Health care remains at the top of the to-do list for the administration, lawmakers, and health care professionals. Yet as the intensity of debate surrounding health care intensifies, one thing remains the same: changes to health care impact people in very real and personal ways.
This fall, join health care experts, government officials, academics, health insurance providers, and industry thought leaders as we discuss strategies to make the Medicare and Medicaid programs better for the people they serve while making them affordable and fiscally sustainable. You’ll find the answers you need and more at these targeted conferences.
Register for one, two, or all three. Save when you register for more than one conference.
Dive into deep discussions about priorities, opportunities, and future directions for the Medicare and Medicaid programs. Click here to see a list of this year’s topics.
Peer-to-peer sharing, learning, and discussion about your organization’s most pressing issues. AHIP’s State Issues Retreat immediately follows Medicare, Medicaid and Dual Eligibles conferences. Combine all conferences with one trip.
A leading health policy expert will discuss the practical implications for the health care system of allowing Americans to purchase insurance coverage through the Medicare program, including key considerations and trade-offs in evaluating the potential impact of such reform efforts.
Speakers will discuss the implications for the Part D program, consumers, and taxpayers of rising drug prices and expensive breakthrough therapies in the pipeline, as well as potential solutions to ensure a sustainable benefit for future enrollees.
This session will discuss issues that arise in calibrating the Medicare Advantage risk adjustment model on encounter data.
Without a complete view of a patient’s medical, pharmacy, genomic, social and demographic history, everyone misses out – whether you are a clinician, pharmacist, care giver or consumer. And in today’s data-driven world, with the pressures of value-based care impacting stakeholders across the health care continuum, the need for speed and transparency to capture a holistic patient view has never been greater. In this session, gain a multi-stakeholder perspective on how payers, providers, pharmacies, and patients are finding value in new approaches to interoperability and data sharing, what is on the horizon, and the impact of federally-proposed rules like TEFCA. Join the discussion as data connectivity experts explore how health care electronic exchange standards are transforming the interoperability landscape to solve today’s challenges around provider connectivity and patient engagement, care gap closure, and the ability to leverage advanced, intelligent clinical decision support.
Nearly half of all specialty medications are billed through the medical benefit – contributing to potential waste each year due to inappropriate and unnecessary utilization. In this session, you will learn about comprehensive strategies designed to address prescriber and patient needs and the latest in technical innovations delivering significant plan sponsor savings and supporting improving patient outcomes.
The Medicare Advantage and Part D program audit protocols are changing for 2020. The speakers will discuss the changes and effective strategies to improve audit performance.
Speakers will present strategies for leveraging technology to enhance the value of medical management tools in promoting safe, effective, evidence-based care.
In this session, we will share insights and measures from a successful nutritionally-focused home-delivered meals program for members with one or more chronic health conditions. Real-world results from a pilot program, presented by (a)credentialed expert(s), will be shared to support the importance of nutrition in managing chronic health conditions and the use – and cost — of health care resources. Design and measurement of a chronic care pilot program will be discussed, and a review of preliminary outcomes will be shared. In addition, the real-world instances of improved member engagement, positive clinical outcomes, and lowered cost of care through reduced utilization will be reviewed. The session will conclude with a summary of lessons learned through evidence-based studies, program results, and customer satisfaction measures.
In 2019 alone, the Federal Government has issued a number of proposed and final rules including final rule Medicare Advantage and Part D Drug Pricing (CMS-4180-F), proposed rule 21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program and proposed rule Secure Electronic Prior Authorization for Medicare Part D. All of these efforts promise to disrupt health care and will have a direct impact on Medicare Part D plans. Navigating this ever changing landscape can be challenging. Join us to dive deeper into how these rules are changing the dynamics for Medicare Part D and health care in general.
This session will explore a real-life example of a health plan’s goal of launching a new Medicare Advantage plan while leveraging their well-known market brand. Learn how they enlisted the talents of an outsourcer to administer core operations while allowing the health plan to focus on growth and provider relationships.
Today’s senior is no longer tech-averse. In fact, the opposite is true. Today’s seniors are using technology at an increasing rate. Now is the time to consider modern approaches to promote wellness. Join us to learn how to awaken engagement, create community, and help to decrease loneliness for your Medicare Advantage members.
Most health plans know they need to give members a better, more personalized experience—but how can you quantify the results of these efforts? In this session, attendees will learn how a leading health plan deployed a convenient, easy-to-use digital platform to their Medicare population, driving measurable improvements to engagement and cost savings. The speakers will share practical strategies for building relationships with members, as well as member stories demonstrating the positive impact of a digital approach.
This session will provide a lens into how medication adherence analytics can drive improvement in key quality measures and Star Ratings scores. Attendees will learn about the results of several case studies and key learning objectives as to programmatic oversight that have led to innovative strategies. Applicable to any population where improved health outcomes are desired, the speaker will provide several unique consumer cohort views and engagement techniques to drive improved population health.
As Medicare Advantage continues to gain in popularity, health plans should consider innovative strategies in a growing market. Learn from a large health plan how to utilize new resources and technology strategies to help impact your organization’s success.
Given the complexity of the Medicare landscape, it’s not surprising that the “Omni-channel” buzzword has become pervasive. Does it refer to various marketing channels and consumer access options used to promote your plans? Or does it merely involve the distribution and technology channels such as self-service, broker, or call-center? Join this session to hear industry experts sift through the myths versus the facts. They will provide results directly from annual consumer and user experience research and provide actionable insights to help you prepare for the upcoming plan year.
As millions of tech-savvy Baby Boomers enter the market, never has there been a greater need for Medicare Advantage plans to modernize their consumer experience strategy. Medicare beneficiaries are becoming more sophisticated shoppers and consumers have high expectations of their health plan. This represents a significant opportunity for Medicare Advantage plans to expand their offerings. To do so, plans must arm themselves with technologies that are rooted in all things consumer experience. In this session, we will discuss how health plans can leverage consumer experience technology to capture data and analyze it to optimize the entire member experience — from onboarding to closing gaps in care to renewals.
This session will afford payers a unique opportunity to hear the provider’s view of opportunities and challenges of evolving contract approaches, including value based contracting. The speaker will provide insight into how health plans can strengthen collaboration and engagement with their provider organizations. Join us to learn through real world experience and use cases what provider organizations think about, struggle with, and prioritize as they enter into value-based contracts.
Recent studies show 94% of commercial plans and 92% of Medicare Advantage plans have adopted virtual care. For many plans, it’s like checking a box: offer telehealth and stay current, keep up with competitors and remain regulatory compliant. But virtual care doesn’t end there. As with any other type of business segment roll-out, without a solid strategy, plans can easily fail in the virtual health realm. Proper roll-out planning and management, communication planning, marketing, patient engagement, provider training and metrics to measure success are all a part of virtual care’s overall success. Join us as we explore virtual care and how to go from implementation to ideal integration.
Earlier this year, the Supreme Court issued a decision in Azar v. Allina Health Services with far reaching implications for how the Medicare program will be regulated in the future. This session will discuss the implications for Medicare Advantage.
Medicare Advantage plans have more flexibility than ever before to offer innovative value-based designs and supplemental benefits. Speakers will discuss the promise of these new benefits in 2020 and beyond.
Addressing America’s opioid epidemic requires a multi-faceted approach with clinicians, policy makers, and health plans all playing a role. The goal is to prevent opioid misuse and treat signs of dependence early, but health plans often struggle to quickly find and support high-risk members. Another challenge is deploying multi-modal, integrated engagement programs to meet these members’ needs. This session will focus on predictive data analytics and how it can help health plans combat the opioid crisis by identifying risk in the population early and intervening effectively. Industry experts will also discuss how to leverage the power of member-level analytics and engagement programs in “rising-risk” populations to comprehensively address opioid abuse early, before misuse and addiction occur.
With social determinants playing a large factor in one’s care, how can managed care organizations leverage the advancements of technology and human touch services to improve member engagement and care management? This session will explore how senior Medicare and Medicaid beneficiaries can benefit from today’s technology while aging in place. Join us to learn how technology and services can enhance member satisfaction, and therefore help MA plans maintain or improve their Stars Ratings.
In this session, we will review research results from implementing a pharmacist-led, patient-centered adherence program incorporating motivational interviewing (MI) to influence behavior change in Medicare Advantage-Prescription Drug plan utilizers. The study evaluates the impact the MI program has on patient adherence and Star Ratings, and examines the performance before and after implementing motivational interviewing, and the iterative work to continually improve.
This session will address the critical role of Medicare Advantage and Part D in ensuring the future success of the Medicare program.
Plan executives will discuss strategies to achieve the broad range of clinical and social needs of seniors.
As prescription drugs continue to drive consumer and government spending on health care, market reform has become a key issue for policymakers. A distinguished panel of thought leaders will discuss various strategies the Administration and Congress should consider to ensure long term affordability while balancing incentives for innovation.
This session will dive in to ways of optimizing network options to deliver patient-focused programs that drive higher adherence and improved clinical results. Presenters will share real-world examples that demonstrate how simple changes can lead to significant shifts in clinical performance, resulting in improved Medicare Star ratings.
This session will highlight how plans are using emerging technologies to improve and expand access to care for their Medicare enrollees.
Speakers will discuss recent and ongoing CMS initiatives that aim to both measure and increase the quality of care received by diverse populations, including Medicare beneficiaries, and strategies that plans can implement to reduce health disparities.
Plans and providers can deliver better care to their patients at a lower cost by moving away from fee for service and towards a value-based model. This session will highlight how plans and provider groups are working together to improve care quality and reduce health care costs for their members.
During this presentation you’ll hear how integrated virtual care is transforming the way Medicare Advantage members access care, inclusive of behavioral health. Learn how health plans are now using a virtual care strategy to address consumer experience, clinical outcomes and cost—by simplifying delivery, engaging members, reducing the cost of care and improving outcomes for their diverse populations.
This session will provide a compelling case for transformation as a priority for health plans. Attendees will learn why a combination of people, process and technology modernization is critical to meeting the challenges of today’s dynamic and competitive environment. Medicare and Medicare Advantage programs are growing due to the aging in of the Baby Boomers and health plans must successfully attract and retain those members while enabling a pleasing customer experience with the information and level of service expected of them. Internal staff must also have access to consistent information with the latest technology for both more efficient operations and increased customer satisfaction. Although sometimes de-prioritized, industry studies show that health plan executives recognize transformation as a critical strategy for growth and success. Join us to hear real-world insights from a health plan in the midst of making change a key organizational imperative.
The CMS Administrator will discuss the growing role of technology, patient engagement, and other issues on her agenda as the Medicare program enters its 55th year.
Medicaid health plans across the country are tasked with reducing potentially preventable health care services and improving performance. Health plans can use data to take an analytic deep dive to identify quick and targeted quality improvement interventions. Credible data, benchmarking tools and constant performance feedback are necessary. This session will explore how health plans can leverage a data-driven approach to quickly uncover opportunities to reduce avoidable admissions and readmissions for their members. Join us to learn through real-world case study examples how to apply best practices to meet your organization’s performance goals.
Integrated member enrollment is a game-changer for health plans with government lines of business that traditionally use multiple enrollment systems. Leveraging a single enrollment orchestration platform enhances lifecycle visibility into the quote-to-card process, improves financial reconciliation accuracy and provides a scalable foundation for new business growth. In this session, attendees will learn how to define and implement technology, build consistent workflows and retrain critical enrollment resources across multiple lines of business. Only then can health plans transform their enrollment operations into a mechanism for top-line growth.
This session will explore how analytics and algorithms can help predict member preference as it relates to how, where and when they receive their care. Attendees will learn how unique venues like mobile health clinics can offer members greater choice and convenience in accessing important care and preventive services.
According to the NCQA, the Electronic Clinical Data Systems (ECDS) reporting standard represents a step forward in adapting HEDIS to accommodate the expansive information available in clinical data sets for quality improvement. As with most things, change is inevitable and history indicates that digital quality measurement and ECDS are likely the way of the future. To stay ahead of the curve, plans need to lay out a foundation for digital quality measurement and reporting today. This session will walk attendees through the critical steps that need to be taken to begin building the infrastructure and technical capabilities to enable their success in the digital measurement movement.
There are thousands of interpretable health indicators for patients. Which signals are important and how do we make them useful? Health plans today struggle to meaningfully incorporate socio-behavioral determinants of health (SBDoH) to more effectively manage risk, match members to the right care, and design better networks. The speaker will discuss an approach for navigating the challenges of applying SBDoH to risk stratification and share results from a recent analysis applying SBDoH to member risk management. Tactically, participants will learn about the benefits of and how to implement a data quality index to improve utilization and reliability of SBDoH data and insights.
This session will provide a unique glimpse into Medicaid plan strategies and executions of telehealth for Medicaid members. Telehealth can support services to Medicaid members who otherwise face significant barriers to care and would seek care in the ER or do nothing at all, leading to exacerbation of their health conditions. This session will examine how different organizations are leveraging telehealth to address the unique access issues of Medicaid members. Join us to learn how health plans are utilizing telehealth to more holistically care for members and expand local network availability while reducing costs.
Effective collaboration can be challenging even when everyone is on the same team. It’s even more challenging when it involves crossing traditional boundaries. But the move to value-based payment models has created the need for more data transparency between payers and their provider networks, and it has to be built on a strong foundation of shared information. Join us for an interactive session talking about the challenges, and those who have succeeded.
Conference Location: JW Marriott
1331 Pennsylvania Ave, NW, Washington, DC 20004
Hotel Website: www.jwmarriottdc.com
Fall is a fabulous time to be in D.C.
Not too hot, not too cold. And always a comfortable setting to plan for your organization’s coming year in public programs. Conveniently located, AHIP’s National Conferences on Medicare, Medicaid & Dual Eligibles is a great place to get down to business. Sign up for the conference and receive special hotel rates!
As an added bonus, nearby you’ll find plenty of walkable green spaces, D.C.-only attractions like the White House, Smithsonian Museums and the National Mall, and great restaurants for when you need to take a short break from it all.
Reservation Deadline is Friday, August 23, 2019 or when the room block has sold out. (whichever comes first).
How to book a room – To receive the AHIP-negotiated rates you must register for the 2019 National Conferences on Medicare, Medicaid and Dual Eligibles, before making your hotel reservation. Once your registration has been confirmed you will receive hotel details within the registration confirmation to book your room reservation using the online Passkey system. Reservation Deadline is Friday, August 23, 2019 or when the room block has sold out. (whichever comes first).
*IMPORTANT MESSAGE: POTENTIAL HOUSING FRAUD ALERT*
Please be aware that third party housing companies also known as room pirates or poachers, may contact AHIP registrants and exhibitors to solicit sleeping rooms for the 2019 National Conferences on Medicare, Medicaid and Dual Eligibles. Room pirates/poachers may act as travel agencies, wholesalers, or destination management companies. The practice on room poaching makes it difficult for AHIP to meet our room block commitments and exposes us to penalties and increased room rates for future meetings.
AHIP does not endorsed any private companies to act on our behalf. AHIP is not responsible for any hotel reservations made through any company source. Room pirates/poachers may represent themselves as being affiliated with AHIP by illegally using our name or logo. Don’t be misled! If you are contacted by someone, please let us know immediately, click here to send an email.
This hotel does not provide shuttle service.
Ronald Reagan Washington National Airport (DCA)
Distance from Hotel: 5 miles
Drive Time: 20 minutes
Washington, DC/Dulles (IAD)
Distance from Hotel: 26 miles
Drive Time: 45 minutes
Baltimore/Washington International Thurgood Marshall Airport (BWI)
Distance from Hotel: 31 miles
Drive Time: Approximately 1 hour
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The First and Only Consumer Experience Platform Built for Health Insurance