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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

10:30 am – 12:15 pm
, Keynote Session

  • 10:30 am – 11:00 am,

    Special Keynote Session: Four Questions with Krista Hoglund

  • 11:00 am – 11:45 am,

    Promoting Provider Competition and Reducing Incentives to Consolidate

    ,

    This session will explore policy efforts to promote provider competition and mitigate the impact of hospital mergers, provider consolidation, and impact of private equity investment in providers on health care spending. A panel of experts will provide perspectives on policy options and recent efforts to promote price transparency, call for transparency around private equity and incent the usage of alternative sites of care. Speakers will also examine potential effects of and opportunities presented by price transparency for patients, physicians, and other health care industry stakeholders.

  • 11:45 am – 12:15 pm,

    Lessons from the Pandemic

    • Learn more about Mark McClellan, MD, PhD
      Mark McClellan, MD, PhD
      ,
      Robert J. Margolis Professor of Business, Medicine, & Policy
      , & Founding Director of the Duke-Margolis Center for Health Policy, Duke University

12:15 pm – 1:00 pm
, Break

Break with Solutions Providers

1:00 pm – 2:30 pm
, Concurrent Session

  • 1:00 pm – 1:45 pm
    • Government Health Programs Policy, Operations, and Emerging Trends

      Medicaid Agility: Addressing the Status Quo of Medicaid Pricing

      Presented by Healthedge
      Speakers
      Details

      Complexities in Medicaid have plans struggling to price claims accurately while payment methodologies, rates, and policies continuously change, leading to millions of dollars in unidentified waste and inaccuracies. We’ll discuss how health plans can adopt a comprehensive payment integrity approach to improve efficiency and accuracy and remain agile amidst constant change.

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

      Commercial Market Regulatory Landscape: An Environmental Scan

      Speakers
      Details

      Speakers in this session will discuss what regulatory actions are likely over the course of the year. Topics covered include mental health parity, health equity and non-discrimination, the No Surprises Act, rules impacting the individual and small group markets and more.

    • Health Equity, SDOH, and Community Health

      Supporting Vulnerable Members with Meals Can Impact Utilization and Cost of Care

      Presented by Mom's Meals 2022 logo
      Speakers
      Details

      Members with high utilization are more likely to report unmet social needs. A managed care plan developed an innovative pilot to support high-risk members with a behavioral health diagnosis with 12 weeks of home-delivered meals. Speakers will discuss how meeting this basic need contributed to positive outcomes for individuals and the health plan, impacting provider and case manager visits, in-patient stays, readmissions and total cost of care. Attendees will gain insights from lessons learned.

    • Technology, Business Solutions and Product Innovations

      Modernizing Agent Engagement to Drive Growth and Member Experience

      Presented by ZS
      Speakers
      Details

      The agent is an often-overlooked role—yet, improving their experience has a material impact on member growth and satisfaction. Now is the time for health plans to up their game through data and analytics to strengthen agency partnerships in a new hybrid environment. This session will describe techniques health plans can take to better target and engage agents to optimize AEP success, including a recent case study with a leading government-focused plan.

  • 1:45 pm – 2:30 pm
    • Government Health Programs Policy, Operations, and Emerging Trends

      Medicaid Plans at the Forefront of Change

      Speakers
      Details

      The Medicaid program has greatly expanded during the public health emergency due in part to the maintenance of eligibility provisions; there are now more than 83 million individuals served by this safety net program, and approximately 65 million served by managed care organizations. MCOs are being asked to partner with states, innovate, and be flexible to serve the myriad needs of enrollees, ranging from access to behavioral health, improving maternal health outcomes, expanding access to home and community-based services, and continuing to tackle health disparities. In this session, we will hear from a panel of experts leading the charge.

    • Health Equity, SDOH, and Community Health

      Innovative Strategies to Build Impactful and Equitable SDOH Programs

      Presented by Unite Us
      Speaker
      Details

      Government leaders have made strong commitments to advance health equity and address SDOH, and are increasingly using regulatory levers to drive system change. However, the existing Medicaid and Medicare Advantage infrastructure does not fully incorporate SDOH data and community providers. This panel will focus on innovative and concrete ways that health plans can advance health equity, address SDOH, and create systems to shift investments upstream.

    • Care Management, Delivery Transformation and Value

      Transforming UM to Accommodate Growth and Improve Patient Outcomes

      Presented by Cohere Health
      Speakers
      Details

      Health plans are taking on rising utilization as membership grows rapidly. However, regulation and network-related issues may complicate the use of traditional UM, and increase administrative costs. Learn through case studies how your plan can transform UM from a permission-based model to tech-driven, collaborative care coordination that improves patient experience and outcomes.

    • Technology, Business Solutions and Product Innovations

      Want Better Patient Care? Understand the Customer

      Presented by Optum – An AHIP Select Sponsor
      Speakers
      Details

      Health plans carefully review member data captured during visits with health care providers, but social and economic factors we all live with and the physical environment we live in also have impacts on health care costs. This session explores how looking at member data holistically enables plans to improve care and associated outcomes. Using this data responsibly, plans can quantify both historic impacts and projected future impacts across a wide range of applications.

2:30 pm – 3:00 pm
, Break

Break with Solutions Providers

3:00 pm – 3:45 pm
, Concurrent Session

    • Government Health Programs Policy, Operations, and Emerging Trends

      Innovative Plan Interventions Supporting Dual Eligibles

      Speakers
      Details

      In this session, speakers will discuss upstream innovative interventions that MA plans have implemented to improve care and reduce health care costs for the dual eligible patient population.

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

      Emerging Trends in Employer-Sponsored Coverage

      Speaker
      Details

      Speakers in this session will discuss how employer-sponsored health coverage has changed over the course of the pandemic, and share new data demonstrating how health insurance providers and employers are prioritizing mental health care, incentivizing use of telehealth, and taking steps to make coverage more affordable. They will also discuss emerging trends for employee benefits, and what policymakers should do to continue supporting health coverage for nearly 180 million Americans.

    • Health Equity, SDOH, and Community Health

      Closing Health Equity and Behavioral Health Gaps in Musculoskeletal Care

      Presented by Hinge Health
      Speakers
      Details

      Musculoskeletal (MSK) pain and related behavioral health needs affect populations across income, race, and ethnicity. A panel of health plan and employer speakers will share how they’re leading the way in embedding racial and health equity into MSK and behavioral health.

    • Care Management, Delivery Transformation and Value

      Health Equity Impact on Risk, Quality, and VBC

      Presented by Change Healthcare
      Speakers
      Details

      Increasingly risk, quality and value-based care (VBC) are converging to allow organizations to address critical needs and manage total cost of care, while improving quality of care. Data driven insights help focus care more effectively on populations most at risk. Combined with SDOH data, they could enable transformation of the healthcare industry at scale. This session will explore real world examples from chronic conditions to simple procedures and the opportunities and complexities for each.

3:45 pm – 5:30 pm
, Keynote Session