This fall, take a few days out of the office. Then take home exceptional insight that translates to your organization, your mission, and the communities you serve. You’ll meet experts from across the health care universe including leadership from health plans, government agencies, health care providers, academia, and other stakeholders. To help you plan your #AHIPMMD experience, see all the speakers, sessions, and topics on our agenda to-date.
National Conference on Medicare | October 14-16
National Conference on Duals | October 16
National Conference on Medicaid | October 17-18
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 our nation’s government health care programs. Here are some of the topics we’ll discuss during the three conferences.
See all the conference sessions and participating speakers here.
AHIP’s State Issues Retreat
Peer-to-peer sharing, learning, and discussion about your organization’s most pressing issues. Right after the Medicare, Medicaid and Duals conferences.
Home health organizations have made great strides as partners in Medicare Advantage contracts. In this session, the speakers will discuss how CMS’ recent decision to cover additional services for Medicare Advantage beneficiaries could enable health plans to recognize significant cost savings and improved outcomes. Attendees will learn how to apply this flexibility to other business lines and how to align new and existing networks to maximize growth.
This session will provide an overview of emerging technology that can help Medicare patients better navigate elective surgeries and post-acute care management (e.g. skilled nursing facilities) to lower readmissions and contain costs. We will summarize findings from CMS members that provide key insight into the differential performance of facilities catering to the Medicare population. We will also explore a case study on best practices and lessons gleaned from a leading managed care organization that utilized specialized machine learning software to direct patients to individually optimal facilities.
Peripheral Artery Disease (PAD) is a common chronic condition that often goes unnoticed. Symptoms of the disease, including mild pain in the legs and hips, are often mistaken for normal signs of aging and ignored. However, untreated PAD can have life-threatening and costly consequences including heart attack, stroke and other serious health outcomes. If detected early, PAD can be treated before the member suffers debilitating symptoms or adverse health effects. This session will explore best practices for early identification of PAD and behavioral modifications, clinical outcomes associated with diagnosis of PAD, and current and future state of PAD detection.
A recent research study revealed that roughly 66% of adults can’t estimate their health care costs in retirement. Further, 72% wish they understood Medicare coverage better. With health care costs on the rise, it is crucial that America’s workers and retirees make informed retirement planning decisions. This session will explore what consumers need to know about the rising cost of care, how to leverage HSAs for retirement savings, and how to get the most from retirement benefits like Social Security and Medicare.
As the market continues to place more emphasis on value-based products and solutions, health plans need to expect more out of their pharmacy benefit. This session will provide insight into how innovative programs and solutions in the pharmacy benefit can play a role in achieving lower costs while increasing member outcomes. Attendees will learn how technology, innovation and data can be paired with value-based contracting to provide improved health plan and patient outcomes; bringing proven commercial outcomes forward in to Medicare.
Health care is changing, propelled by technological advancements, individual preference changes and regulatory incentives. Organizations have to evolve their capabilities and value proposition in order to continue to create value. This session will explore disruptive trends in health care and speakers will provide insights into the types of value propositions organizations should consider in Medicare going forward. Join us to learn about a pathway plans can utilize to evolve to a chosen future state by leveraging incentives and increased flexibility awarded by CMS.
The speaker will discuss value-based efforts and innovative strategies that are moving the health care system forward.
Medicare program experts will describe their views on the current status of the Medicare Part D program and issues likely to affect its continued success.
Speakers will discuss benefit design flexibilities and additional supplemental benefits permitted starting in 2019 that will enable Medicare Advantage beneficiaries to choose plans that are tailored to meet their unique needs.
This session will highlight efforts underway to address the opioid crisis including evidence-based approaches. Speakers will also discuss strategies for developing meaningful drug management programs that prevent and treat opioid use disorders.
Most health plans currently use a product configuration process driven off Excel and Word documents, with manual input into the HPMS CMS system. This leads to duplicative data entry, increased errors, document creation and change challenges, as well as an increased probability of incurring penalties. This session will explain the importance of automating the process, from information creation to upload, in order to create an efficient, simplified workflow process providing multiple areas of value.
Speakers will discuss latest common findings from CMS’ Medicare Advantage and Part D program audits and provide insight on tools and best practices that MA organizations and Part D plan sponsors can implement to improve performance.
This session will provide best practices to engage different types of providers on their journey towards value-based care. Providers are facing pressure on many fronts while their reimbursement model is shifting under their feet. When providers fail, payers and members are impacted as well. Attendees will learn how health plans can partner with providers to enable them to be successful by sharing data and insights to proactively manage member health outcomes.
There are 6.7 million Americans living with a chronic wound. Wounded patients have annual Medicare expenditures approximately four times higher than the average beneficiary and private payers have reported annual expenditures of over $400 million dollars for diabetic ulcer patients alone. In this session, attendees will gain better insight into chronic wound patients and the wound care market through a real-world case study. Learn how a large health system ACO is managing these patients, and why traditional risk adjustment methods for wounded patients may not be as successful.
Payers and providers have historically been at odds, with conflicting goals and competing priorities that undermine true alignment. Health plans have a unique opportunity to share critical data and insights with hospitals and other providers to help them lower costs and effectively reach high risk and high utilizing patients proactively. This session will provide insights based on the real experience of a regional managed care organization and how they are working collaboratively with hospitals in and out of their network. Attendees will learn how this arrangement is enabling the provider organizations to look outside the walls of their facilities, by sharing data and the accompanying analysis. This unique collaboration is also promoting a greater understanding of the holistic view of the patient and is helping connect community resources to more traditional providers. Join us to explore how these steps can help lower costs and improve outcomes.
Speakers will discuss the blueprint to lower drug prices and patient out-of-pocket costs as well as highlight the Administration’s recent efforts to address increasing spending on prescription drugs in the Medicare program, including new flexibilities available to Medicare Advantage and Part D plans.
The session will highlight key changes to CMS’ Medicare Communications and Marketing Guidelines for 2019, including updates on which Medicare Advantage and Part D member materials are considered marketing under the new guidelines and those that are not.
The session will highlight the value of medical management tools in promoting safe, effective, evidence-based care. Speakers will also discuss efforts to streamline the process to reduce burdens on stakeholders and demonstrate positive outcomes.
Effective use of data can help payers achieve tremendous potential cost savings. This session will explore how one payer used data to identify savings associated with improvements in clinical operations for their Medicare and Medicaid populations.
With the annual election period underway, carriers and brokers are working hard behind the scenes to ensure an easy and seamless enrollment process for their customers. But, as the regulatory environment continues to shift and the impact of healthcare consumerism deepens, what’s the best way to separate fact from fiction when it comes to Medicare beneficiaries and how they like to shop for coverage? This session will explore key data findings and megatrends of the Medicare market, and what to expect in 2019 and beyond. The speakers will discuss specific ways to build actionable retention and engagement strategies for Medicare beneficiaries and the impact health care consumerism is having on the market.
The session will highlight a recent report that offers recommendations for improving the Medicare Plan Finder on-line tool which is intended to help Medicare beneficiaries understand and compare their Medicare options and choose the coverage that best meets their care needs.
Speakers will provide their insights on the upcoming midterm elections including the role health care issues are likely to play in these campaigns.
This session will discuss how extending the medical, interdisciplinary care model into the home helps improve access to care, quality of outcomes, and provider work life satisfaction, while reducing overall healthcare costs. Attendees will gain insights into how Medicare Advantage plans are well positioned for risk-based partnerships driving this transformation for our nation’s most complex, chronic populations. They will see the human and financial results of an in-home medical care model from a national leader in this space with more than 230,000 house calls performed over the past four years.
This session will provide a snapshot of key health care trends to watch for in Medicare, Medicaid and commercial health plans. We will also cover compliance trends, the 2016/2017 CMS compliance overviews and audit results, the emerging landscape of quality, and shed some light on the CMS Star Ratings program.
Addressing the costs associated with post-acute care can be complex, such as reducing dependence on skilled nursing facilities, limiting the variability in home care, and making sure members have what they need to be self-sufficient as they heal at home. This session will explore the key tenets of a successful post-acute care program through the lens of a real-life case study addressing the care continuum once a patient has been discharged from the hospital. Speakers will also provide an overview of where plans are in the development of robust post-acute care programs and what components are most likely to be included. Join us to learn how to design for the “next generation” of post-acute care programs and how to manage the transition to value-based care in post-acute care.
This session will provide insight into how CMS has fundamentally shifted the roles and responsibilities of Medicare Advantage and the field of palliative care. Attendees will learn how MA plans will now be able to offer supplemental benefits to mitigate the functional/psychological impact of injuries or health conditions, The speakers will also explore how access to palliative care services outside of hospitals and hospices can help reduce the burdens of family and other caregivers, and how home-based palliative care can significantly reduce total spending among seriously ill enrollees—more than compensating for the cost of the benefits.
By 2020, it is estimated that there will be enough data generated to fill seventy filing cabinets for every person on earth. The majority of this data is unstructured text, which is largely inaccessible, hidden from most analytics engines currently in use. Machine learning technology can be used to generate insights from this data to help people make fully informed health care decisions. In this session, we will explore how machine learning works, and how it can be harnessed to create patient profiles for better risk management, quality measurement, and ultimately, better care delivery.
This session will provide a summary of relevant provisions in the recently enacted Bipartisan Budget Act of 2018 and how it allows Medicare Advantage plans, including D-SNPs and C-SNPs, to develop innovative products to support members with chronic conditions for 2020. Attendees will learn about the law’s provisions with regard to supplemental benefits and the targeting of benefits for members with chronic conditions from a policy expert. Attendees will also hear about an innovative model of care that supports people with uncontrolled chronic conditions with home-delivered meals and other benefits, which can serve as an example for payer teams considering 2020 benefit designs.
Addressing raising costs of health care is a primary objective for any Medicare/Medicaid organization. New technologies and core administrative processing systems (CAPS) can cut administrative costs dramatically. In this session, attendees will learn about the top drivers of administrative costs in a typical health plan. The speakers will provide an overview of recent advancements in technologies, including digital health, cloud-based solutions, and next generation CAPS technology. Join us to hear real world case studies that demonstrate how these technologies help reduce administrate costs.
As more of the United States’ population ages, Alzheimer’s disease continues to grow as a national health care concern. This session will examine the burden of Alzheimer’s disease on the Medicare and Medicaid populations, which includes patients, their caregivers, and the health care system. The speaker will provide an overview of the evolving Alzheimer’s disease continuum.
CMS’ Administrator will highlight the agency’s priorities for the Medicare Advantage and Part D programs for the 2019 contract year and beyond.
The speaker will discuss his vision for Medicare’s future and health plans’ continuing role to affect positive change in the program.
This session will highlight foundational research and other efforts to address disparities in health outcomes observed in Medicare quality ratings due to socioeconomic status.
In this session, speakers will discuss the recent court ruling vacating the 2014 Medicare Advantage overpayment rule and potential implications for risk adjustment and payment in MA.
Contemporary technology has the ability to alleviate common pain points and enable effective and transparent payments. This session will examine advances in contemporary health care technology and outline ways payers can leverage its full potential. Using examples of recent updates to Medicare and Medicaid policy rules and regulations, attendees will learn how to use the latest technology to prepare for the year ahead, and ultimately make payments a successful venture.
Many health plans want to upgrade or replace their call center technology; however lengthy and expensive implementations have deterred them. This session will explore the current state of customer relationship management technologies in the health insurance industry and demonstrate how health plans can develop business cases to upgrade their call center technology with budget and ROI numbers that are competitive to other digital strategy initiatives. Through the use of consumer experience technology, health plans can rapidly transform their service operations department, streamline customer engagement and improve their Medicare Advantage star ratings.
The number of beneficiaries enrolled in managed Medicare (MM) plans has more than tripled since 2004 to reach 18.5 million in 2017 (33% of Medicare), but there is little existing research about this growing population, largely because data has not been as readily available as it has been for the Fee-For-Service (FFS) member population. A better understanding of high-cost, high-need segments, including those who are dual eligible for Medicare and Medicaid, is essential to developing policies and programs aimed at reducing costs with the rapid growth of managed care and value-based payment programs. Industry experts will present a study that compared high-cost MM and FFS beneficiaries in the U.S. with specific analyses related to dually eligible populations and the implications for the evolving value-based healthcare ecosystem including the relationship to the financial alignment for duals demonstrations and other research that is underway. Attendees will gain insight into patient characteristics most highly associated with high-cost, high-need Medicare beneficiaries to inform development of future value-based care initiatives.
The leader of CMS’s Medicare-Medicaid Coordination Office will discuss Agency initiatives focused on integrating Medicare and Medicaid for dually eligible individuals, including Medicare-Medicaid Plan demonstrations and implementation of changes in the Bipartisan Budget Act of 2018 for special needs plans.
Speakers will share thoughts on the future evolution of integrated programs for dual eligibles.
Medicare-Medicaid health plan experts will provide their perspectives on potential impacts and issues relating to the expanded integration requirements for dual eligible special needs plans, including the effects on current state initiatives, state/plan contractual relationships, and beneficiary care.
More and more states are looking to integrated plans to provide coordinated care to people with Medicare and Medicaid. In this session, a panel of current and former Medicaid executives will reflect on the successes and challenges in their states, and the prospects for further evolution of integrated care models.
Dually eligible individuals comprise less than a fifth of total Medicaid and Medicare enrollees, but their care accounts for about thirty five percent of the costs in each program. In this session, a renowned health policy expert will explore the intersections between health status, functional capacity, and effective care management to improve health outcomes and reduce program costs.
The move to value-based payment models has created the need for more data transparency between payers and their provider networks. This interactive session will explore how to move from thoughts and planning to implementation of a clinical data strategy to create administrative efficiencies and improve quality. Join us for a facilitated discussion and demonstrations where you can learn more about enhancing and streamlining quality measurement and closing gaps in care; improving care coordination with patient alerting and streamlined case management; and enhancing the performance of your provider network. Learn how to streamline operational processes by augmenting risk prediction models and automating prior authorization.
This session will examine results from two recent, formative research studies designed to gain insights into the impact of unmet basic needs on health behaviors among varied populations. Speakers will explore whether providing basic needs navigation is an effective strategy to positively impact health outcomes and cost among varied populations, including low-income individuals and Medicaid members with diabetes. They will also identify unmet basic needs associated with key health outcomes including daily health habits, ER utilization, preventive care screenings, having a sense of control over a chronic disease, and diabetes self-care. Join us to learn how psychosocial factors, having a sense of purpose and efficacy in life, and perceived social support are associated with health outcomes.
HEDIS scores got you down? Learn how digital communications, when done right, can contain cost, maximize outcomes, and create a positive perception in the minds of your members. Learn how adaptive technology is driving Medicaid member communications, increasing healthy actions, and improving HEDIS scores. Come see how health plans across the country are already leveraging this technology to see improvements across all lines of business.
This session will provide a case study of the past and future role of technology within the health care and PBM industries. The speakers will share takeaways from their collective experiences, and how the use of platform-driven smart process automation can reduce costs and increase quality of care. Attendees will gain a better understanding of how platforms and smart process automation have transformed various industries in recent years, from financial services, to ecommerce, to media and telecommunications. Join us to learn what the future of health care might look like.
Health plans face many challenges in today’s market—from the growth of consumerism to the shift to value-based care. Engaging members through a unified consumer experience is at the heart of many of these challenges. This session will explore how to put members at the center of your strategy and leverage a unified consumer experience to break down the silos between quality improvement, member satisfaction and risk adjustment – and drive performance across the plan. Join us to gain actionable insights through tried and true strategies for effective engagement program design and execution.
This session will examine technology-enabled solutions and value-based strategies health plans can adapt to succeed in the Medicaid environment. Speakers will demonstrate through real world case studies how big data analytics can help organizations improve provider and member engagement to drive better health outcomes, move from fee-for-service to an “episode of care” model by informing bundled payment design, and identify and address specific social determinants of health to improve the overall health status of the vulnerable population while reducing the cost of care. Join us to learn how realigning incentives around building stronger patient-provider relationships will create an exceptional patient experience that encourages members to not only seek interventions earlier but also actively engage in their health.
The speaker will review Medicaid’s role as a safety net program for some of society’s most vulnerable citizens. He will also explore some of the ways that Medicaid health plans pursue their mission to sustain and innovate within the Medicaid program, and the outlook for the program’s long-term success.
Is Medicaid the largest government funded health program? How many people are enrolled and who are they? How much does Medicaid really cost? Is the growth of Medicaid sustainable? In this session, the former Director of CMS’ Center for Medicaid and CHIP Services will review key components and metrics of the modern Medicaid program in the current social and political context.
The shift from institutional-based long-term services and supports (LTSS) to home and community-based services (HCBS) has made significant progress over the past decade. Speakers in this session will survey major challenges in the Medicaid LTSS environment, such as caregiver support and direct service workforce, care and service coordination, measuring the quality of HCBS, and expanding managed LTSS programs to include people with intellectual and development disabilities.
People re-entering society from the justice system face a range of challenges. Many have serious mental health and substance use disorders, as well as high rates of chronic infections, such as tuberculosis, hepatitis, and HIV, and many qualify for Medicaid. This special session will explore programs that facilitate the transition of people from prison and jail-based health services to Medicaid services in the community, and how such programs can both improve health outcomes and impact rates of recidivism and re-incarceration.
More than 70 million Americans receive their medications through Medicaid. Medicaid prescription drug programs operate under an arcane, complex set of federal laws and regulations that govern everything from formularies to pricing. In this Medicaid foundation session, drug program experts will examine key factors such as utilization and pricing trends, state budget impacts, implications of the drug development pipeline, and pros and cons of managed care vs. PBM-administered programs.
Digital interventions can reduce costs, increase access to quality care, and improve outcomes for Medicaid members. This session will discuss research on the reach of digital and a proven design framework for building effective digital health interventions. The speakers will also share a case example of this design framework for a digital tobacco cessation program and the results this program has generated.
Social determinants impact health on many levels—from nutrition and housing to literacy and education. Social and behavioral factors determine approximately 60 percent of health care utilization and outcome. In this session, we’ll look at how using social determinants of health, consumer analytics and new modeling can fill in missing gaps and help improve care quality, outcomes, financial risk and competitiveness.
Over the past year, “Medicaid buy-in” has emerged as a much talked-about health coverage solution. But what does the term really mean, and what would it take to stand up such a program? In this session, panelists will examine how Medicaid buy-in would work as an individual health coverage option and explore key policy and operational questions that would need to be addressed.
Medicaid programs and health plans operate in a complex environment of health care, politics, policy, and advocacy. This session will examine traditional health plan approaches for engaging with advocacy communities to promote communication, problem-solving, and transparency, and consider how those approaches could evolve and improve. How can plans be more effective in encouraging advocates to communicate issues directly? And beyond advisory boards, what other channels can plans leverage to build transparent, actionable discussions with advocates?
The session will provide insight into how rideshare is revolutionizing transportation services for patients. Faced with a myriad of barriers including costs, nerves, overwhelmingly poor health conditions, and no reliable transportation methods, an estimated 3.6 million Americans miss necessary medical care every year. Additionally, these barriers place a financial strain of approximately $150 billion per year on health insurances and health organizations helping to coordinate care. But hidden behind the numbers is the overall difficulty for patients to get proper access to care and health care practices to operate efficiently. In an effort to alleviate these problems, health care providers have found rideshare companies to be helpful partners. Join us to learn how to bring more reliable non-emergency medical transportation (NEMT) options to the Medicaid and Medicare Advantage beneficiaries you serve, while leveraging state-capitated payments to manage the NEMT benefit.
As connected health grows in adoption and consumer retail businesses venture into health care, how will these trends impact the senior Medicaid population? Remote monitoring, telehealth, medical alert, and associated services are gradually remaking how health is delivered to seniors in the home. Join us to learn how health care, technology and retailers are evolving and changing the way we care for seniors.
The speaker will provide commentary on the HHS Secretary’s agenda and priorities for Medicaid and Medicaid managed care, and policy initiatives adjacent to Medicaid, such as the Administration’s Prescription Drug Blueprint.
As more states move to Medicaid managed care, state procurements present Medicaid health plans with new challenges and requirements. What new administrative requirements are states putting in place? How are MCO performance measures evolving, and MCOs’ roles in program integrity? In this session, three former state and federal Medicaid officials will review emerging trends and themes in recent Medicaid procurements and RFPs.
When it comes to maternal health for Medicaid members, health plans face critical challenges in improving pregnancy outcomes, increasing routine pregnancy and postpartum supervision, and supporting high-risk pregnancies beyond the four walls of care delivery. In this session, you’ll find out how innovative organizations overcome these obstacles by reinventing their health management approach. You’ll also come away with proven tactics to help you effectively engage this diverse population. Join us to learn how to support the whole person by addressing social, lifestyle, and behavioral barriers to health.
At the heart of a Value-Based Program (VBP), is the concept that an alternative payment arrangement between a provider and a managed care organization can change the delivery of care. Improvements realized from changes in care delivery can be seen as near-term as a year, but can show greater results after 2-5 years of engagement. For Medicaid plans, this means the opportunity to impact risk scores by including risk adjustment into the VBP calculation; focus on outcomes-based measures that truly measure changes in how care is being delivered; (versus process-based measures); and engage with providers in a more meaningful way to impact members’ health, particularly at the point-of-care. Join us to learn how these targeted activities can help drive success across improvements in membership and clinical indicators, and reduce excessive and avoidable spend attributed to patients with persistent high needs.
Today, population health solutions are defined as the health outcomes and indicators of a community. In reality, the full story can only be told if we include social influences, economic situations, physical environments and mental behavioral outcomes. Gaining a more complete view of a population through a variety of non-traditional data sources will have a significant positive impact on the Triple Aim. This session will explore a successful approach for bridging the gap between an environment of incomplete and disparate data to a transformative action playbook that provides a 360-degree community view of members, providers and populations. Join us to learn how this vision can be developed and implemented based on lessons from real-life examples and use-cases including both health outcome and financial results.
The speaker will discuss federal initiatives to address various aspects of the opioid epidemic from the perspective of the Department of Justice, and how those initiatives interact with education, prevention, and treatment initiatives in place within Health and Human Services to achieve synergies.
In the context of recent action by Congress to address the opioid epidemic and a shift from use of prescription opioids to illicit drugs like fentanyl, important barriers remain to bringing the crisis under control. Three national opioid experts from managed care plans will identify remaining barriers and potential solutions in areas such as availability of MAT providers and inpatient therapy settings, and accessibility of substance use records to primary care and other providers.
Lack of housing is a recurring challenge in Medicaid, whether trying to discharge a homeless member from the hospital or transitioning an older adult from a nursing home to the community. This session will explore the intersections of Medicaid and housing, one of the major social determinants of health. Expert panelists in housing, Medicaid programs, and Medicaid managed care will review major federal and state housing programs, explore challenges in bridging gaps between Medicaid and housing, and highlight how health plans are partnering with a range of stakeholders to meet housing challenges.
The Administration has articulated a series of general policy goals for government health programs, including reduced administrative burden, greater flexibility and accountability. In this session, three national experts will “read between the lines” to discern how the Administration’s general goals are likely to play out in new initiatives and regulations that will impact patients, providers, and health plans.
Some states have fast-tracked a shift of Medicaid health care payments from volume-to value-based reimbursement. While some are prescriptive as to specific models and specifications, others are structuring value-based payment (VBP) with a broader stroke, leaving details and structures of new arrangements to plans. Regardless, VBP mandates are real, time-sensitive, and resource constrained. Join industry experts and explore the waters of analytic-driven payment, and essential strategies and technologies that plans and providers can use in both Medicaid and Medicare for success under established and emerging payment models.
Self-reported data from health plan members related to Social Determinants of Health are powerful complements to conventional health care data elements – such as demographics, claims history and member risk scores. Health plans can use this data to predict future risks and design meaningful intervention programs before costs escalate. Learn how to collect and use this information to facilitate the efficient deployment of resources for the right targets to improve overall quality scores, reduce future costs, and positively impact the future health of the member population.
This session will focus on simple, effective, quick-to-market technology solutions that leverage existing technologies along with sophisticated and proven techniques to reengineer Fax- and Scan-centric workflow into fully automated or partially operator-assisted digital transformation. We will discuss real-life examples of how other payer organizations have been able to significantly reduce costs while also increasing service level agreements (SLA) in less than 12-months from project inception to completion.
After many years of debate, Virginia’s legislature voted to expand the state’s Medicaid program beginning in 2019. Virginia’s governor will present his perspective on the role of Medicaid in serving low income people, and how the program can accommodate state priorities and needs for program flexibility.
State Medicaid programs must balance competing interests, making their programs responsive to beneficiary needs while controlling costs and ensuring quality. Speakers in this session will highlight prominent innovations in refining state Medicaid programs – introducing new populations to managed care, moving from volume to value, and venturing beyond the traditional boundaries of Medicaid.
Medicaid programs are dynamic laboratories in which states test new policies and initiatives, some of which generate controversy. Panelists will review key legal cases and regulatory proposals currently in play that involve Medicaid, several of which have “landmark” implications and potentially major impacts on Medicaid enrollees and managed care plans.
Managed long terms services and supports programs are on the forefront of tailoring care and coordinating services to meet the needs of individuals. In this session, health plan LTSS leaders will describe their cutting-edge programs that are making differences in their members’ lives.
As the market continues to place more emphasis on quality metrics, health plans need to look beyond medical programs to assist in accomplishing these goals. This session will provide insight into how the pharmacy benefit can play a role in achieving greater quality standards. The discussion will focus on practical strategies health plans can use to drive quality through different pharmacy, prescriber and member initiatives.
This session will explore a successful collaboration between an award-winning complex care management program and a clinically integrated network of independent providers working to serve North Carolina’s most vulnerable populations. Speakers will share perspectives and lessons learned on how to create a dynamic duo between care management and provider services to achieve the quadruple aim and improve health outcomes. Learn from a team that’s been leading the industry in value-based care before North Carolina began its transition to a managed care model.
The Medicaid Transformation Project is an initiative by 17 major hospital systems with 280 hospitals to collaborate and share best practices to improve care for people on Medicaid. The speaker will outline plans for implementing new Medicaid care models and digital solutions to improve care delivery for behavioral health, women and infant care, substance use disorder and avoidable emergency department visits; and address plans for engaging with Medicaid MCOs.
The 2018 mid-term elections have the potential to shift the balance of power in Congress and reframe ongoing debates over the ACA, Medicaid, and Medicaid expansion. Just two weeks before the elections, panelists will survey the political landscape and assess political implications for state Medicaid programs and federal Medicaid priorities.
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 & Duals is a great place to get down to business. So 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.
Limited rooms are available at the J.W. Marriott Washington, DC, for the 2018 National Conferences on Medicare, Medicaid & Duals. All rooms are first-come, first-served and subject to availability. To book online, you must register for the conference and the hotel link will be provided. You may also check with Marriott Reservations at 800.393.2503 directly for availability.
If you cannot book at the J.W. Marriott, the following hotels may have availability.
*Note: AHIP does not have contracted rates with the following hotels:
W Hotel Washington, DC
515 15th Street, NW
Marriott reservations at 800.393.2503
Washington Marriott at Metro Center
775 12th Street, NW
Marriott reservations at 800.393.2503
Grand Hyatt Washington
1000 H Street, NW
1001 16th Street, NW
Sofitel Washington DC
806 15th Street, NW
All room reservations must be accompanied by a first and last night’s deposit guaranteed with a major credit card. This deposit may be charged to the guest credit card any time after booking.
If a reservation is cancelled on or before Friday, September 21, 2018 the deposit will be refunded. If a reservation is canceled from twenty-one (21) days to fourteen (14) days prior to arrival the individual will forfeit the deposit of the first and last night’s stay. If a reservation is canceled on or after thirteen (13) days prior to arrival, the individual will be charged the entire length of stay.
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
Accenture is a leading global professional services company, providing a broad range of services and solutions in strategy, consulting, digital, technology and operations.
Burgess helps leading American health insurers and ACOs set a new standard in payment accountability.
CareCentrix drives savings, improved outcomes, and patient satisfaction
Change Healthcare is inspiring a better healthcare system. Working alongside our customers and partners, we leverage our software and analytics
Connecture has been one of the most trusted providers of healthcare technology for nearly two decades.
Remote monitoring solution for high risk seniors, to lower PMPM costs
IBM Watson Health aspires to improve lives and give hope by delivering innovation, through data and cognitive insights
Driven by data, Inovalon identifies gaps in care, quality, data integrity, and financial performance
NTT DATA is an end-to-end service provider of IT and business solutions for healthcare.
Optum combines technology, data and expertise to power modern health care.
RxAdvance is a national full-service pharmacy benefit manager
Teladoc Health is the market-share leader and the only publicly-traded “virtual healthcare delivery” company.
The First and Only Consumer Experience Platform Built for Health Insurance