Agenda

+ Day One: Sept. 11, 2017

9

7:00 - 8:00 am

Registration & Breakfast

9

8:00 - 8:10 am

Introduction and Welcome

Speaker
Joan Henneberry
Vice President, HMA (Denver)

 

9

8:10 - 9:00 am

Keynote Address
The Future of Medicaid is Here: Implications for Payers, Providers and States
The election of Donald Trump coupled with Republican control of Congress opens the door to the potential for broad-based changes to the structure of the Medicaid program. Everything is on the table: Waivers, block grants, per capita caps, shared responsibility, health savings accounts, expansion, and other benefit design and funding options. All of which could reshape Medicaid for years to come. This keynote address will delve into opportunities and implications for payers, providers and states as they work to develop Medicaid programs that serve the unique needs of each state’s most vulnerable populations – ensuring access, improving quality, and controlling costs.

Speaker
Diane Rowland
Executive Vice President, Kaiser Family Foundation

Moderator
Joan Henneberry
Vice President, HMA (Denver)

9

9:00 - 10:30 am

Keynote Q&A Session
The Future of State Innovation in Medicaid
States have always been leaders in Medicaid innovation, consistently pushing federal regulators for flexibility in benefit design and funding models. That role will only increase during the Trump Administration, which is almost certain to give states unprecedented license to structure Medicaid programs to meet the unique needs of vulnerable populations in their states.  During this Keynote Q&A Session, Medicaid directors from some of the nation’s most innovative states will engage in a wide-ranging discussion about the exciting new possibilities now open to forward-thinking regulators and policymakers.

Speakers
Mari Cantwell
California State Medicaid Director & Chief Deputy Director, Health Care Programs, California Department of Health Care Services

Gary Jessee
Former Deputy Executive Commissioner, Medical and Social Services, Texas Health and Human Services

MaryAnne Lindeblad
Medicaid Director, Washington Health Care Authority

Michael Randol
Director, Division of Health Care Finance, Kansas Department of Health and Environment

Moderator
Kathleen Nolan
Managing Principal, HMA (Washington, DC)

10:30 - 11:00 am

Break

9

11:00 - 12:30 pm

Health Plan Q&A Keynote Session
Managed Care and the Brave New World of Medicaid Innovation
Managed care organizations (MCOs) are uniquely positioned to help states explore a wide variety of potential innovations to Medicaid programs. MCOs already play a central role in serving the healthcare needs of more than 50 million Medicaid members, including children, adults, and a growing number of individuals with complex conditions, developmental disabilities, and long-term care needs. As states evaluate block grants, shared responsibility, and other innovations, they will almost certainly rely on MCOs to ensure these initiatives are implemented thoughtfully and efficiently. During this session, leading managed care CEOs will engage in a spirited Q&A session about the future of Medicaid managed care and the potential for working closely with states on effective solutions for serving vulnerable populations, improving quality, and reducing costs.

Speakers
Janet Grant
Head, Aetna Medicaid, Great Plains Region, Aetna

J. Mario Molina, MD
Director, Former CEO

Pamela Morris
President, CEO, CareSource

Moderator
Donna Checkett
VP, Business Development, HMA

12:30 - 2:00 pm

Luncheon Keynote
Matt Salo
Executive Director, National Association of Medicaid Directors

Y

2:00 - 3:30 pm

Breakout Session 1

Medicaid Waivers – A Future of Innovation, A Danger of Disruption
Most agree that the Trump Administration will allow states far more leeway in designing Medicaid waivers that include provocative elements like block grants, shared member responsibility, and employment requirements.  Numerous waiver proposals historically rejected by federal regulators are bound to get a new hearing, and the opportunity to develop innovative programs that successfully meet the unique needs of local populations is great. But so are the chances of highly disruptive initiatives that do more harm than good.  This breakout session will address the possibilities and limitations of various waiver proposals, with a special emphasis on what these initiatives could mean for members, Medicaid managed care organizations, and safety net providers.

Speakers
Karen Brach
President, Meridian Health Plan of Illinois

Chris Priest
Medicaid Director
Michigan Dept. of Health and Human Service

Judy Mohr Peterson, PhD
Medicaid Director
Hawaii State Department of Human Services

Moderator
Tina Edlund
Managing Principal, HMA (Portland, OR)

Value-Based Payments and the Future of Payer-Provider Collaboration
Medicaid programs across the nation are likely to experience a growing reliance on value-based payment arrangements in the Trump era. The simple truth is that as states take on more responsibility for controlling costs and ensuring quality in their Medicaid programs, they are almost certain to turn to managed care plans for help.  Medicaid managed care will in turn rely on payer-provider collaboration to meet emerging quality, accountability and cost requirements. This breakout session will outline value-based payment strategies that can help move state Medicaid programs from volume-based payment models to quality-based models. Panelists will also address how health plans and providers can work together to help drive policies that promote more efficient use of Medicaid funding and services.

Speakers
Susan Fleischman, MD
VP, Medicaid, CHIP, and Charitable Care, Kaiser Permanente

Rachel Quinn,
Director, Office of Value Based Purchasing, The Washington Health Care Authority

Paco Trilla, M.D.
Medical Director, Neighborhood Health Plan of Rhode Island

Moderators
Jeanene Smith, MD
Principal, HMA (Portland, OR)

Margaret Tatar
Managing Principal, HMA (Sacramento, CA)

Opportunities and Challenges for Community-based Organizations
There is growing recognition of the importance of community-based organizations (CBOs) as a vital component in addressing social determinants of health and ensuring continuity of care for Medicaid recipients. This breakout session will provide real-world examples of CBOs and public health agencies that have worked closely with states and Medicaid managed care plans to drive improved outcomes and reduced costs among some of the nation’s most vulnerable populations. Panelists will also discuss how CBOs can best add value to health delivery systems, even if Medicaid funding shifts and new funding models like block grants are considered.

Speakers
Barbara Ferrer, PhD, MPH, Med
Director of Public Health, Los Angeles County Health Agency

June Simmons
President/CEO, Partners in Care Foundation

Pamme Taylor
VP for Advocacy and Community Based Programs, WellCare

Moderator
Marci Eads
Managing Director, HMA Community Strategies (Denver)

3:30 - 4:00 pm

Break

Y

4:00 - 5:30 pm

Breakout Session 2

Medicaid Managed Care and the Future of Long-Term Services and Supports
Three things are sometimes overlooked in the debate over the future of Medicaid.  1. Long-Term Services and Supports are a major driver of Medicaid costs.  2. Managed care is playing a growing role in controlling LTSS expenditures and ensuring quality. 3. Dually eligible beneficiaries represent a large portion of LTSS users, which further complicates approaches to service integration. This session will explore the use of managed care in serving LTSS populations, including individuals who are dually eligible for Medicare and Medicaid, and provide a frank discussion of how possible changes to the Medicaid program may impact the future of Managed LTSS initiatives. Potential changes include the use of performance metrics, value-based purchasing, new models of dual eligible coordination, increased state flexibility in program design, and caps on growth in federal spending share – all of which could have important implications for managing LTSS populations.

Speakers
Melanie Bella
National Consultant, Former Director, Medicare-Medicaid Coordination Office, Centers for Medicare and Medicaid Services

Patti Killingsworth
Assistant Commissioner and Chief of Long-Term Services and Supports Bureau of TennCare, Long-Term Services and Supports

Michael Monson
Corporate VP, Long-Term Care & Dual Eligibles, Centene Corp.

Moderator
Barb Edwards
Principal, HMA (Columbus, OH)

Behavioral Health Integration: A Care Management Imperative
Behavioral health integration is now a focal point of Medicaid managed care, delivery system reform, and other initiatives aimed at better managing the cost and quality of care for vulnerable patient populations. That’s true whether behavioral health is integrated into primary care settings or the reverse, in which primary care is integrated into behavioral health settings.  This breakout session will highlight integration efforts that have successfully driven improvement in care management and care coordination for vulnerable populations. It will also address how potential changes in the way Medicaid is funded could impact future behavioral integration efforts.

Speakers
Patrick Gordon
Associate VP, Rocky Mountain Health Plan, a UnitedHealthcare plan

Tamara Hamlish
Executive Director, ECHO-Chicago, Project Manager, HepCCATT

Virna Little
Senior Vice President, Psychosocial Services and Community Affairs
Institute for Family Health

Joe Parks, MD
Medical Director, The National Council for Behavioral Health

Moderators
Lori Raney, MD
Principal, HMA (Denver)

Josh Rubin
Principal, HMA (New York)

Investor Views on the Future of Publicly Sponsored Healthcare
Healthcare investors looking for the next big thing are keeping a close eye on the Medicaid market – seeking outsized returns from investments in models of care best positioned to succeed in an evolving Medicaid landscape.  During this panel, leading Wall Street analysts and private equity investors will discuss some of the key market trends and investment opportunities they’re tracking.  They will also assess scenarios for Medicaid reform, with an eye toward how these various possibilities inform their investment priorities.

Speakers
David Caluori
Principal, General Atlantic

Josh Raskin
Wall Street Analyst

Todd Rudsenske
Managing Director, Cain Brothers & Company LLC

David Schuppan
Private Equity Investor, (Formerly with Cressey & Company LP)

Tim Sheehan
Managing Director, Beecken Petty O’Keefe

Moderator
Greg Nersessian
Managing Principal, HMA (New York)

5:30 - 7:00 pm

Reception

+ Day Two: Sept. 12, 2017

9

7:00 - 8:00 am

Breakfast

9

8:00 - 8:15 am

Introduction and Welcome

Speaker
Joan Henneberry
Vice President, HMA (Denver)

 

9

8:15 - 9:00 am

Keynote Address
The Pros and Cons of Shared Responsibility in Medicaid
Shared responsibility in Medicaid is the concept that individuals who receive Medicaid benefits should be responsible for picking up some of the cost, for example, through premiums, copays, or deductibles. Shared responsibility may also include additional eligibility requirements, such as requiring Medicaid recipients to demonstrate that they are actively looking for a job. Indiana is one of the earliest adopters of shared responsibility in Medicaid.  During this Keynote Address, Joe Moser, Director of Medicaid for the Indiana Family and Social Services Administration, will discuss some of the key lessons learned during his state’s implementation of shared responsibility – including a frank discussion of the pros and cons of the initiative.

Speaker
Joe Moser
Former Director of Medicaid, Indiana Family and Social Services Administration

Moderator
Jonathan Freedman
Managing Principal, HMA (Southern California)

9

9:00 - 10:30 am

Keynote Q&A Session
The Pros and Cons of Shared Responsibility in Medicaid
One of the most provocative concepts in Medicaid is that of “shared responsibility,” the idea that recipients of Medicaid benefits should be required to pay some of the cost through premiums, copays or deductibles. Proponents argue that shared responsibility helps to control costs and ensure efficient utilization of healthcare services.  Opponents say it only creates barriers for people from gaining access to the care they need. During this Keynote Q&A session, leading Medicaid experts will engage in a spirited discussion on the pros and cons of shared responsibility in Medicaid, including the likelihood that shared responsibility will be embraced more broadly.

Speakers
Jesse Hunter
EVP, Products, Centene Corp.

Kristen Metzger
President, Indiana Medicaid Anthem Blue Cross and Blue Shield

Joe Moser
Former Director of Medicaid, Indiana Family and Social Services Administration

Christopher Perrone
Director, Improving Access, California Health Care Foundation

Moderator
Jonathan Freedman
Managing Principal, HMA (Southern California)

10:30 - 11:00 am

Break

9

11:00 am - 12:30 pm

Provider Keynote Q&A Session
Trends in Provider Innovation and Delivery System Reform
Even as penetration of Medicaid managed care continues to grow, several states are also increasingly focused on encouraging the development of clinically and financially integrated delivery systems like Accountable Care Organizations to further improve quality, cost and member experience of care.  In some cases, they are requiring health plans to contract using alternative payment methodologies with glide paths to increasing provider accountability for outcomes.  Some states are using funding from State Innovation Model Testing, CPC Plus, Delivery System Reform Incentive Payment programs and other federal initiatives to support innovation and reform.  Under the Trump Administration, states will likely have even more leeway to experiment with these types of innovative financing and care models. This Keynote Q&A Session will offer important insights into opportunities, challenges and early experience with these provider-led Medicaid delivery system reform initiatives, best practices for incentivizing delivery system change, and an assessment of whether these same innovations could potentially be replicated in other states.

Speakers
Allen Dobson Jr., MD
President and CEO
Community Care of North Carolina

Allison McGuire, MPH
Executive Director, Montefiore Hudson Valley Collaborative

Paco Trilla, M.D.
Medical Director, Neighborhood Health Plan of Rhode Island

Moderators
Art Jones, MD
Principal, HMA (Chicago)

Meggan Schilkie
Principal, HMA (New York)

R

12:30 pm

Adjourn