2021 Medicaid Managed Care Summit
Strategies to Serve the Rapidly Expanding Medicaid Population
October 4-5, 2021 * Loews Miami Beach Hotel * Miami, FL

2021 Medicaid Managed Care Summit

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COVID-19 Advisory: BRI Network holds above all else, the health & safety of our attendees and their families. Currently this event is scheduled as an in-person event. We will however, continue to monitor and follow recommendations regarding capacity from CDC and other health agencies.

About the Conference

Medicaid is the single largest source of health coverage in the U.S. As the nation’s most vulnerable populations deal with the lasting health & economic effects of the COVID-19 pandemic, we will delve into the new strategies that both state agencies and health plans are using to continue providing the highest quality Medicaid services. With the marked increase and necessity of virtual healthcare & telehealth, providers are now positioning to reach their members on an unprecedented level, while still factoring in established social determinants of health.

Now more than ever, Medicaid leadership must convene to more effectively and rapidly address the physical and behavioral needs of a higher than normal at risk population, engage membership and improve outcomes.
By attending the 2021 Medicaid Managed Care Summit, you will learn what leaders are doing to respond to the changes resulting from the health pandemic and the current Presidential Administration.

Bringing together Medicaid leaders from states and health plans, as well as government leaders and policymakers, this summit will address the most pressing issues facing state Medicaid managed care. You will learn about national trends and innovative programs to best serve the growing Medicaid population; current federal and state policies and regulations; strategies to better manage utilization of health services; social determinants of health to better serve members; improvements in healthcare quality and outcomes; how to best coordinate care for complex populations; coordinating and integrating LTSS in managed care plans; how to achieve value-based care; and much more.

Who Should Attend?

From State & Government Agencies:

Directors and Managers of:

  • State Medicaid
  • Managed Care
  • Health Services/Healthcare Programs
  • Human/Social Services
  • Medical Assistance
  • Strategic Planning
  • Policy Analysis
  • Compliance
  • Quality Assurance
  • Quality Improvement
  • Healthcare Financing

From Health Plans & Managed Care Organizations:

Chief Executive Officers, Chief Operating Officers, Chief Financial Officers, Chief Medical Officers, Chief Strategy Officers, and Chief Information Officers

Also, Presidents, Vice Presidents, Directors and Managers of:

  • Medicaid
  • Long-Term Care
  • Behavioral Health
  • Sales and Marketing
  • Network Development
  • Compliance
  • Clinical Affairs
  • Finance
  • Operations
  • Quality
  • Risk Management
  • Public Policy
  • Utilization Review
  • Medicare
  • Managed Care
  • Clinical Services

This Program is Also Relevant to:

Organizations Providing Services for:

Care Management Technology * Care Management for the Elderly * Pharmacy Benefit Administrators * Health Management Solutions * Behavioral Health Services * Revenue Enhancement Services * Reinsurance Services

Conference Agenda

Day One – Monday, October 4, 2021

7:15am – 8:00am
Conference Registration & Networking Breakfast

8:00am – 8:15am
Chairperson’s Opening Remarks

8:15am – 9:00am
Keynote: Update from CMS

Federal rules governing Medicaid managed care are important as managed care remains the predominant healthcare delivery system in most states. The speaker will address CMS regulations around Medicaid managed care, including several major changes regarding network adequacy, beneficiary protection, quality and payment.

9:00am – 9:45am
Dave Richard
Deputy Secretary
North Carolina Medicaid

9:45am – 10:15am
Networking & Refreshments Break 

10:15am – 11:00am
Healthmine

11:00am – 11:45pm
Integrating Behavioral Health into Medicaid Managed Care

Medicaid enrollees with behavioral health needs have a high prevalence of chronic conditions and are often frequent users of behavioral health services. More and more states are pursuing managed care models that integrate behavioral health services to improve outcomes, enhance care coordination, and control costs for this high-need population. This session will explore emerging options for integration, including comprehensive managed care carve-in, specialty plans for individuals with serious mental illness, and hybrid models. Also learn about balancing oversight and collaboration in state-plan relationships, engaging key stakeholders, and advancing clinical integration and cross-system accountability.

Kathleen Dougherty
Chief, Medicaid Managed Care Operations
State of Delaware Health and Social Services 

11:45am – 12:30pm
Nicole Comeaux, JD, MPH
Medicaid Director
State of New Mexico 

12:30pm
Lunch Break

1:30pm – 2:15pm
Joann Sciandra, MHA, BSN, RN, CCM
Vice President, Care Coordination and Integration
Geisinger Health Plan

2:15pm – 3:15pm
Panel: Partnering with Community Providers to Address Enrollees’ Social Needs

Housing, nutrition, transportation, and other needs significantly affect health outcomes, a growing body of literature shows. States seeking to improve Medicaid beneficiaries’ health and limit unnecessary healthcare spending are increasingly focusing on how they can ensure that beneficiaries can obtain these services. This session will explore how states can build partnerships to ensure beneficiaries’ health-related needs are met in a number of ways.

Panelists

Deltreice Gates
Principal, Medicaid Program Manager
Blue Cross Blue Shield of Minnesota 

3:15pm – 3:45pm
Networking & Refreshments Break 

3:45pm – 4:30pm
Advancing Primary Care Innovation in Medicaid Managed Care

Primary care is the essential backbone of any healthcare system, particularly for low-income populations. Across the country, a variety of advanced primary care models are offering new ways to enhance primary care delivery. Despite the growth of these models, however, low-income individuals have consistently low rates of primate care utilization as well as poor health outcomes. This session will examine how strengthening primary care delivery through managed care can improve access, quality and efficiency of healthcare services for this often-at-risk population.

Lance Donkerbrook
Chief Executive Officer
Commonwealth Primary Care ACO

4:30pm – 5:15pm
Impact of COVID-19 on Medicaid Managed Care Performance

States, healthcare providers, managed care organizations, and accountable care organizations are considering the impact of COVID-19 on health care quality and spending. States are examining their value-based payment programs and evaluating modifications to their quality measurement and cost performance policies, particularly those arrangements that hold entities financially accountable for performance. This session will examine quality and cost performance issues related to Medicaid managed care performance incentives, and policy options for state consideration.

Mark Kraics
Medicaid Managed Care Director
State of Rhode Island

5:15pm
End of Day One

Day Two – Tuesday, October 5, 2021

7:15am – 8:00am
Networking Breakfast

8:00am – 8:10am
Chairperson’s Recap of Day One

8:10am – 8:50am
Building Medicaid Managed Care Programs Centered Around Health Equity

Many states are transforming their healthcare delivery systems to improve health and control costs. Reducing health disparities — and addressing their social and economic causes — is at the heart of many of these efforts. Despite its high price tag, the majority of healthcare spending ignores critical determinants of health, including social and economic factors, the environment, and health behaviors. By increasing health equity, states can achieve improved, long-term health outcomes. This session will examine efforts to achieve health equity, improve care, and prioritize the social determinants of health.

Michelle Laws, PhD
Director, Office of Consumer and Community Engagement
North Carolina Department of Health and Human Services, Developmental Disabilities and Substance Abuse Services 

Suzanne B. Thompson, MBA/MHA
Community Engagement and Empowerment Team, Division of MH/DD/SAS
North Carolina Department of Health and Human Services 

9:00am – 9:45am
Michelle Squire
Director of Medical Management
Affinity Health Plan 

9:45am – 10:15am
Networking & Refreshments Break 

10:15am – 11:00am
Addressing Social Determinants of Health to Drive Member Retention

With considerable evidence that interventions aimed at social determinants of health can positively influence costs and health outcomes, the discourse is changing among policy influencers and providers to look beyond clinical and disease conditions and address the environmental factors that impact our healthcare system. As the healthcare landscape continues to evolve, the shift to value-based payments is reframing the paradigm for lowering costs while increasing care quality. This session will examine the benefits of these efforts and how they extend beyond reduced care costs to include member retention and improved provider satisfaction.

Jacey Cooper
California State Medicaid Director
Chief Deputy Director, Health Care Programs
Department of Health Care Services

11:00am – 11:45am
The Future of Medicaid Managed Care

The future undoubtedly will bring tremendous change to the world of healthcare, and Medicaid managed care is no exception. Growth in Medicaid managed care is likely to continue because of program expansion and the transition of complex high-needs populations into managed care—and despite any enrollment reductions that result from community engagement and work requirements. Topics to be discussed will include:

  • Oversight of Medicaid managed care programs
  • Modernization of technology and operations
  • Innovations in care delivery and payment
  • Ability to address social determinants of health
  • Effective cost management

Yusuf Rashid
Vice President of Pharmacy
Community Health Plan of Washington 

11:45am – 12:30pm

Elena Nicolella
Executive Director
New England States Consortium Systems Organization 

12:30pm
Conference Concludes Concludes

Workshop – Tuesday, October 5, 2021

12:45pm – 2:45pm
Evolution of Medicaid Managed Care Procurements and Best Practices to Achieve Successful Outcomes

Venue

Loews Miami Beach Hotel
1601 Collins Avenue
Miami Beach, FL 33139
305-604-1601

Mention BRI Network to get the discounted rate of $239/night

Sponsors and Exhibitors

Executive Sponsor

HealthMine HealthMine is the only Health Action Engagement company originally built inside a Value-Based Insurance Design (VBID) health plan that continuously empowers and incentivizes individuals to take action and improve their health. HealthMine’s services help health plans target and empower individuals to complete health actions through advanced analytics, prioritized clinical pathways and individualized member engagement to improve clinical quality and increase profitability. HealthMine is online at www.healthmine.com

 

WiFi Sponsor

MedImpact MedImpact is a highly experienced public sector PBM with Medicaid experience in 14 states helping to manage over 5 million lives. We also support Medicare and Exchange programs in 16 states. We are striving to bring a new and creative way to manage your members and improve their experience.

As Medicaid programs continue to evaluate their business models, embracing carved out PDL/PBM programs, MedImpact offers the opportunity for states to continue the high-touch concepts prevalent in managed care and deliver them in a fee-for-service compliant model leveraging proven technology and URAC and NCQA accredited processes to provide high quality member-centric programs to our clients.

 

Exhibitor

Sandata Technologies, LLC

Sandata Technologies, LLC, is the leading U.S. provider of technology that makes it easier for Medicaid payers and providers to work together from day one. As the national Electronic Visit Verification leader, Sandata’s suite of solutions offers its 15,000+ agencies, 19 state Medicaid agencies, and 50+ Managed Care Organizations tools and capabilities to advance quality of care and improve patient and client outcomes.

FAQ

Are there group discounts available?

  • Yes – Register a group of 3 or more at the same time and receive an additional 10% off the registration fee

What is the cancellation policy?

  • Cancellations received 4 weeks prior to the event will receive a refund minus the administration fee of $225. Cancellation received less than 4 weeks prior to the event will receive a credit to a future event valid for one year.

Can the registration be transferred to a colleague?

  • Yes – please email us in writing at info@brinetwork.com with the colleague’s name and title

Where can I find information on the venue/accommodations?

  • Along with your registration receipt you will receive information on how to make your hotel reservations. You can also visit individual event page for specific hotel information. The conference fee does not include the cost of accommodations.

What is the suggested dress code?

  • Business casual. Meeting rooms can sometimes be cold so we recommend a sweater or light jacket
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