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Conferences

2024 Medicare, Medicaid, Duals & Commercial Markets Forum

Dates:
Mar 12 - 14, 2024
Location:
Baltimore, MD

The 2024 Medicare, Medicaid, Duals & Commercial Markets Forum focuses on the most pressing policy priorities, emerging issues and regulatory updates for Medicare, Medicaid, Duals, and the commercial market.

Agenda Filters

Sessions

8:00 am – 9:00 am
, Coffee

Key Ballroom Foyer

8:00 am – 5:00 pm
, Registration Desk Open

Key Ballroom South Foyer

8:45 am – 10:30 am
, General Session

10:30 am – 6:30 pm
, Exhibit Hall Open

Holiday Ballroom

10:30 am – 11:15 am
, Break

Holiday Ballroom
Coffee Break with Solutions Providers

11:15 am – 12:00 pm
, Concurrent Sessions

  • Concurrent Series 4

    • Medicare Advantage & Part D

      Value of Medicare Advantage

      Location
      Peale
      Speakers
      Details

      Speakers in this session will discuss the growth, popularity and value of the Medicare Advantage program that serves millions of older adults and people with disabilities.

    • Commercial Market & Employer-Provided Coverage

      Employer Perspectives on Value-Based Arrangements

      Location
      Johnson
      Speakers
      Details
      Adoption of value-based payment arrangements in the commercial insurance market lags behind other lines of business. Since nearly half of Americans receive coverage through their employer, employers are a critical partner to drive systemwide transformation toward care models that focus on quality and affordability. Join this session to hear panelists discuss how the employer market is unique and how value-based payment arrangements can be successfully implemented in the employer market.
    • Whole Person Care Delivery & Innovation

      Best Practices to Support Aging in Place

      Location
      Key Ballroom 9-10
      Speakers
      Details
      Join this session to explore innovative strategies health insurance providers are employing to facilitate aging in place. Learn how health plans are adapting population health models and addressing individualized needs by implementing place-based supports and delivering advanced care at home.

12:00 pm – 1:15 pm
, Lunch & Learns

  • 12:30 pm – 1:15 pm

    Lunch will begin at 12:00 pm. Speaking Sessions will begin promptly at 12:30 pm

    • Current Issues in Medicaid: Insights from State Medicaid Directors

      Location
      Peale
      Speakers
      • Amir Bassiri, New York State Department of Health (DOH)
      • Kelly Cunningham, Illinois Department of Healthcare & Family Services
      • Jay Ludlam, NC Department of Health and Human Services
      • Kate McEvoy, National Association of Medicaid Directors (NAMD)
      Details
      This session will explore trends and emerging issues in Medicaid programs and priorities of state Medicaid directors. Learn how health insurance providers can partner with states to improve outcomes for Medicaid beneficiaries.
    • FDA Unique Device Identification: What Do You Need Know?

      Location
      Johnson
      Speakers
      Details
      The FDA established the unique device identification (UDI) system to adequately identify medical devices sold in the United States from manufacturing through distribution to patient use. Increased use of the UDI could allow payers and providers to improve patient safety and enhance care coordination. Join this session to learn about the benefits of UDI implementation across the health care system for better care delivery and medical device interventions.
    • Making the Case for Coverage: GLP-1s for Cardiometabolic Care

      Presented by Vida Health
      Location
      Key Ballroom 11-12
      Speaker
      Details

      GLP-1s and other anti-obesity medications are changing the treatment landscape for patients and providers. Although literature shows these drugs can be life changing, these products are not universally accessible, including to Medicare and Medicaid beneficiaries. Join us to explore how a managed solution combining behavior change and pharmacotherapy can achieve high-quality outcomes, improve cardiometabolic care, offset near term Rx costs and produce long term medical cost savings.

    • Leveraging a Patient-Centric Approach to Solve Gaps in Care

      Presented by Nomi Health
      Location
      Holiday 1
      Speakers
      Details

      Closing gaps in care continues to be a critical concern for the U.S. health care system. Join this session to gain insights on using data analytics to create a robust, patient-centric program and examine the regulatory environment for dual eligible populations and patients with multiple chronic conditions. Learn how to solve for multiple points of failure within complex care to not only increase patient engagement and success, but ultimately challenge and improve the entire ecosystem.

    • Achieving Improved Engagement and Outcomes through Innovative Partnerships

      Presented by Tivity Health
      Location
      Key Ballroom 9-10
      Speakers
      Details

      The future of health care will require new partnerships to support innovative member engagement strategies. Effective solutions will be community-focused and culturally sensitive, both in-person and through digital channels. Learn how one health insurance provider is evaluating novel partnerships and pilot programs to explore evidence-based engagement models. Gain insights into intervention strategies, reimbursement options, and opportunities to address health equity.

1:15 pm – 2:00 pm
, Break

Holiday Ballroom
Dessert Break with Solutions Providers

2:00 pm – 3:45 pm
, Concurrent Sessions

  • 2:00 pm – 2:45 pm

    Concurrent Sessions Series 5

    • Medicare Advantage & Part D

      Impacts of Inflation Reduction Act on Part D Program*

      Location
      Peale
      Speakers
      Details

      *This session is closed to the Press.

      Speakers will discuss the Inflation Reduction Act (IRA) implementation priorities and impacts on Part D plans.

    • Commercial Market & Employer-Provided Coverage

      ACA Marketplace: Lessons Learned from State Exchanges

      Location
      Johnson
      Speakers
      Details

      The ACA Marketplaces reached a record high number of sign-ups during 2024 open enrollment, with over 20 million people enrolling in coverage in the Federally facilitated and State-based Marketplaces. Join this session to explore unique efforts, successful strategies, and key learnings from State-based Marketplaces to grow enrollment and support coverage transitions through Medicaid unwinding. Examine the impact temporary enhanced subsidies have had on access to affordable health care.

    • Advancing Health Equity

      Addressing Health-Related Social Needs Through 1115 Waivers

      Location
      Holiday 1
      Speakers
      Details
      More states are looking to Medicaid 1115 waivers to address health-related social needs by building data infrastructure, fees for non-clinical services, and partnerships with community-based organizations. Hear from health insurance providers in states with transformational Medicaid 1115 waivers to gain insights on those models and the roles of health plans, what is going well with implementation, and what challenges they have faced.
    • Market Strategy & Operational Innovation

      The CMS Health Equity Index: New Measure, New Approaches

      Presented by Inovalon lateral 2020
      Location
      Key Ballroom 11-12
      Speaker
      Details

      Join us as we explore innovative solutions to identify and reduce disparities among socially and economically disadvantaged groups. Explore key elements of the Health Equity Index, how to use data-driven approaches to anticipate how your plan will score and identify areas with largest disparities that can most improve outcomes. Gain insights from one health insurance provider that is proactively preparing for the changes to MA Star Ratings, including reward factor calculations.

    • Whole Person Care Delivery & Innovation

      Realizing Sustainable Growth in Medicare Advantage

      Presented by Advisory Board
      Speaker
      Details

      As the Medicare Advantage landscape faces heightened scrutiny on cost and spend, financial sustainability is more imperative than ever before. Health insurance providers that aim to thrive in the MA market long-term must have a clear understanding of how to create sustainable practices and which levers will deliver greater value and improve outcomes. Join this session for insights on strategies to improve risk adjustment and Star Ratings performance for long-term success.

  • 3:00 pm – 3:45 pm

    Concurrent Sessions Series 6

    • Medicare Advantage & Part D

      MA & Part D Advance Rate Notice: Implications for 2025 and Beyond

      Location
      Key Ballroom 11-12
      Speakers
      Details

      In this session, experts will discuss key elements of the 2025 Advance Notice and Regulations for MA and Part D and share insights on the impact and implications for plans.

    • Medicaid Managed Care & Medicare-Medicaid Dual Eligibles

      MACPAC: Perspectives on the Continuing Evolution of Medicaid

      Location
      Peale
      Speakers
      Details
      In this session, speakers from the Medicaid and CHIP Payment and Access Commission (MACPAC) will comment on the status of the Medicaid program and MACPAC’s initiatives and priorities for 2024.
    • Advancing Health Equity

      Progressing Towards Health Equity: Insights from Health Insurance Providers

      Location
      Johnson
      Speakers
      Details
      Health insurance providers are uniquely positioned to implement innovative strategies both within their organizations, communities, and structural systems to advance health equity and address the unmet social needs of their members. With a focus on sharing lessons learned, this session will explore novel approaches health insurance providers have taken to advance health equity both within their organizations, and among the members and communities they serve.
    • Whole Person Care Delivery & Innovation

      Addressing the Opioid Crisis Through Innovative Population Health Programs

      Location
      Key Ballroom 9-10
      Speakers
      Details

      Progress in combating the opioid epidemic has been slow. Join this session to explore population health-based approaches to improve access to treatment and the quality of care delivered through technologies, innovative clinical models and predictive data analytics. Learn how to facilitate the adoption of telehealth solutions and employ predictive algorithms to address the opioid overdose and SUD epidemics.

    • Market Strategy & Operational Innovation

      Optimizing Member Experience Through Tailored Digital Interventions

      Presented by mPulse Mobile
      Location
      Holiday 1
      Speakers
      Details

      The use of AI and predictive models in health care offers the promise to improve health outcomes at scale. Join this discussion to learn how to build personalized care journeys that factor in risk propensity and social determinants of health. Gain insights on how to use predictive analytics and omnichannel digital outreach to deliver highly tailored, personalized experiences throughout the care continuum.

4:00 pm – 5:30 pm
, General Session

4:45 pm – 6:00 pm
, Reception

Holiday Ballroom
Reception with Solutions Providers

6:00 pm – 6:00 pm
, Exhibit Hall Closes

Exhibit Hall is closed on Thursday, March 14