2025 Medicaid Managed Care Summit
Advancing State-Health Plan Partnerships for Program Excellence
March 27-28, 2025 * Loews Portofino Bay Hotel * Orlando, Florida
2025 Medicaid Managed Care Summit
Day(s)
:
Hour(s)
:
Minute(s)
:
Second(s)
The Medicaid Managed Care Summit, hosted by Business Research Intelligence Network, brings together state Medicaid directors, health plan executives and key stakeholders to explore strategies for enhancing program performance, improving health outcomes and ensuring sustainable program growth. This premier event provides a unique platform for public-private collaboration, offering attendees insights into emerging policy directions, innovative payment models and successful state-plan partnerships.
Throughout the two-day summit, participants will engage with thought leaders to examine critical topics including value-based payment innovation, quality improvement strategies and program integrity initiatives. The program features presentations from state Medicaid leaders and health plan executives, interactive panel discussions and targeted networking sessions designed to facilitate meaningful dialogue and knowledge sharing among program stakeholders.
Attendees will gain practical strategies for strengthening state-plan relationships, implementing effective oversight mechanisms and driving quality improvements in their Medicaid managed care programs. The Medicaid Managed Care Summit is an essential event for state Medicaid officials, health plan executives and healthcare leaders seeking to enhance program performance and deliver greater value to Medicaid beneficiaries.
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 - Thursday, March 27, 2025
7:15am – 8:00am
Conference Registration and Networking Breakfast
8:00am – 8:15am
Chairperson's Opening Remarks
8:15am – 9:00am
State-Plan Collaboration: Building Effective Partnerships for Program Success
Strong partnerships between state Medicaid agencies and managed care organizations are fundamental to program success. This session explores strategies for developing collaborative relationships that drive program performance and innovation. Learn how leading states and plans are working together to align objectives, streamline operations and improve outcomes. Discover approaches for establishing effective communication channels, resolving operational challenges and fostering innovation through partnership.
9:00am – 9:45am
Value-Based Payment Innovation: Next-Generation Models
As states seek to enhance quality and control costs, value-based payment models continue to evolve. This comprehensive session examines emerging payment approaches. The discussion will cover:
- Innovative payment models being tested across states
- Strategies for provider engagement and support
- Quality measurement and reporting frameworks
- Approaches for scaling successful programs
9:45am – 10:15am
Networking and Refreshments Break
10:15am – 11:00am
Quality Strategy Development: Aligning State Goals with Plan Performance
Effective quality management requires close coordination between state agencies and health plans. Examine approaches for developing comprehensive quality strategies that drive meaningful improvements in care delivery and outcomes. Our speaker will discuss frameworks for setting quality priorities, establishing performance metrics and implementing effective monitoring systems. Learn how leading states are using quality data to inform program design and plan oversight.
11:00am – 11:45am
Program Integrity Innovation: Collaborative Approaches to Preventing Fraud, Waste and Abuse
States and plans share responsibility for protecting program integrity in Medicaid managed care. This session explores innovative approaches to fraud prevention, detection and investigation through enhanced collaboration. See how states and plans are leveraging data analytics and sharing best practices to strengthen program integrity efforts. The discussion will highlight improved detection capabilities and program outcomes.
11:45am – 12:30pm
Rate Setting and Risk Adjustment: Ensuring Sustainability and Fairness
Appropriate rate setting and risk adjustment methodologies are critical for program sustainability. Our expert speakers examine current approaches to developing actuarially sound rates while appropriately accounting for population risk. Gain insights into emerging methodologies for risk adjustment and strategies for ensuring rate adequacy. Learn how states and plans are working together to enhance rate development processes and improve financial stability.
12:30pm – 1:30pm
Lunch Break
1:30pm – 2:15pm
Managing Complex Populations: Innovative Care Models and Support Strategies
States and plans are developing new approaches to serving complex Medicaid populations. This session explores innovative care models and support strategies for high-need beneficiaries. Our speakers will examine:
Integration of physical and behavioral health services
Approaches to addressing social determinants of health
Strategies for reducing inappropriate utilization
Models for complex care management
The discussion includes examples of successful programs from multiple states.
2:15pm – 3:15pm
Panel Discussion: The Future of Medicaid Managed Care - State and Plan Perspectives
A distinguished panel of state Medicaid directors and health plan executives examines emerging trends and future directions in Medicaid managed care. Learn how states and plans are preparing for evolving program requirements and population needs while maintaining program stability and quality.
3:15pm – 3:45pm
Networking and Refreshments Break
3:45pm – 4:30pm
Long-Term Services and Supports: Advancing Managed LTSS Programs
As more states move LTSS into managed care arrangements, new approaches to program design and oversight are emerging. This session examines strategies for developing effective managed LTSS programs that serve vulnerable populations. Learn how states and plans are collaborating to ensure appropriate service delivery, quality monitoring and member protection in MLTSS programs.
4:30pm – 5:15pm
Network Adequacy and Access Monitoring: New Approaches for Ensuring Member Access
Ensuring adequate provider networks and member access remains a critical priority. This session explores innovative approaches to network development, monitoring and access assessment in Medicaid managed care. Learn how states and plans are using data analytics and new monitoring tools to evaluate and improve network adequacy and member access.
5:15pm
End of Day One
Day Two – Friday, March 28, 2025
7:15am – 8:00am
Networking Breakfast
8:00am – 8:15am
Day Two Opening Remarks
8:15am – 9:00am
Strategic Partnership Development: Expanding Care Delivery Models
Explore innovative approaches to developing strategic partnerships that enhance care delivery capabilities. This session examines models for collaboration with academic institutions, technology providers and community organizations. We'll discuss frameworks for evaluating partnership opportunities, structuring agreements and measuring partnership effectiveness. The presentation includes case studies of successful partnerships that expanded service capabilities while managing costs.
9:00am – 9:45am
Change Management for Nursing Innovation
Implementing change in nursing operations requires strategic planning and effective leadership. This session provides frameworks for:
- Assessing organizational readiness
- Building stakeholder support
- Developing implementation plans
- Managing resistance to change
- Measuring adoption and outcomes
Learn practical approaches to leading change initiatives while maintaining operational stability and staff engagement.
9:45am – 10:15am
Networking & Refreshments Break
10:15am – 11:00am
Risk Management and Quality Metrics in Nursing Operations
This comprehensive session examines approaches to managing risk while maintaining operational efficiency. Learn strategies for identifying potential risks, implementing preventive measures and developing response protocols. We'll explore methods for integrating risk management into daily operations and using quality metrics to drive improvement. The discussion includes approaches to staff education, documentation requirements and regulatory compliance.
11:00am – 11:45am
Future of Nursing Leadership: Emerging Trends and Opportunities
Gain insight into emerging trends shaping the future of nursing leadership and healthcare delivery. This forward-looking session explores technological advances, changing patient demographics and evolving care models that will impact nursing operations. We'll examine strategies for preparing organizations and teams for future challenges. The discussion includes approaches to innovation, adaptation and long-term strategic planning in nursing leadership.
11:45am – 12:30pm
Conference Concludes
Workshop - Friday, March 28, 2025
12:45pm – 2:45pm
Workshop: Building High-Performing Medicaid Managed Care Programs - Frameworks for Success
This comprehensive workshop provides practical frameworks for developing and implementing successful Medicaid managed care programs. Participants will examine key success factors across multiple domains including program design, oversight mechanisms, quality management and stakeholder engagement. The session explores approaches for assessing program capabilities, identifying improvement opportunities and developing actionable implementation plans. Through interactive discussions and exercises, attendees will learn how to prioritize initiatives, allocate resources effectively and drive program improvements.
Learning Objectives:
- Develop frameworks for assessing program capabilities and identifying strategic priorities
- Learn approaches for building effective oversight and monitoring systems
- Understand key success factors for managing complex program changes
- Gain practical tools for measuring and improving program performance
Featured Speakers
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Venue
Loews Portofino Bay Hotel
5601 Universal Blvd.
Orlando, FL 32819
407-503-1000
Mention BRI Network to get the discounted rate of $319/night
Sponsors and Exhibitors
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
