Find out what your organization can do to participate successfully in the huge coming duals integration initiatives.
Visit http://www.aishealth.com/marketplace/c2a13_041212-eamcol for details.

In the past year, the federal and state governments have developed huge new initiatives to expand integrated care delivery for Medicare-Medicaid dual eligibles and, in the process, created big near-term growth opportunities for health plans. The rapid development by CMS’s new Federal Coordinated Health Care Office of proposed initiatives to fund large-scale state care-integration demonstrations for duals has combined with ongoing efforts by the states themselves to make 2012 the year they begin to fix this very costly, long-festering problem and coordinate care for an extremely challenging population.

Find out how states are intending to use new federal funding, and how Medicare Advantage and Medicaid health plans can transform these initiatives into unprecedented health improvement and growth opportunities.

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The more than 9 million Medicare-Medicaid dual eligibles comprise 16% of Medicare enrollees and 27% of Medicare spending in addition to their huge Medicaid cost for states, yet less than 10% of them now are in any sort of managed care. That is about to change in a huge way. Fifteen states won “design contracts” from the new CMS duals office last year to develop care integration programs, and more than twice that number are seeking financial support from the duals office for the initiatives themselves. CMS will decide this spring which ones to fund, and some of the programs may start as early as Jan. 1, 2013.

California, home to 1.2 million duals, has been planning its demonstration for more than 10 months, and on Jan. 27 became the first state to issue a final “request for solutions.” California elected to pursue initially just CMS’s capitated financial model option — the one preferred by both Medicare and Medicaid plans, which responded enthusiastically to the invitation. And while the state is requiring winners to have a Medicaid contract, it also is giving preference to plans with experience operating a Medicare Advantage duals Special Needs Plan. Many other states, including such populous ones as Michigan, New Jersey, New York, Ohio and Pennsylvania, also are developing major duals initiatives.

Join us on April 12 to hear directly from California’s top duals consultant, Peter Harbage of Harbage Consulting, about the state’s process and intentions. You’ll also hear Gary Jacobs, from Universal American Corporation, and Thomas Johnson, from Medicaid Health Plans of America, detail how states’ duals initiatives will transform both what they do and how they do it. In a lively 60-minute presentation, followed by 30 minutes of responses to your individual questions, you’ll get reliable strategic information on key questions, such as:

• Which states are at advanced stages of planning for duals integration initiatives, and how do their approaches and timetables compare?
• How will state decisions on such varied arrangements as full managed care, capitation, carve-outs and even block grants affect the potential care gains from duals integration — and the opportunities for Medicare Advantage versus Medicaid plans?
• How is California attempting to ensure plans participating in its initiatives will get and keep enough duals to achieve strong financial and clinical results? Will other states use the same model?
• What methods might be used to determine how and how much plans are paid in the duals initiatives in California and other states?
• How will states such as California accelerate the start of their programs by having many complex parts of the preparation occur simultaneously?
• What will determine how quickly multi-county initiatives such as California’s expand statewide? How secure is the funding for this?
• On what bases did California choose the winners among plans interested in participating in its program? Are other states likely to use the same criteria?
• What results does California expect to see from its duals initiative? By when?

For more information and to sign up today at a special discount, visit http://www.aishealth.com/marketplace/c2a13_041212-eamcol or follow one of the "Three Easy Ways to Register" below!

Three Easy Ways to Register:

1. VISIT http://www.aishealth.com/marketplace/c2a13_041212-eamcol
2. CALL (800) 521-4323 and mention code: EAMCOL.
3. CLICK HERE to print an order form (PDF) and fax or mail it to AIS (Pub Code: EAMCOL.)