SERIES 8

• Medicare Advantage & Part D

  Value of Medicare Advantage: Latest Evidence that Makes the Case

  Speakers

  • Jennifer L. Kowalski, MS, Elevance Health
  • Jennifer Podulka, America’s Physician Groups (APG)
  • Christie Teigland, PhD, Inovalon

  Details

  In this session, speakers will showcase the latest evidence that demonstrate that Medicare Advantage delivers better services, better access to care, and better value.

• Care Delivery Innovation

  Achieve Quality Improvement Through Effective Pharmacy Care Management Programs

  Speaker

  • Vanessa Campbell, UPMC Health Plan

  Details

  High performing quality performance can be difficult to achieve in Medicaid managed care. This session will showcase how one Medicaid managed care plan was able to achieve top in state quality scores on the asthma medication ratio (AMR) measure. The speaker will highlight the use of telehealth and telephonic interventions along with community partnerships to discuss disease and medication education. Explore how various digital tools can be leveraged for effective pharmacy care management outreach programs.

• Commercial Market & Employer-Provided Coverage

  ACA Innovation Waivers

  Speakers

  • Daniel Meuse, Princeton School of Public and International Affairs
  • Randy Pate, Centers for Medicare & Medicaid Services (CMS)

  Details

  The ACA established flexibilities for states to establish programs that address the unique needs of their markets or experiment with alternate models of providing health insurance coverage to their residents. This session will examine opportunities and considerations for applications of Section 1332 State Innovation Waivers and Section 1333 Health Care Choice Compacts as states seek to improve access to affordable coverage in the individual market.