOPIC: Examining Outreach, Enrollment & Retention Strategies for New and Vulnerable Medicaid Populations

Presenter(s): Christian Heiss and Rachel Davis

CHCS, Center for Healthcare Strategies

2014 Medicaid Managed Care Conference

Embassy Suite Convention Center Hotel, Washington, DC ∙ October 20 – 21, 2014

 

TOPIC: US Government Accountability Office’s (GAO) Perspective on Medicaid Managed Care

Presenter: Carolyn Yocom, Director, Health Care Team

US Government Accountability Office (GAO)

 

TOPIC: Innovation and Desperation: Best Practices in Managed Long Term Services and Supports

Presenter: Nancy Everitt, MBA, PMP, President & CEO

HEOPS, Inc.

 

Examining New York State’s Performance Metrics for Measuring Efficiency with Medicaid Managed Care

Presenter: Mary Beth Conroy, MPH, Director, Bureau of Health Informatics, Office of Quality & Patient Safety

New York State Department of Health

 

TOPIC: Examining State Exchanges: How Exchanges, Health Plans and Managed Care Organizations Have Moved Past the

Implementation Delays, Technology Problems & Member Outreach/Enrollment Issues of 2014

Presenter: Claudia Schlosberg, Director, Healthcare Policy & Medicaid Director

District of Columbia Department of Health Care Finance

 

TOPIC: Examining State Exchange Programs: Managing the Qualified Medicaid Health Plan Selection Process

Presenter: Zane Chrisman, Plan Management & Attorney Specialist

Arkansas Health Connector

 

TOPIC: Safety Net Health Plans’ Innovations to Address the Whole Person via Better Integration within Medicaid

Presenter: Margaret Murray, Chief Executive Officer

Association of Community Affiliated Plans (ACAP)

 

TOPIC: How to Establish and Sustain an Innovative Medicaid Provider Network

Presenter: Patricia Darnley, President & Chief Executive Officer

Gateway Health Plan

 

TOPIC: Achieving Actuarial Soundness in an Increasing Regulatory Environment

Presenter: Jeremy Palmer, FSA, MAAA, Principal & Consulting Actuary

Milliman

 

TOPIC: Aligning Medicaid Managed Care Business with Accountable Care Organizations

Presenter: Jeff Heatherington, President & Chief Executive Officer

FamilyCare Health Plans

 

TOPIC: Community Outreach Workers as an Extension of Care Management

Presenter: Keith MacCannon, Director, Marketing, Outreach & Community Relations

AmeriHealth District of Columbia

 

TOPIC: Sharing Risk to Drive Engagement and Innovation within a Medicaid ACO

Presenter: Russ Elbel, Medicaid Program Director

SelectHealth

 

 

TOPIC: Setting Actuarially Sound Capitation Rates in a Challenging and Changing Medicaid Healthcare Market

Presenter(s): Jennifer Gerstorff and Jeremy Palmer

Milliman

 

DAY TWO

 

TOPIC: Using Managed Care to Develop Integrated Delivery Systems, The Real Home Run

Presenter: Michael Gelder, Senior Health Policy Advisor to Governor Pat Quinn

Illinois Office of the Governor

 

TOPIC: Examining Clinical Quality, Measurements, Accountability Data, MCO Partnerships & Encounter Data

Presenter: J. Ruth Kennedy, Medicaid Director

State of Louisiana Department of Health and Hospitals

 

TOPIC: CMS Perspective: How Healthcare Reform has Changed the Landscape in the Past Year & What Lies Ahead in 2015

Presenter: Barbara Edwards: Director, Disabled & Elderly Health Programs Group

Centers for Medicare & Medicaid Services (CMS)

 

TOPIC: The Year in Review for Long-Term Care Management – Successes, Challenges, Lessons Learned, and How to Move

Forward into 2015 and Beyond!

Presenter: Ellen Andrews, PhD, Executive Director

Connecticut Health Policy Project

 

Presenter: Heather Leschinsky, Administrator, Managed Care & HCBS (Division of Medicaid)

State of Nebraska Department of Health & Human Services

 

TOPIC: Examining High-Cost Patient Care: How Can the New System Afford to Support High-Cost Patients & Implementation Strategies for Success

Presenter: Cheryl Roberts, Deputy Director, Medicaid Programs

Virginia Department of Medical Assistance Services

 

TOPIC: Examining Outreach, Enrollment & Retention Strategies for New and Vulnerable Medicaid Populations

Presenter(s): Christian Heiss and Rachel Davis

CHCS, Center for Healthcare Strategies

 

 

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