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2025 Medicaid Managed Care Forum
Essential Strategies to Succeed in the New Landscape of Medicaid Managed Care and its Expansion: Navigating CMS Regulations, States and Health Plan Collaboration to Improve Healthcare and Reduce Costs, Boost Network Adequacy, Integrate Social Determinants, and More!
November 17 – 18, 2025 • Caesars Palace Hotel • Las Vegas, NV
Past Sponsors/Exhibitors & Partners
Overview
Join healthcare leaders, policymakers, providers, and payers for an in-depth exploration of the evolving landscape of Medicaid Managed Care. This conference will provide a comprehensive overview of current challenges, innovations, and policy developments shaping Medicaid delivery systems across the United States. Topics will include improving health equity, integrating behavioral health, addressing social determinants of health, enhancing care coordination, and leveraging data analytics to drive outcomes. Attendees will gain valuable insights through experts, case studies, and networking opportunities, all aimed at advancing high-quality, cost-effective care for Medicaid populations.
We have created an exciting, high level forum featuring knowledgeable leaders and executives from the nation's leading Medicaid Health Plans and State Government Agencies who will share their perspectives, valuable insights and expertise on how to be best equipped for the rapidly evolving landscape of Medicaid Managed Care. Attendees will benefit from learning about best practices and strategies that have been deployed to address the challenges in transforming Medicaid Managed Care. Topics include improving network adequacy, enhancing member access to quality healthcare, boosting member enrollment/engagement, managing carved in services, integrating social determinants, enhancing care coordination/collaboration and reducing the overall healthcare spending.
By attending the 2025 Medicaid Managed Care Forum, you will learn what others in the Medicaid Managed Care arena are doing to succeed in transforming the nation’s healthcare and its Medicaid member population. Register today to reserve your seat at the conference and take advantage of early bird discounts.
We look forward to seeing you in Las Vegas!
From States, Government Agencies, Health Plans & Managed Care Organizations:
Medicaid Directors, Chief Executive Officers, Chief Operating Officers, Chief Financial Officers, Chief Medical Officers, Chief Strategy Officers & Chief Information Officers
Also, Presidents, Vice Presidents, Directors & Managers of:
| • State Medicaid
• Managed Care • Health Services/Healthcare Programs • Human/Social Services • Quality Improvement • Government/State-Sponsored Programs • Population Health Management • Medical Management • Long-Term Care • Finance • Care Management • Operations • Care Management • Regulatory Affairs • Pharmacy |
• Medicaid
• Policy Analysis • Compliance • Quality Assurance • Healthcare Financing • CHIP • Health Promotion & Wellness • Community Health • Medical Assistance • Clinical Affairs • Behavioral Health • Sales & Marketing • Network Development • Disease Management • Innovation |
This program is also geared towards Centers for Medicare & Medicaid Services (CMS), Hospitals, Providers, Vendors, Employers, Purchasers, Physician Groups, Behavioral Health Centers, Wellness & Prevention Companies, Healthcare Technology Innovators, Healthcare Consultants, Solution Providers, Data Analytics Providers, Pharmacy Benefit Managers, Disease Management Organizations, Home Health Care Companies, Third Party Administrators, Pharmaceutical & Medical Device Companies, IT & Business Process Outsourcing Companies, Enrollment Brokers and More!
Day One – Monday, November 17, 2025
| 7:15 |
Conference Registration & Networking Breakfast |
| 8:15 |
Chairperson's Opening Remarks Omar Haq, ASA, MAAA |
| 8:30 |
Enhancing Payment Design to Incentivize Performance in Medicaid Managed Care Steve Schramm, PhD, MScHE |
| 9:15 |
Effective Strategies to Integrate Social Determinants in Medicaid Managed Care Jim Milanowski |
| 10:00 |
Networking & Refreshments Break |
| 10:30 |
The Big Bad Bill Act for Medicaid Audrey Shelto |
| 11:15 |
The Dynamic Relationship Between SDOH, Value-Based Care, and the Medicaid Population Virginia Burchett |
| 12:00 |
Luncheon for All Attendees & Speakers |
| 1:15 |
Behavioral Health Programs to Address Your Population in 2026 Natalia Bournane, MBA |
| 2:15 |
Beyond the Pharmacy: Redefining Pharmacy Access, Adherence, and ROI Joanna Kindhart |
| 3:00 |
Networking & Refreshments Break |
| 3:30 |
Transforming Health Outcomes, Improving Health Literacy, and Increasing Patient Engagement in Medicaid Populations Nzinga Lowe |
| 4:15 |
Importance of Integrated Coordinated, Continuity of Outpatient Care Al Kadri, MD |
| 5:00 |
End of Day One |
Day Two – Tuesday, November 18, 2025
| 7:15 |
Networking Breakfast |
| 8:15 |
Chairperson’s Recap of Day One Omar Haq, ASA, MAAA |
| 8:30 |
Medicaid Data and Tech Innovations - VBC, Implementing AI, and Member Level Insights Dave Meyer |
| 9:15 |
Health Plan Profitability - Developing Partnerships with Members, Providers, and States Omar Haq, ASA, MAAA |
| 10:00 |
Networking & Refreshments Break |
| 10:30 |
Keeping Members at 65: Leveraging FQHCs to Support Medicare–Medicaid Transitions and MA Johanna Cazares |
| 11:30 |
Conference Concludes |
Monday, November 17, 2025 • 5:05 p.m. – 6:30 p.m.
Pre-Cocktail Pragmatism – Risk Adjustment, HEDIS and STARS
Dave Meyer
Principal
Cogent Advisors
Lead, Risk Adjustment Practice
EBG Associates
|
Steve Schramm, PhD, MScHE |
Jim Milanowski President & CEO Genesee Health Plan |
||
|
Audrey Shelto |
Natalia Bournane, MBA |
||
|
Justin Krawitt, MD |
Praveen Mital, MD, MBA, FACEP |
||
|
Mark Green |
Dennis Davis Director, Quality Jack Hughston Memorial Hospital |
||
|
Al Kadri, MD |
Omar Haq, ASA, MAAA |
||
|
Johanna Cazares |
Nzinga Lowe Chief Executive Officer Pygmalion Health |
||
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Dave Meyer |
Gary Jacobs |
||
|
Ian Duncan, PhD, FSA, MAAAA |
Leslie Zun, MD, MBA Professor, Department of Emergency Medicine & Psychiatry Chicago Medical School |
||
|
Roderick Kersch |
Rey Villar Digital Solutions Architect Calcium Health |
||
|
Joanna Kindhart |
Amar Munsiff, MD, FACP President AVM Medical |
||
|
Virginia Burchett |
James Lawson |
Associate Sponsors
A-S Medication Solutions is the industry leader in providing comprehensive medication supply chain alternatives. With over 30 years in employer health, ASM is the first true omni-channel medication distribution partner. We focus on maximizing point of care dispensing efficiencies, creating unique clinical solutions through innovative programs, and addressing high spend categories through effective clinical integration and smart clinical management systems. From virtual care to full onsite pharmacy solutions, let us show you how our customizable programs can improve the health of your population, lower your costs and enhance your revenue streams.
WEX (NYSE: WEX) is the global commerce platform that simplifies the business of running a business. Through our health and benefits technology and solutions, WEX simplifies benefits for everyone. We take the confusion out of administering employee and member benefits, and provide insights and engagement so users get the most out of their benefits offering. For more information, please visit www.wexinc.com
Exhibitors
Advanced PICC Specialists provides vascular access and bedside blood transfusions in skilled nursing facilities (SNFs) across Maryland, Pennsylvania, and New Jersey. Founded in 2010, we launched our transfusion program in 2016 and have since completed over 12,000 safe, efficient bedside transfusions. Our service prevents avoidable hospitalizations for stable anemic patients, significantly reducing costs for managed care organizations while improving care quality. Benefits include: reduced re-hospitalizations, lower total cost of care, enhanced patient satisfaction, and support for STAR ratings and quality metrics.
Conquest Healthcare provides offshore staffing solutions for U.S. healthcare firms. We specialize in delivering Registered Nurses, Medical Coders, and compliance professionals who are U.S.-licensed, experienced, and experts in their fields. Our staff integrates seamlessly into your team, bringing U.S. experience to deliver expert-level support aligned with American healthcare standards and compliance requirements.
At CardioPulmonary Diagnostics LLC, we help you achieve better outcomes for COPD and other respiratory patients through early detection and ongoing monitoring. Our streamlined, patient-friendly testing delivers accurate data providers trust, while boosting complexity scores and improving office productivity. Stop by to see how our proven system drives results.
Calcium Health. The Calcium Digital Health Platform maximizes health outcomes and provider efficiency with automated patient engagement and 360-degree access to patient data. Our solution integrates a patient Super App with robust provider dashboard and AI-powered pathway generator.
For Sponsorship & Exhibit Opportunities, please contact This email address is being protected from spambots. You need JavaScript enabled to view it.
|
Health Plans, States, Government, Hospitals, MCOs |
Register by |
Register by |
|
Conference Only |
$995 |
$1195 |
|
Conference & Workshop |
$1195 |
$1395 |
|
Standard Rate, Vendors, Solution Providers |
Register by |
Register by |
|
Conference Only |
$1295 |
$1495 |
|
Conference & Workshop |
$1495 |
$1695 |
Caesars Palace Hotel
3570 Las Vegas Blvd South
Las Vegas, NV 89109
Phone #: 866-227-5944
*Mention Group Code "SCWCF5" to get the discounted rate of $145/night (a total of $199.95 with resort fee)!
You can also book online at:
https://book.passkey.com/go/WCFNov2025
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