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The Managed Care Congress brings together managed care executives from around the country to align services with managed care requirements, improve MLTSS programs, address social determinants of health and advance the shift to value-based care.
www.managedcarecongress.com
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2017 Confirmed Presenters
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Kimberly Austen-Oser
Director, Medicaid LTSS Program
Anthem
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Jeff Myers
President and Chief Executive Officer
Medicaid Health Plans of America (MHPA) |
John G. Lovelace
President, Government Programs and Individual Advantage
UPMC |
Claudia Schlosberg, JD
Senior Deputy/State Medicaid Director
Department of Health Care Finance
Washington, D.C.
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Maribel Ferrer
Executive Director, Medicaid Coverage Expansion & Temporary Assistance to Needy Families
L.A. Care Health Plan |
Sheila Owens Collins, MD, MPH, MBA
Medical Director, Health Equity, Strategies, Innovations, and Outcomes Research
Johns Hopkins Health Care, LLC |
Dave Richard
Deputy Secretary for Medical Assistance, Division of Medical Assistance, Department of Health and Human Services
North Carolina
| James David Toews
Principal Acting Deputy Administrator, Administration for Community Living
U. S. Department of Health and Human Services
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2017 Discussion Topics Include
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- How to best manage program roll out to incrementally update and align with impending regulatory changes
- What CMS expects from states regarding network adequacy for the unique LTSS provider type
- Evaluate the impact of program growth on rate setting and actuarial soundness
- Coordinate physical care with social services to improve overall health outcomes
- Collaborate with nursing facilities and housing developers to improve community integration, transitions of care, and empower members
- Propose strategies for creativity with long-term financial planning to end the year-to-year budget battle within managed care
- Describe how health plans can take on the increasing responsibility for structuring mental health framework, including working with new provider types
- Discuss how housing, transportation, and nutrition impact access to care, service utilization, quality outcomes, and costs
- Integrate case management services into the community to have interactions that make an impact
- Explore different care plan strategies to help save existing resources
- Develop quality measures for LTSS that focus on patient centeredness
- Assess areas of improvement in the delivery system to better serve an aging population
- Address staffing challenges in both home care and community residential settings
- Address the short-term influences on utilization rates
- Discuss the initial implementation of the MA-VBID pilot program and its influence on the future of the Medicare Advantage market
- Ensure provider directory accuracy and improving network adequacy
- Position for the rising importance of encounter data in Risk Adjustment based payments
- Overcome IT challenges to manage and assimilate LTSS and Managed Care data
- Prepare for increased audits to avoid civil monetary penalties
- Evaluate the impact on D-SNP ratings as social determinants of health are brought into ratings calculations
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