2022 Medicaid Managed Care Summit
Strategies to Serve the Rapidly Expanding Medicaid Population

April 25-26, 2022 * Intercontinental Wharf * Washington, DC

2022 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. Now more than ever before, states are relying heavily on managed care organizations to serve their Medicaid beneficiaries to improve the quality of care delivered and control costs. Managed care plays a key role in the delivery of health care to Medicaid enrollees. With 69% of Medicaid beneficiaries enrolled in comprehensive managed care plans nationally, Medicaid leaders, health plans and managed care organizations play a critical role in responding to the COVID-19 pandemic and in the fiscal implications for states.

 

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; how states are addressing COVID-19; integrating behavioral health; the use of telehealth; partnering with community providers; social determinants of health; advancing primary care innovation; data and analytics; value-based payments; health equity 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, April 25, 2022

7:15am – 8:00am

Conference Registration and 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, with over two-thirds of beneficiaries enrolled in comprehensive risk-based managed care organizations, and millions of others covered by limited-benefit risk-based plans or primary care case management programs. The speaker will address CMS rules and regulations around Medicaid managed care, including several major changes regarding network adequacy, interoperability requirements, beneficiary protection, quality and payment.

9:00am – 9:45am

How States Are Using Medicaid Managed Care to Address the Coronavirus Pandemic

COVID-19 continues to exert a disproportionate impact on the nation’s minority communities, which suffer from high levels of poverty and the health issues that go along with it. As the most important health insurer for people with low incomes, Medicaid is on the forefront of COVID-19 testing and treatment. 70% of all Medicaid beneficiaries are enrolled in comprehensive care plans offered by managed care organizations; how these plans perform is central to the accessibility, timeliness, and quality of coronavirus care. This session will examine actions states can take to strengthen Medicaid managed care.

9:45am – 10:15am

Networking and Refreshments Break

10:15am – 11:00am

Promoting Health Equity in Medicaid Managed Care

Over half of individuals in the U.S. covered by Medicaid come from communities of color. The program also insures over 10 million people with disabilities. As a result, state Medicaid agencies and their partners can play a major role in advancing health equity and improving primary care for communities across the country that experience inequities in care and services. Advocates have long pushed states and CMS to improve Medicaid data collection and reporting on health disparities with little to show for it. This session will explore various Medicaid managed care requirements for collecting and reporting data on health equity, and how state health equity goals can be advanced by Medicaid-led efforts that promote equity through their managed care programs, as well as at the provider-level through initiatives that are supported by broader delivery system and payment reforms.

11:00am – 11:45am

Best Practices in Medicaid Managed Care

Enhancing care management is one promising way of improving care and reducing costs for Medicaid’s highest-need beneficiaries. While recognized as a valuable endeavor, the concept is often not clearly defined, making it challenging for states and health plans to adopt care management practices.

This session will explore of some of the innovative programs being implemented in states across the country that use care management approaches to address the complex physical, behavioral, and psychosocial needs of Medicaid’s highest-risk populations.

11:45am – 12:30pm

The Role of Medicaid Managed Care Plans in Addressing the Opioid Crisis

Medicaid managed care plans are poised to play a significant role in helping states address the opioid crisis by incentivizing utilization of effective therapies and developing policies that help stem the flow of prescription opioid drugs. Health plans are also developing models aimed at coordinating and improving treatment of opioid use disorder. This session will examine opioid initiatives and a roadmap for future treatment and prevention strategies.

12:30pm – 1:30pm

Lunch Break

1:30pm – 2:15pm

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 physical and behavioral health services. More and more states are pursuing managed care models that integrate behavioral and physical health services to enhance care coordination, improve outcomes, 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.

2:15pm – 3:15pm

Panel: Medicaid Managed Care Industry Trends

Medicaid continues to be the dominant health insurance program in the U.S. as measured by enrollment and remains the largest source of funding for health-related services for people with low income. This session will provide an overview of Medicaid managed care trends, including the modernization of Medicaid, business model transformation, healthcare reform, healthcare ecosystems, Medicaid expansion, and consumerism.

3:15pm – 3:45pm

Networking and Refreshments Break

3:45pm – 4:30pm

Addressing Social Determinants of Health to Reduce Health Disparities

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 reducing health equity gaps and reducing long-standing health disparities.

4:30pm – 5:15pm

How States Are Using Medicaid Managed Care to Advance Telehealth

COVID-19 has has magnified the importance of telehealth across the health care system, including in Medicaid. Each state has its own laws and reimbursement policies for telehealth. Within those limits, Medicaid agencies can determine which types of populations can be served, the range of covered services, qualified technologies, the geographic regions permitted, and payment rates and policies. The COVID-19 pandemic has led all states to expand telehealth access. Despite this high degree of state interest in telehealth, it may remain underused in Medicaid. Telehealth done well could increase the use of both primary and specialized services among population groups facing the highest health risks. This session will explore how states are using Medicaid managed care to advance telehealth.

5:15pm

End of Day One

Day Two – Tuesday, April 26, 2022

7:15am – 8:00am

Networking Breakfast

8:00am – 8:15am

Chairperson’s Recap

8:15am – 9:00am

State Approaches to Value-Based Payments in Medicaid Managed Care

States have a unique opportunity to use managed care organization (MCO) contracts and relationships to accelerate wide-scale adoption of value-based payment at the provider level. This session will examine contract requirements and request for proposals to advance value-based payment goals, practical approaches for promoting value-based payment goals through MCO contracts, and guidance for assessing MCO interest in and experience with value-based payments.

9:00am – 9:45am

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.

9:45am – 10:15am

Networking and Refreshments Break

10:15am – 11:00am

Medicaid Managed Care for People with Intellectual and Developmental Disabilities

Traditionally, certain high -need populations, such as individuals with intellectual and development disabilities (I/DD), have been carved out of managed care and remained in fee-for-service arrangements (FFS). However, the rise in managed care in Medicaid, as well as states’ recognition of challenges that the I/DD population faces in the FFS environment, has prompted more states to carve in these populations and services to improve coordinated care delivery and contain costs. This session will explore approaches and implementation mechanisms that states have used to the improve integration of services for individuals with I/DD.

11:00am – 11:45am

SUD Treatment through Medicaid Managed Care and ASAM Criteria

As the opioid epidemic continues, Medicaid programs across the country are increasingly taking on more responsibility to provide beneficiaries with substance use disorder treatment, including inpatient treatment. One strategy states are using is applying for an SUD Section 1115 Demonstration waiver (SUD waiver) from CMS to expand Medicaid-funded treatment options. Some states with approved SUD waivers have formally implemented the American Society for Addiction Medicine (ASAM) Criteria to promote consistency in client placement for SUD treatment. The ASAM Criteria is a clinically driven multidimensional client assessment model that emphasizes treatment outcomes, client-specific lengths of service, and a team-based approach to care. This session will feature a state that implemented their SUD waiver, who will profile how the ASAM Criteria is used within the context of managed care and utilization review, and the challenges and best practices associated with its use.

11:45am – 12:30pm

Innovations in Medicaid Managed Care Pharmacy: Providing Access Innovative Drug Therapies

The future continues to bring tremendous opportunities with revolutionary new drug therapies. Innovative new therapies also bring the challenge of affordable access 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. Innovations in drug therapies will require innovations in Medicaid Managed Care in order to provide sustainable access for an expanding population. Topics to be discussed will include:

  • Medicaid drug pricing and the need for transparency
  • Aligned incentives to support whole person care
  • Carve-in, carve-out and hybrid models

12:30pm

Conference Concludes

Workshop - Tuesday, April 26, 2022

12:45pm – 2:45pm

Workshop: Quality and Accountability in Medicaid Managed Care

Over the past two decades, state Medicaid programs have been on a steady march away from fee-for-service toward payment and delivery systems designed to bring greater budget predictability, quality, and accountability. For most states, this has meant increasing reliance on Medicaid managed care. Today, managed care is the primary delivery system for Medicaid nationally. With this growth has come similar growth in expectations. States are covering a broader array of services for more high-need enrollees, bringing more rigor to their contracting, oversight, and payment processes, and holding managed care plans accountable for achieving targeted goals. This session will explore tips on leveraging managed care accountability tools, locating state quality data, and improving state reporting on health disparities.

Venue

Intercontinental Wharf
801 Wharf Street SW
Washington, DC 20024
202-800-0844

Mention BRI Network to get the discounted rate of $299/night

Sponsors and Exhibitors

TBA

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

Are there discounts for Non-Profit/Government Organizations?

  • Yes – please call us at 800-743-8490 for special pricing

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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