World Congress
  
The World Congress 7th Annual Leadership  Summit on Medicaid Managed Care
Partners
Educational Underwriters
Affiliation Partners
Health Plan Market Trends Letter
WHCC Health Innovations
Tuesday, February 25, 2014
7:00 am -
8:00 am

Pre-Congress Workshop Registration and Welcome Coffee

Attend A Pre-Congress Workshop (Choose A or B)
Please Note: There will be a Networking and Coffee Break from 9:30 am to 9:45 am

8:00 am -
11:15 am

WORKSHOP A: Effectively Integrating Dual Eligibles

Carolyn Ingram
Senior Vice President
Center for Health Care Strategies
James Verdier
Senior Fellow
Mathematica Policy Research

WORKSHOP B: Effectively Integrating Behavioral Health

Ashish Abraham
Co-Founder
Altruista Health and Past Senior Vice President of AmeriChoice United Health
11:15 am -
12:15 pm

Close of Workshops • Lunch on Your Own • Main Congress Registration

12:15 pm -
12:30 pm

Chairperson’s Welcome and Opening Remarks

Karen M. Dale, RN, MSN
Executive Director
AmeriHealth District of Columbia
12:30 pm -
1:30 pm

CMS ADDRESS: Update on the Government Initiatives Impacting Medicaid Managed Care

The Affordable Care Act has created new opportunities in Medicaid. In this address, hear about the opportunities the ACA has created for long-term care patients and the current status of CMS initiatives.

Barbara Edwards Barbara Edwards
Director Disabled and Elderly Health Programs Group
Center for Medicaid and CHIP Services, Centers for Medicare and Medicaid Services (CMS)
1:30 pm -
2:30 pm

OPENING KEYNOTE PANEL: State Perspectives on the Future of State Medicaid Programs

Whether your state is expanding, considering expanding, or has decided not to expand, there are many unanswered questions across the country when it comes to Medicaid. In this opening keynote panel, hear perspectives directly from the States as to where they think Medicaid is going so your organization can be prepared.

  • Discuss the current struggles States are experiencing — Learn what is keeping the States up at night
  • Learn about solutions being developed to manage the challenges
  • Take a look into the future — What can we anticipate will Medicaid look like in the next few years?
Kay Ghahremani
Associate Commissioner for Medicaid/CHIP
Texas Medicaid CHIP Director
Scott Leitz Scott Leitz
Assistant Commissioner, Health Care
Minnesota Department of Human Services
Susan Mosier Susan Mosier, MD
Director of Medicaid Services
State of Kansas
Julie Weinberg
Division Director
New Mexico Medicaid
The Medical Assistance Division
New Mexico Human Services Department
2:30 pm -
3:00 pm

Refreshment Break in the Executive Networking Lounge

3:00 pm -
3:45 pm

The New Medicaid Recipient — Who Are They and How Do We Serve Them?

Creating products for the expansion population means you have to know them and understand what their needs are going to be.
How will large and small organizations serve the expansion population? In this session:

  • Learn what the Medicaid expansion population looks like
  • Understand the needs of the Medicaid expansion population
  • Realize the best ways to serve the new Medicaid population
James P. Holland
Vice President of Product Development
Amerigroup
3:45 pm -
4:30 pm

Develop Your Provider Network through Creative Contracting

Whether or not the state you are working in is expanding, creative contracting methods are vital to keep costs down and maintain strong relationships with your providers. In this discussion learn:

  • Preliminary issues to consider when developing a contract
  • Strategies to manage large scale networks of providers
  • Cost reducing incentives for providers
Nancy Grant
Director of National Contracting
Humana
4:30 pm -
5:15 pm

The Duals Dilemma — How to Successfully Integrate Care for Your Duals Population

While situations differ, and not all duals populations are the same, there are key elements that are necessary to creating integrated care for dual eligibles. In this session, hear a health plan explain the key factors that have made them highly successful at integrating care.

  • Multi-disciplinary care
  • Comprehensive provider networks
  • Robust data sharing and communications systems
Speaker Photo Unavailable Hany Abdelaal, DO
Chief Medical Officer
Visiting Nursing Services of New York
5:15 pm -
6:00 pm

DAY ONE CLOSING KEYNOTE: Integrating Dual Eligibles in the State of Virginia

2014 marks the beginning of Virginia’s duals demonstration. In this session, learn how the State works with managed care organizations in its state to provide quality care coordination and integrated care. Hear:

  • What the plan’s role will be in the demonstrations
  • How the State will manage care integration and coordination
  • How plans will manage care coordination
  • Lessons the State has learned so far from implementation
Speaker Photo Unavailable Emily O. Carr
Director, Office of Coordinated Care
VirginiaDepartment of Medical Assistance Services
Speaker Photo Unavailable Tammy J. Whitlock
Director, Division of Integrated Care & Complex Services
VirginiaDepartment of Medical Assistance Services
6:00 pm -
7:00 pm

Cocktail Reception in the Executive Networking Lounge