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Conferences

National Conference on Health Policy and Government Health Programs

Dates:
Mar 14 - 17, 2022
Location:
Virtual

AHIP’s National Conference on Health Policy and Government Health Programs (Formerly the Medicare, Medicaid & Dual Eligibles Conference) focuses on policy issues and emerging trends surrounding Medicare, Medicaid, and programs serving those who are dually eligible. It also explores the future of employer-sponsored coverage and the individual, small group, and private markets.

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Agenda Filters

Sessions

9:00 am – 6:00 pm
, Break

10:20 am – 10:30 am
, Spotlight Sessions

    • Sponsored by Mom’s Meals

      Presented by Mom’s Meals Nourishcare – An AHIP Select

10:30 am – 12:45 pm
, Keynote Sessions

12:45 pm – 1:30 pm
, Break

Break with Solutions Providers

1:30 pm – 3:00 pm
, Concurrent Sessions

  • 1:30 pm – 2:15 pm

    Concurrent Sessions

    • Government Health Programs Policy, Operations, and Emerging Trends

      *CMS Proposed Part D PBM DIR Changes: What Are Potential Impacts?

      Speakers
      Details

      With CMS’ proposed rule for Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs, the agency included significant revisions to the use of Direct and Indirect Remuneration (DIR) by plan sponsors in the program. This session will explore the ramifications of implementing this proposal for plans and the Medicare prescription drug program if finalized, from the public policy, operational, and actuarial perspectives.

      *This Concurrent Session is closed to the media and will not be available on demand.

    • Employer-Sponsored Health Coverage, Marketplace Policy, and Emerging Trends

      Legal Challenges to the No Surprises Act

      Speakers
      Details

      Speakers in this session will provide an overview of the long-standing issue the No Surprises Act was enacted by Congress to solve; the Federal regulations promulgated to operationalize the program; and the litigation landscape involving (in particular) the factors to be used by arbitrators in addressing payment disputes between health insurance plans and providers.

    • Health Equity, SDOH, and Community Health

      The Road to Health Equity is Paved with Socio-Clinical Risk Adjustment

      Presented by 3M
      Speaker
      Details

      The concept of social determinants of health can be used to augment existing health care risk adjustment tools, which are often used in setting payment rates or calculating performance on quality measures. This session will discuss strategies for incorporating social needs, behavioral and functional health into risk adjustment to address social needs and impact health equity.

    • Technology, Business Solutions and Product Innovations

      Omnichannel Personalization to Drive Outcomes and Reduce Costs

      Presented by Zipari
      Speakers
      Details

      A recent survey asked 1,500 Medicare and Medicaid members about their consumer experiences (CX) and digital consumer experiences with their health plans. Their responses were analyzed to identify significant themes within each population, and to determine how these differ from or align with commercial health plan members. This session gives health insurance providers current and market-specific insights into CX trends to help prioritize digital CX efforts most likely to drive positive outcomes.

  • 2:15 pm – 3:00 pm

    Concurrent Sessions

    • Government Health Programs Policy, Operations, and Emerging Trends

      Time to Double Down on Your Medicaid Strategy!

      Presented by Optum – An AHIP Select Sponsor
      Speakers
      Details

      Medicaid enrollment continues to grow: the program now serves over 80 million people, including 10.8 million dual-eligible enrollees. One in four Americans are covered by Medicaid, and many have complex, costly conditions. This session will offer best practices to help grow your Medicaid business by serving complex populations and explore how enhancing member experience is tied to positive health outcomes.

    • Health Equity, SDOH, and Community Health

      Overcoming Attitudes and Barriers to Behavioral Health for Low-Income Communities

      Presented by Included Health
      Speakers
      Details

      This session will explore perceptions, barriers to care, and utilization patterns of behavioral health services amongst different segments of low-income populations. Gain actionable insights for successfully engaging low-income populations and helping to reduce stigma around behavioral health care.

    • Care Management, Delivery Transformation and Value

      Providing a Patient Focused Pain Management Solution

      Presented by Tivity Health
      Speakers
      Details

      With more than 50% of adults in the U.S. managing pain on a regular basis, and with musculoskeletal (MSK) treatment as a leading health care spend, the time is now to transform the way we deliver MSK treatment to patients. Learn how combining state of the art virtual tools, a nationwide network of non-surgical treatment practitioners, and a physical activity program that incorporates movement therapy can help payors drive down costs, increase patient engagement, and optimize member experience.

    • Technology, Business Solutions and Product Innovations

      Opportunity in Disruption: Navigating the New Health Care Landscape

      Presented by DocuSign
      Speaker
      Details

      The health care industry is ripe for modernization across its segments. Digital transformation will play a key role in satisfying regulatory requirements and exceeding consumer expectations. This session will review emerging trends of the current environment, highlight disruptive influences including new legislation, and explore innovative solutions.

3:00 pm – 3:30 pm
, Break

Break with Solutions Providers

3:30 pm – 4:15 pm
, Concurrent Sessions

  • 3:30 pm – 4:15 pm
    • Government Health Programs Policy, Operations, and Emerging Trends

      State Perspectives on Medicaid Redeterminations and Exchange Transitions

      Speakers
      Details

      The COVID-19 public health emergency will likely end this year; and with that, states will once again begin conducting redeterminations of eligibility for the nearly 83 million people enrolled in Medicaid. Experts on this panel will explore the challenges states will face and their options for verifying ongoing eligibility for all their Medicaid enrollees, transitioning people no longer eligible to other coverage, and potential impacts on continuity of care for Medicaid enrollees.

    • Health Equity, SDOH, and Community Health

      Culture-Centered Approaches to Advancing Equity

      Presented by SameSky Health
      Speakers
      Details

      This session explores a real-world example of how taking a culture-centered approach to engaging Medicaid members of diverse backgrounds resulted in a marked improvement in one health plan’s 90-day member retention rates and helped to advance the plan’s health equity initiatives. Join us to learn how to remove barriers to health and form meaningful relationships with members from diverse cultures that traditionally have been difficult to reach.

    • Care Management, Delivery Transformation and Value

      When Galaxies Collide: How an Integrated Analytics Strategy Improves Outcomes

      Presented by Inovalon lateral 2020
      Speakers
      Details

      This session will explore the current universe of siloed quality and risk programs and the merits of moving to an integrated approach. Speakers will discuss how an integrated analytics strategy can empower providers and positively impact member experience and outcomes. Join us to learn key steps for fostering successful organizational change and support of an integrated program.

    • Technology, Business Solutions and Product Innovations

      Open Enrollment’s Influence on Member Experience and Health Plan Costs

      Presented by Amwell
      Speaker
      Details

      This session will focus on the impact open enrollment has to reduce leading drivers of healthcare costs for chronic and co-morbid mental health conditions, with emphasis on Medicare and Medicaid given the higher rates of chronic health conditions in these populations. Attendees will learn how digital health tools can empower members to create positive changes in their behavior and mental health while also enabling health plans to address the rising costs related to chronic conditions.

4:30 pm – 5:15 pm
, Keynote Sessions