Since their enactment more than 50 years ago, the Medicare and Medicaid programs have made great strides in delivering health care to our nation’s most vulnerable – the aging, the poor, the disabled. We can look to these programs’ innovations in payment reform, benefit design, and community-based care as models for reshaping the way we deliver quality health care.
During AHIP’s National Conferences on Medicare, Medicaid & Duals, you’ll uncover the myriad ways health plans are reducing barriers to care, delivering high-quality services, and lowering costs, including:
AHIP’s National Conferences on Medicare, Medicaid & Duals includes three distinct events:
Stay on top of the latest trends and operational need-to-knows. Register today for one, two, or all three events.
Join the conversation #AHIPMMD
There’s a reason health care professionals budget their time and travel dollars to attend these conferences year after year, and why they recommend them to their colleagues. See what your peers have to say about attending.
Hear from policymakers and thought leaders. Gain insight from innovators and stakeholders.
Peer-to-peer learning and take-aways that have positive impact.
Network with experts, peers, and partners. Discover your solutions.
|National Conference on Medicare, Sept. 24-26||National Conference on Duals, Sept. 26||National Conference on Medicaid, Sept. 27-28|
There’s a reason health care professionals budget their time and travel dollars to attend these conferences year after year, and why they recommend them to their colleagues. See what your peers have to say about attending.
Powered by AbsoluteCARE, Inc.
The current primary care system cannot provide the care needed for the highest-need, highest-cost patient population that account for 30-40% of all paid claims. This session will explore a unique delivery model that addresses social determinants of health, addiction and behavioral health issues, and leads to improved outcomes for patients with complex needs. Learn how the Ambulatory ICU Delivery Model can drive down unnecessary utilization while addressing value based purchasing and improved quality for the high-acuity, chronically ill population.
Powered by HealthTrio, LLC
This session will focus on five best practice strategies that optimize authorization workflow and improve health outcomes. Attendees will learn how new regulations are impacting authorizations and how to prepare for these changes. This session will also present these key strategies within real life case studies, highlighting where health plans have implemented these strategies and experienced major turning points in their authorization programs.
Powered by Inovalon
With the first year under MACRA’s mandatory Quality Payment Program (QPP) nearing completion, and 2017 performance data submission deadlines just around the corner, providers across the care continuum remain at varying levels of readiness for this new era of physician payment. This session will provide a snapshot of Year 1 of MACRA implementation and look ahead to what’s to come in Year 2 and beyond. Attendees will learn how data-driven analytics can support quality reporting requirements under the QPP by offering actionable insights into expected performance and improvement opportunities, as well as helping identify and evaluate impact of improving performance on key measures to inform goals.
Powered by Optum
The first 30 to 60 days following a member’s discharge from an acute care setting represents a critical time period that can result in a costly avoidable readmission. This session will examine the growing need for a comprehensive post-acute care strategy. Speakers will share a real-world case study that details key success factors that resulted in a reduction in readmission rates, stronger length of stay management, and improved diagnostic coding and gap closure. Learn how these strategies can lead to significant clinical results.
In this session, you will learn about HHS’ priorities and strategies for strengthening the Medicare Advantage and Part D programs.
In this session, a leading Medicare Advantage plan CEO will discuss Medicare’s future and health plans’ continuing role to affect positive change in the program, as well as innovations in serving Medicare members.
The speakers will discuss the ongoing transition from volume-based to alternative payment models under the Medicare Access and CHIP Reauthorization Act (MACRA), as well as current successes and opportunities for expansion of value-based contracting and other arrangements in Medicare Advantage.
This session will highlight the Medicare Diabetes Prevention Program expanded model and Medicare Advantage plan efforts to develop programs for eligible beneficiaries.
Powered by Visiant
Medicare Advantage continues to garner attention from health plan leaders and the market due to the size and anticipated growth in the segment. However, the definition of success varies by market and the levers to achieve outcomes require constant attention and upgrades based on regulatory changes from CMS and market conditions. It requires health plans to be setup in a dynamic way that enables flexibility. This session will explore some of the key frameworks and approaches that have enabled strong Medicare Advantage plans to not only deal with the uncertainty but also drive their culture and DNA around their operating model to help them stay nimble and lean.
Speakers will discuss MA and Part D coverage determination requirements, including CMS guidance on what constitutes reasonable outreach to providers and prescribers. This session will also highlight best practices that plans can implement to meet program requirements.
This session will highlight value-based plan benefit designs being tested that encourage Medicare Advantage beneficiaries to use high-value clinical services.
Powered by Welltok
The competitive landscape for health plans to keep members engaged is rapidly changing. How can health plans precisely target new members, retain current members and impact Star Ratings? This session will explore a new two-step process that has the potential to drive up to forty percent more engagement among members. Learn how combining advanced analytics with best practice multi-channel communications can provide a more tailored approach to addressing readmissions, diabetes care, medication adherence, gaps in care, member satisfaction and retention. Hear how health plans have experienced results from this powerful combination.
Speakers will discuss best practices for improving provider directory accuracy, including provider engagement strategies.
Speakers will discuss the Part D Enhanced Medication Therapy Management (MTM) model tests and innovative strategies to optimize medication use and improve care coordination for Medicare beneficiaries.
Powered by CareCentrix
Most health plans have a keen insight on curbing costs for hospitalizations and emergency department use. Far fewer have the knowledge needed to tame the costs associated with post-acute care, such as reducing dependence on Skilled Nursing Facilities (SNFs), limiting the variability in home care quality and rates, and making sure members have what they need to be self-sufficient as they heal at home. Learn why guiding care to the home is the single best way for health plans to bend the cost curve.
Powered by Burgess
This session explores the current state of disconnectedness in the American healthcare system, and how a combination of technology, design and strategic business partnerships can reduce costly errors, distress, and shift the focus to collaboration and business intelligence. Attendees will learn what payment integrity entails and how it pertains to their organization and the health care system as a whole. The speakers will demonstrate the pivotal strengths of a unified platform, and how the future of health care can be streamlined and simplified for payers and providers.
In this session, drug policy experts from diverse range of industries will provide their perspectives and predictions regarding drug policy legislation and drug industry trends.
This session will provide insight from a range of perspectives into both the high-level and day-to-day challenges, possibilities and rewards of administering the Medicare program from former senior officials who recently served at CMS.
This session will explore the opportunity for increasing efficiency and improving patient outcomes through innovative approaches to structuring health benefits, such as value-based insurance design, as well as practical applications in the Medicare program now and in the future.
Powered by Express Scripts
Drug overdose is the leading cause of accidental deaths in the U.S. ‒ more than 20,000 people fatally overdosed on opioids in 2015 and nearly two million are addicted. Research shows the Medicare population has among the highest and fastest-growing rates of diagnosed opioid use disorder, currently at more than six of every 1,000 beneficiaries. This session will explore solutions to help curb the costs, combat the opioid epidemic and keep Medicare members healthier.
Powered by Deloitte
The Centers for Medicare and Medicaid Services (CMS) has recently sharpened its focus on Medicare Advantage (MA) network adequacy and the accuracy and completeness of MA organizations’ provider directories. CMS is now reviewing one-third of all organizations’ directories each year and initial findings from the first round of reviews shows there is room for improvement. CMS also now requires an MA plan to submit information on its contract’s entire network as part of its service area expansion application. CMS is in the process of developing and piloting a new audit module to evaluate network adequacy. CMS’ increased oversight, coupled with its more frequent reviews of network adequacy, underscores the importance of having complete and accurate information about the providers in your network and a robust provider data management processes. This session will explore CMS’ requirements regarding provider directory accuracy and completeness and results of recent audits. Speakers will discuss Medicare Advantage network adequacy requirements and the importance of complete and accurate health service delivery tables. Learn about the role of provider data management in supporting compliance efforts and leading industry practices.
Powered by Episource
Payers need to better understand their member population. Analytics tools work well to achieve this, but analytics tied to workflows work even better. This session will explore the power of workflows, why program analytics are often ignored but extremely important, and how to find the hidden value of Hierarchical Condition Categories (HCC) suspecting.
Powered by Wellframe
With smartphone ownership more than doubling in the past five years in the U.S., mobile-enabled health technology represents an enormous opportunity to leverage existing clinical resources to engage members in their health and health care in fundamentally new ways. After deciding to focus on ways to expand the reach of its integrated approach to care management and quality improvement, one large regional health plan introduced a new mobile technology platform to augment its existing telephonic-based outreach to both commercial and Medicare members. In this session, the speakers will highlight the challenges that the organization faced to implementing this tech-enabled, mobile-centric approach to care and the key learnings to drive adoption among both members and staff to engage more members, more frequently and to facilitate improved member health outcomes.
Powered by HealthEdge
Change and the resulting uncertainty were in the air prior to the 2016 election. Now there are even more questions regarding political and regulatory outcomes, particularly for the future of Medicare and Medicaid. What can health plans with government sponsored programs do to be ready for whatever comes next? Value-based reimbursement will continue to be a driving force in both Medicare and Medicaid, according to industry experts. Many studies prove that increased engagement with members leads to improved outcomes and decreased medical costs. This session will focus on the agility needed to rapidly respond to changing regulations, payment models and member expectations today and tomorrow.
Powered by Matrix Medical Network
According to the Centers for Disease Control and Prevention, more than 29 million people in the United States have diabetes and one in four people with the disease doesn’t know he or she has it. This session will discuss how an in-person intervention can identify diabetics not previously diagnosed, improve care for people with diabetes, help close gaps in care, and empower members to better manage the disease. Attendees will learn how these personal, one-on-one visits and appropriate follow-up can identify risks early and reduce dangerous and costly complications, including the results of one ongoing diabetic intervention program.
The speakers will discuss the political environment and possible future changes and improvements to the Medicare program.
Speakers will discuss the strengths and weaknesses of the current CMS-Hierarchical Condition Category (HCC) risk model that CMS uses to adjust payments to Medicare Advantage plans to account for disease severity. The session will address potential opportunities for improving the model as well as alternatives that could be considered in the future.
Powered by RX Advance
We are living in an era of significant innovation and technological advancement, where companies such as Uber in transportation and Airbnb in hospitality have transformed their respective industries with innovative business models and technologies. The health care industry should also incorporate innovation to drive progress. PBMs are uniquely positioned to influence this innovation and are ripe for disruption. This session will address why now is the time for a PBM moonshot.
Powered by Connecture, Inc.
With only days until the next annual election period, 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 2018 and beyond. The speaker will discuss specific ways to build actionable retention and engagement strategies for Medicare beneficiaries. Learn how plans, providers and brokers are prioritizing the consumer experience in their go-forward initiatives to better engage and retain members.
This session will highlight foundational research, measure development activities and policy proposals to address disparities in health outcomes observed in Medicare quality ratings due to socioeconomic status.
The director of CMS’ lead office for dual eligible programs will recap the agency’s perspective on the current state of dual eligible programs, and provide an update on future policy directions and initiatives under consideration.
This panel of experts with unique experience in state Medicaid programs, Medicaid health plans and federal policy will discuss strategies states are considering as they work to improve health outcomes and coordination of services for their dually-eligible enrollees.
Speakers from four health plans will review opportunities to promote innovation and expand integration of dual eligible programs. Such opportunities might involve new policies, or targeted refinements in Medicare Advantage, Medicare Part D, and Medicaid policy at the federal and/or state level.
Panel participants will discuss the respective merits and limitations of Medicare-Medicaid-Plans (MMPs), Dual Eligible Special Needs Plans (D-SNPs) and Programs of All-Inclusive Care for the Elderly (PACE) as delivery models for realizing integration of Medicare and Medicaid for dual eligibles.
Two nationally-respected experts will examine characteristics of an ideal unified program structure for dual eligibles, exploring issues such as state vs. federal level administration, implications for beneficiary experience, impacts on operations, and potential financial and administrative synergies.
The speaker will provide a health plan perspective on the prospects for Medicaid, challenges and opportunities on the horizon, and the role of managed care plans in providing stability and long-term viability for the Medicaid program.
This session will review recent trends in Medicaid waiver design and examine challenges to implementation, such as financial and health literacy, and engaging with enrollees to help them understand complex program requirements.
This session will explore current efforts to focus on patients’ needs while trying to find the balance between effective pain control, addiction treatment and controlled prescribing.
Powered by DST Health
Ongoing legislation and regulations are changing the healthcare market drastically for government-sponsored payers and healthcare professionals. More and more, the industry is seeking quality and efficiency data to drive payment and measure effectiveness. Accurate and timely provider data is a must to prioritize health over healthcare, including care delivery metrics, population health management, prescribing habits and provider demographics to optimize adequate networks and provider directories. A holistic approach, including both medical and pharmacy reporting requirements, is designed to assess the economic environment in an effort to drive these populations toward value-based care. Federal as well as state regulations are intended to ensure provider quality and serve as the basis for measurable insights into provider practices. This session will explore how the convergence of medical and pharmacy data can be innovative in payment transformation and improve patient access to health care value. Learn about the direction reform is taking and gain perspective on the data you are capturing with tips to position for strategic data usage in a rapidly changing environment.
A panel of managed care experts describe their organizations’ innovative programs to address major factors influencing health and health outcomes – housing, food and employment – and discuss linkages with care management and health services.
Powered by Quest Diagnostics
This session will focus on key considerations for health plans for effective genetic testing. Speakers will explore trends in genetic testing and the impact for health plans, and highlight considerations related to the clinical utility of genetic testing. Attendees will learn about strategies for appropriate test selection and interpretation, and misconceptions related to proprietary genetic tests.
Panel participants will discuss key trends and dimensions of home and community based services, including integration of care and service coordination, direct care work force issues, evidence based practices and the evolution and status of key CMS regulations.
Powered by SKYGEN USA
This session will explore the disruptive effect technology innovations have had on once rock-solid companies and how lessons learned apply to health plans today. The speaker will explore how and why technology-enabled solutions are the only pathway for payers to scale their Medicaid business, whether it be medical, dental, or vision. The speaker will also introduce a new technology strategy that promises to re-invent the way health care benefits are delivered to optimize efficiency. Learn how uncertainties in Medicaid create additional urgency to enhance the practice of managing the spend on benefits through analysis and technology that ranks and rewards good providers with advantages such as higher reimbursement rates, while uncovering instances of fraud, waste, and abuse more effectively, enabling health plans to deliver more and better care to more members.
Powered by NovuHealth
This session will explore how an intelligently designed engagement program, based on consumer loyalty practices, can deliver short-term benefits of quality and over the longer-term increases satisfaction, retention and a reduction in cost. Learn how to streamline the process of providing the right message, incentive and channel to the right member.
Two senior health advisors to the House of Representatives Energy and Commerce Committee will present contrasting perspectives on prospects for Medicaid reform legislation and the forecast for new directions in federal Medicaid policy.
This session will highlight state perspectives on the outlook for Medicaid, including implications for beneficiaries, Medicaid health plans, and state budgets.
This panel discussion will examine the unique structure of the Medicaid prescription drug program and Medicaid drug coverage, review utilization patterns and cost trends, and explore recent policy innovations for improving effectiveness and reducing costs.
Seasoned health affairs observers will comment on the political environment surrounding Medicaid, and the interactions of Medicaid policy and politics with the larger political environment, “repeal and replace” and entitlement reform.
Health plans, providers, and community organizations are working together to improve the health of Medicaid beneficiaries who suffer from asthma and other respiratory conditions. Program leaders will share insights on identifying members for intervention; engaging with providers, care teams, and members to improve member health; and leveraging partnerships to augment program capabilities and maximize success.
Powered by Envolve
Understanding the barriers to accessing care is essential to developing effective care models for vulnerable populations. By addressing these barriers early for pregnant mothers and children with programs that educate and eliminate obstacles to care, we can promote healthy choices mitigating future chronic health conditions including childhood obesity and diabetes. This session will explore behavior-based health care interventions and the impact these initiatives have in building long-term healthy behaviors.
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.
We’ve negotiated special room rates to help stretch even the most limited travel budgets. Make your hotel reservations today!
The group rate is available until Friday, August 25, 2017 or when the room block has sold out (whichever comes first). This cut-off is a guideline and not a guarantee of availability.
Make your reservation today online using the conference Passkey link https://aws.passkey.com/e/49104294 or by calling 800.393.2503, if you are calling outside the US/Canada call 202.393-2000 and reference AHIP or the conference name.
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, August 11, 2017 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.
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
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
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
ikaSystems delivers cloud/SaaS-based business automation and process solutions
Welltok, Inc. is fundamentally transforming the way population health managers partner with consumers