2025 Medicaid Managed Care Conference

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!

May 8 – 9, 2025 • Swissotel Chicago • Chicago, IL

Past Sponsors/Exhibitors & Partners

Overview

In the United States today, over 88 million low income individuals are enrolled in Medicaid Managed Care plans and it is expected to increase drastically by 2026. CMS has instituted its Final Rule, a sweeping overhaul of Medicaid Managed Care, resulting in new regulations and mandates with the goal of improving Medicaid member access to quality healthcare, enhancing outcomes while reducing healthcare costs. State Medicaid Agencies and Medicaid Health Plans throughout the United States are struggling with how to be best prepared and succeed in this new, rapidly evolving landscape of healthcare.

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 Conference, 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 Chicago!

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:

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 – Thursday, May 8, 2025

Day Two – Friday, May 9, 2025

Thursday, May 8, 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

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.

BIG Language Solutions is how healthcare organizations can finally trust every word of their interpretations and translations. With BIG, you know the work will get done by experts in your industry, exactly when and how you need it. You often face uncertainty with this kind of work, like when will a good interpreter be available, how much will your translation project actually cost, and will it say the right thing. BIG solves those challenges. Trust Every Word.

Somethings is a telehealth platform that connects high-risk teens with 20-28 year old Certified Peer Specialist Mentors and Clinical Providers to drive higher engagement and avoid unnecessary behavioral health spend.

Exhibitors

D4 Solutions delivers flexible, secure, and timely print and digital document solutions. Our SOC 2 and HIPAA certification underscore our commitment to safeguarding sensitive member data. We offer a comprehensive suite of services tailored to meet the unique needs of the insurance industry including fully customizable hard copy and web-based document management and hosting services. We offer variable data and custom formatting solutions to personalize communications while managing costs. D4 does the heavy lifting from onboarding through production to facilitate successful delivery of your critical communications.

At Enable Dental, we provide onsite dental services for unique populations in the comfort of the patient's home, senior home, assisted living facility, or community center. Our dental team comes to the patient – wherever they are. Our licensed professionals are highly qualified and committed to providing the best care to our patients. We are equipped with portable technology and systems that allow us to provide at-home or on-site dentistry.

At Solventum, formerly 3M Health Information Systems, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you.

MedWatchers provides high-quality, creative MTM/HEDIS solutions to optimize medication therapy, improve health outcomes, and control healthcare costs in Medicaid, Medicare, and Commercial populations. Our team of culturally competent 180+ pharmacists speak 30 different languages, and our clients have referred to us as 'the magic bullet' for patient engagement who consistently year after year not only deliver results but exceed expectations. Our programs include services that impact various quality measures (STAR, HEDIS, Adult & Behavioral Core Sets), SDOH, Chronic disease management programs (Diabetes, COPD/Asthma, CHF), and Comprehensive Medication Management that is patient-centric, focus-driven to reduce adverse events, litigate overall utilization and spend, and enhance care coordination. Each program can be customized to meet clients' clinical, operational, and branding needs. Our technology-advanced, proprietary platform, CMAPP, enables pharmacists to deliver safe, efficient, and effective clinical services. CMAPP is HITRUST-certified, customizable, and is available for leasing to support SaaS or Hybrid model needs. It leverages an advanced clinical engine and library as well as predictive analytics to optimize outreach via phone, telehealth, SMS, and interactive solutions. Learn more at Home - MedWatchers

Founded in 1981, RAM Technologies is a leader in enterprise solutions for healthcare payers, delivering comprehensive SaaS and BPaaS solutions. Specializing in Medicare Advantage, Managed Medicaid, and Special Needs plans, we ensure seamless integration and operational ease, allowing health plans to focus on what matters most – their members. Visit www.ramtechinc.com.

For Sponsorship & Exhibit Opportunities, please contact This email address is being protected from spambots. You need JavaScript enabled to view it.

Swissotel Chicago
323 W Wacker Dr
Chicago, IL 60602

Phone: 312-565-0565

*Mention Group Code "World Conference Forum" to get the discounted rate of $259/night!

You can also book online at:

https://book.passkey.com/e/50937876

Medhealth Outlook offers insights into the latest technologies and trends in the healthcare, pharma, and medical industries. Our publication provides a balanced perspective through an inside/outside approach, showcasing interviews, features, and stunning artwork. As your inspiring source for in-depth journalism covering the tech community powering the medical industries, we strive to present valuable insights in both print and online formats.

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Pharma Tech Outlook is a monthly publication that has been a pioneer in bringing forth real-world solutions, news, product trends, solutions, and many more to subscribers. The unique learn-from-peers approach is creating a difference since the decision-makers are constantly sharing their experience, wisdom and thought leadership with each other. Pharma Tech Outlook has contributors from the most established organizations and institutions who have been presenting their viewpoints using this unique print platform. The magazine has been incorporated by some seasoned industry experts and has been at the forefront of presenting a comprehensive and detailed view of the technology arena. Pharma Tech Outlook aims at contributing to the transformation of innovations into services as well as create a healthy and productive ecosystem.

MedTech Outlook is a superlative podium for suppliers to showcase their products and services and healthcare industry professionals to connect with a global audience of decision-makers. Its unique learn-from-peer approach creates an immense impact in the U.S. market, adding a big difference in this continuously evolving medical tech arena.

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