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Conferences

AHIP 2023 Medicare, Medicaid, Duals & Commercial Markets Forum

Dates:
Mar 14 - 16, 2023
Location:
Washington, DC

AHIP 2023 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

7:00 am – 5:30 pm
, Registration and Information Desk Open

Terrace Foyer
Registration and Information Desk Open

7:30 am – 6:30 pm
, Exhibit Hall Open

Columbia

7:30 am – 8:45 am
, Continental Breakfast

Columbia
Continental Breakfast in the Exhibit Hall with Solutions Providers

8:45 am – 10:10 am
, Welcome and Opening Sessions

10:10 am – 10:30 am
, Break

Columbia
Coffee Break in the Exhibit Hall with Solutions Providers

10:30 am – 11:00 am
, General Session

11:10 am – 11:55 am
, Concurrent Sessions

  • SERIES 1: CONCURRENT SESSIONS

    • Policy Directions in Long-Term Services and Supports

      Location
      Georgetown
      Speakers
      Details

      This session will explore trends in Medicaid Long Term Services and Supports (LTSS), including hot topics in Home and Community-Based Services and managed LTSS.  

    • Improving Data Standards to Advance Health Equity

      Location
      International Ballroom East
      Speakers
      Details

      This session will highlight health insurance provider, government, and other health care stakeholder efforts to improve sociodemographic data standards, collection, and interoperable exchange. Speakers will discuss challenges, present lessons learned, and consider what needs to be in place from a policy and infrastructural perspective to maximize data collection efforts for health equity.

    • Health & Policy: Creating Actionable Engagement in the Regulatory Environment

      Presented by The Vitality Group
      Location
      Lincoln-Monroe
      Speakers
      Details

      Employers and health plans using integrated platforms to improve health and wellness must operate under evolving regulations. Whether outdated privacy rules, wellness program incentive caps, or restrictions on gamification or communications, engaging consumers requires navigating challenging regulatory environments. Learn how to successfully navigate regulations to ensure privacy protections while creating programs that offer meaningful and equitable engagement with proven outcomes.

    • Address Social and Behavioral Determinants to Improve Outcomes & Retention

      Presented by Wider Circle
      Location
      Jefferson
      Speakers
      Details

      Social and behavioral determinants of health (SBDOH) contribute to significant variation in health care access and outcomes. The complexities of the health care ecosystem may not always support solutions to address these underlying determinants. Learn approaches to incorporate SBDOH into a holistic, scalable system that can improve access for hard-to-reach and underserved members. This session will share how interventions can reduce isolation, improve retention and address health equity.

11:55 am – 1:05 pm
, Lunch & Learns

  • Lunch will begin at 11:55 am. Speaking Sessions will begin promptly at 12:20 pm.

    • Sustainability and Scalability: Turning Tech Innovation on its Head

      Presented by Accenture – An AHIP Select Sponsor
      Location
      International Ballroom East
      Speakers
      Details

      Challenges of ambitious design and establishing appropriate data infrastructure have impeded progress towards launching and scaling health programs that focus on social needs. Learn what it takes to successfully build capacity and connect communities with key resources to address social drivers of health. Gain insights from early lessons from state Medicaid programs and their managed care partners on how leveraging tools from care management playbooks can help ensure success.

    • The Big Shift: Prepare for the End of the PHE with Virtual Primary Care

      Presented by Teladoc Health – An AHIP Select Member
      Location
      Lincoln-Monroe
      Speakers
      Details

      The end of the Public Health Emergency will lead to an historic membership shift due to Medicaid redeterminations and accelerated growth of the MA and Marketplace lines of business. Gleaning insights from over 50M telehealth visits, learn how value-based virtual primary care can make a real world impact and how virtual care can provide high-quality, preventive services to reduce avoidable costs. Explore key trends and strategies to innovate with value-based virtual primary care.

    • Improving Star Ratings Through Better Cardiometabolic Management

      Presented by Vida Health
      Location
      Georgetown
      Speakers
      Details

      With increasing membership and economic pressure, Medicare Advantage plan leaders need to identify strategies to boost Star Ratings and attract new members. This session will explore how the combination of human-led care, prescribing, and technology can deliver scalable outcomes Medicare Advantage plans can expect. Join us to learn how measurable improvements in cardiometabolic management can improve Star Ratings and member engagement.

    • Managing Chronic Disease Risk Effectively: Strategies and Lessons Learned

      Presented by Diathrive Health
      Location
      Jefferson
      Speakers
      Details

      Successfully managing chronic disease risk requires effective member engagement. Hear lessons learned from a health insurance provider on how to best engage patients with chronic diseases to improve outcomes and patient satisfaction and, in turn, reduce overall health care spending. Additionally, speakers will highlight opportunities to bring these chronic disease risk solutions to small and mid-markets.

1:15 pm – 1:45 pm
, General Session

  • , International Ballroom West-Center

    Future of Life Science Innovation and the Impact of the Inflation Reduction Act

    ,

    Executives will share their perspectives on the outlook for life science innovations and how the Inflation Reduction Act will bring significant changes for drug pricing and payment.

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1:45 pm – 2:30 pm
, General Session

2:30 pm – 3:30 pm
, Break

Columbia
Coffee Break in the Exhibit Hall with Solutions Providers

3:30 pm – 5:15 pm
, Concurrent Sessions

  • 3:30 pm – 4:15 pm

    SERIES 2: CONCURRENT SESSIONS

    • No Surprises Act – Implementation and Implications Two Years In

      Location
      Jefferson
      Speakers
      Details

      The No Surprises Act has already prevented over 12 million claims from reaching consumers in the form of surprise medical bills. Implementation of this sweeping new law with its complex dispute resolution has proven to be challenging. Advocates and academic leaders will discuss lessons learned in the past 2 years and what unions, employers, health insurance providers, and consumers can expect in the coming years as policymakers address the underlying issues that gave rise to surprise billing.

    • Updates on CMMI Medicare Advantage and Part D Models

      Location
      International Ballroom East
      Speaker
      Details

      This session will highlight updates on the CMS Innovation Center’s latest initiatives for improving quality of care and reducing health care costs for Medicare beneficiaries through Medicare Advantage and Part D models.

    • Leverage Rapid Whole Genome Sequencing to Improve Treatment Decisions & Outcomes

      Presented by Illumina
      Location
      Georgetown
      Speakers
      Details

      Health insurance providers and health systems are increasingly collaborating to leverage genomics and precision medicine to enhance patient experience, improve outcomes, and reduce costs. The advent of rapid whole genome sequencing (rWGS) allows timely identification of genetic disorders and alters interventions in 40% of patients. Learn about benefit coverage decisions for genetic testing for critically-ill infants and how leveraging rWGS can improve treatment decisions and reduce total cost.

    • MA Plans: Prepare for the CMS Health Equity Index with Research Insights

      Presented by Inovalon – An AHIP Select Member
      Location
      Lincoln-Monroe
      Speakers
      Details

      Health equity is the first pillar of the 2022 CMS Strategic Plan. As such, the development of a Health Equity Index (HEI) is a key initiative to enhance Medicare Advantage (MA) Star Ratings. This session will explore how the HEI will be calculated and provide insights on how MA plans may perform. Gain insights to improve outcomes for enrollees with social risk factors by exploring data-driven solutions to reduce disparities.

  • 4:30 pm – 5:15 pm

    SERIES 3: CONCURRENT SESSIONS

    • State Approaches and Employer Efforts to Address Prescription Drug Affordability

      Location
      Jefferson
      Speakers
      Details

      This session will address what is keeping employers up at night regarding drug affordability and the public policies that these organizations/employers are seeing in the states that are either concerning and/or policies that can be supported. 

    • Mental Health Parity at a Crossroads: What the Future Holds

      Location
      International Ballroom East
      Speakers
      Details

      In this session, payers, regulators, and providers will discuss recent changes to the Mental Health Parity and Addiction Equity Act (MHPAEA) and where they see parity moving next.

    • Combating Hunger and Diet-Related Disease: Considerations for Health Plans

      Presented by Mom's Meals 2022 logo
      Location
      Lincoln-Monroe
      Speakers
      Details

      The federal government and other stakeholders are making strides to address hunger and engage the health care ecosystem to reduce the burden of food insecurity and diet-related disease. Learn about best practices for nutrition security programs and opportunities for health insurance providers to help support programs to combat hunger. This session explores approaches to apply research on clinical and cost impacts of medically-tailored meals programs to reduce the burden of diet-related diseases.

    • Leveraging Analytics to Optimize P4P Contracts and Improve Primary Care Access

      Presented by Gray Matter Analytics
      Location
      Georgetown
      Speakers
      Details

      Advanced data analytics can provide insights to improve primary care access and P4P partnerships. A leading health insurance provider shares lessons learned following the consolidation of three MCOs with 7,000+ providers. This session will explore how to employ analytics to integrate diverse data sets and leverage a framework to prioritize interventions for P4P contracts. Learn how to identify risk, reduce preventable admissions and utilize measures to increase access to primary care.

5:15 pm – 6:30 pm
, Reception with Solutions Providers

Columbia
Opening Night Reception in the Exhibit Hall with Solutions Providers