• Overview
  • Audience
  • Agenda
  • Workshop Session
  • Speakers
  • Sponsors/Exhibitors
  • Registration Pricing
  • Venue
  • Media/Press Partners
  • Inquiry
Overview:

2021 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!

October 14 - 15, 2021 • The Roosevelt, A Waldorf Astoria Hotel • New Orleans, LA

Sponsors/Exhibitors & Partners

2C Connections HealthSolutions Logo    Sandtata    MC logo 500x500

Overview

In the United States today, over 70 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 2021 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 New Orleans!

Audience:

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!

Agenda:

Day One – Thursday, October 14, 2021

7:15

Conference Registration & Networking Breakfast

8:15

Chairperson's Opening Remarks

Colin LeClair
Chief Executive Officer
Connections Health Solutions 

8:30

Strategies on Health Plans Can Boost Their Provider Network Adequacy to Improve Quality Healthcare and Timely Access

Jason Lee
Executive Director
Arkansas Superior Select
Vice President
Access Health Services 

9:15

Effectively Implementing Evidence-Based Services into Medicaid Managed Care

Dena Stoner
Director, Innovation Strategy, IDD BH Services
Texas Health and Human Services Commission 

10:00

Networking & Refreshments Break

10:30

Certified Community Behavioral Health Clinics: A Sustainable Model for Integrated Service Delivery

Lisa Williams, PhD
Chief Executive Officer
West Michigan Community Mental Health 

11:15

Effective Strategies to Integrate Social Determinants in Medicaid Managed Care

Karin VanZant
Vice President, Integrated Community Partnerships
CareSource 

12:00

Luncheon for All Attendees & Speakers

1:15

Best Practice in Member Advocacy within Medicaid Managed Care

Carol Cianfrone
Director, MLTSS Clinical Operations
Horizon NJ Health 

Sue Bailey
Managed Long Term Services & Supports Member Advocate
Horizon NJ Health

2:15

Behavioral Health Medical Management Strategies: Leveraging Crisis Services to Significantly Improve Cost and Quality

Colin LeClair
Chief Executive Officer
Connections Health Solutions 

3:00

Networking & Refreshments Break

3:30

Overcoming Barriers to Care Coordination During the Pandemic

Jim Milanowski
President& CEO
Genesee Health Plan 

4:15

MCO Vendor Management Best Practices for State Agencies and Partners: How to Include Active Contract Management to Strengthen Value Based Purchasing

Mark Kraics
Medicaid Director
State of Rhode Island 

5:00

End of Day One


Day Two – Friday, October 15, 2021

7:15

Networking Breakfast

8:15

Chairperson’s Recap of Day One

Colin LeClair
Chief Executive Officer
Connections Health Solutions 

8:30

Ensuring Value of Managed Care, Especially for Behavioral Health, in this Post-ACA, Covid Impacted World

Jason McGill
Director, Managed Care
Washington State Health Care Authority 

9:15

Utilizing Deviceless Telemonitoring within Medicaid Managed Care to Identify Rising Risk for Early Intervention with Promising Results

Miguel Venereo MD,FACOG
Senior Vice President &
Chief Medical Officer
Community Care Plan 

Claudia Navarro, FMD, MHA, BSN, RN, MSN, FNP-C
Director, Care Coordination
Community Care Plan 

10:00

Networking & Refreshments Break

10:30

Examining Innovative Programs & Trends in Medicaid Managed Care

Julia Rupp 
Chief Executive Officer
HealthWest 

11:15

ProMedica's Approach to Social Determinants of Health

April Demers
Director, Business Solutions
National Social Determinants of Health Institute
ProMedica 

12:00

Conference Concludes

Workshop Session:

Thursday, October 14, 2021 • 5:15 p.m. – 7:15 p.m.

Value-Based Care 101: Effective Models within Medicaid Managed Care

Value-based care models reward doctors and hospitals for the quality of their service as well as helping keep people healthy and improving the health of those who have chronic conditions in an evidence-based, cost-effective way. In a fee-for-service model, doctors, hospitals, and medical practices are paid based on the number of healthcare services delivered. Unlike value-based care, payment is determined by the quantity of services not the quality of services. Value-based care or value-based contracts emphasize the quality of patients' care. A value-based approach is designed around patients. Medical care teams focus on individual needs, whether preventive, chronic or acute. Learn about strategies to help improve quality and financial performance. Find out how to use data to develop a clinical roadmap to value-based program success.

About the Workshop Leader:
Lee Reilly
Director, Value Based Care Performance
Target Health Solutions

Speakers:

April Demers
Director, Business Solutions
National Social Determinants of Health Institute
ProMedica 

Jason McGill
Director, Managed Care
Washington State Health Care Authority 

Miguel Venereo, MD,FACOG
Senior Vice President & Chief Medical Officer
Community Care Plan 

Karin VanZant
Vice President, Integrated Community Partnerships
CareSource 

Jim Milanowski
President& CEO
Genesee Health Plan 

Dena Stoner
Director, Innovation Strategy, IDD BH Services
Texas Health and Human Services Commission

Lisa Williams, PhD
Chief Executive Officer
West Michigan Community Mental Health 

Mark Kraics
Medicaid Director
State of Rhode Island

Julia Rupp 
Chief Executive Officer
HealthWest

Lee Reilly
Director, Value Based Care Performance
Target Health Solutions

Colin LeClair
Chief Executive Officer
Connections Health Solutions 

Jason Lee
Executive Director
Arkansas Superior Select
Vice President
Access Health Services

Carol Cianfrone
Director, MLTSS Clinical Operations
Horizon NJ Health

Sue Bailey
Managed Long Term Services & Supports Member Advocate
Horizon NJ Health 

Claudia Navarro, FMD, MHA, BSN, RN, MSN, FNP-C
Director, Care Coordination
Community Care Plan 

Betsy Felton, MBA, BSN, RN, CEN
Corporate Director, Cardiovascular Service Line
McLaren Health Care   

Mark Green
Assistant Vice President, Transitions of Care & Post-Acute Care
Ochsner Health System  

Barbara Sherman, DNP, RN, MSN, MBA, FNP-C, RT-R
Director, Quality Management, Patient Safety, Medical Staff QA/PI, OPPE
WVU Medicine  

Nihar Desai, MD, MPH
Associate Chief, Clinical Operations
Yale University School of Medicine
Medical Director, Value Innovation
Yale New Haven Health System 

Erin Dowling, MD
Medical Director, Readmission Reduction Initiative
Associate Clinical Professor
UCLA Health  

Patrice Callagy, RN, MPA, MSN, CEN
Executive Director, Emergency Services
Stanford Health Care  

Sam Shen, MD, MBA, FACEP
Vice Chair, Clinical Operations & Quality
Stanford Health Care 

Benjamin Bynum, BSW, MSHCI
Strategic Program Manager, Care Management
AdventHealth 

Michelle Nelson
Senior Director, Health Improvement
United Regional Health Care System  

Susan Pantely, FSA, MAAA
Principal & Consulting Actuary
Milliman

Raheel Sohail, MD, MBA
Healthcare Management Consultant
Milliman

Sponsors/Exhibitors:

Silver Sponsor

2C Connections HealthSolutions Logo

Connections Health Solutions is the founder of the crisis stabilization and hospital diversion model, and Connections continues to serve as the national leader in behavioral health crisis care.  Founded in Arizona in 2009, Connections operates the largest crisis facilities in the country.  Connections deploys a multi-disciplinary psychiatric and behavioral health care team to treat individuals who meet inpatient psych criteria in a 23-hour observation model instead, thus preventing emergency room boarding and hospital admissions for high-acuity psychiatric populations.  The model has been shown to achieve > 40% reduction in behavioral health expense for Medicaid, driven by reduced hospital admissions, ED visits and boarding, and improved quality outcomes.  To learn more about Connections, please visit our website (https://www.connectionshs.com/) or contact Deepa Shah at This email address is being protected from spambots. You need JavaScript enabled to view it..

Exhibitor

Sandtata

Sandata is a leading U.S. provider of home care solutions that enable government agencies, Managed Care Organizations (MCOs), intellectual and developmental disabilities (I/DD) providers, and home care providers to manage and optimize the delivery of home care services. Sandata's suite of solutions offers its 15,000+ agencies, 18 state Medicaid agencies, and 50+ MCOs with tools and capabilities to advance quality of care and improve health outcomes. Sandata's solutions support 2.1 million individuals and over 8,000,000 monthly visits, providing value for all constituents across the home care continuum.

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

Registration Pricing:

Health Plans, States, Government, Hospitals, MCOs

Register by
October 8, 2021

Register by
October 14, 2021

Conference Only

$995

$1195

Conference & Workshop

$1195

$1395

Standard Rate, Vendors, Solution Providers

Register by
October 8, 2021

Register by
October 14, 2021

Conference Only

$1295

$1495

Conference & Workshop

$1495

$1695


Register for the 2021 Medicaid Managed Care Forum

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Workshop Session: Value-Based Care 101: Effective Models within Medicaid Managed Care
Purchase Policy: Cancellations received 30 calendar days prior to the event will be refunded in full less a $225 processing fee. Cancellations received less than 30 calendar days before the event will receive a credit towards a future event which is valid for one year from the date of the event. You may transfer the registration so as long as we receive the request 48 hours prior to the event.
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Receipt of your registration will be sent to the email address you have provided. *By registering for the conference, you also agree to be added to our subscriber/email list of subscribers for announcements on upcoming conferences.* If you would like additional information or have questions regarding any of our events, please note them below and we will have the appropriate person contact you.
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Venue:

The Roosevelt, A Waldorf Astoria Hotel
130 Roosevelt Way
New Orleans, LA 70112

Phone: 504-648-1200

*Mention Group Code "World Conference Forum" to get the discounted rate of $239/night.

*You can also book online at:

https://book.passkey.com/go/6eba46be

Hotel1  Hotel2  Hotel3

Media/Press Partners:

MC logo 500x500

Managed Care delivers high-interest articles and features developed through original research and writing. Its editorial mission is to advise managed markets physicians, pharmacists, and executives on the integration of the business and medical aspects of the rapidly changing managed care market. A strict fact-checking and peer-review process assures the accuracy and relevance of editorial content.

 

To become a Media/Press Partner, please contact This email address is being protected from spambots. You need JavaScript enabled to view it.

Inquiry:

Request 2021 Medicaid Managed Care Forum Information

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