The two-day conference will be a one-stop shop for Medicaid stakeholders to hear from leading experts as they share clinical best practices, first-hand experiences and insights, and how to prepare for the push toward value-based care.
State and federal legislators, Medicaid Managed Care health plans, health care providers, and community-based organizations (CBOs) will come together at the Westin Alexandria Old Town in Alexandria, Virginia on April 23-24 to discuss regulatory uncertainties and potential changes to Medicaid as a result of the 2020 election, as well as financial barriers, changes in eligibility, and new initiatives.
The first day of the 5th Annual Medicaid Managed Care Leadership Summit will feature a fireside chat with Peggy O’Kane, founder and president, National Committee for Quality Assurance (NCQA). O’Kane, voted by Modern Healthcare as one of the “100 Most Influential People in Healthcare” 12 times and one of the “Top 25 Women in Healthcare” three times, will be joined by Conference Co-Chairperson Andrey Ostrovsky, M.D., former chief medical officer, U.S. Medicaid Program, for the discussion at 11:00 a.m. on Thursday, April 23.
The candid conversation between O’Kane and Ostrovsky will be followed by an audience Q&A discussion on topics such as the move toward electronic quality measures and social determinants of health (SDoH) initiatives and the impact on the Medicaid audience.
Hot topic sessions
Attendees will learn about the transition from fee-for-service to value-based care from Lisa Truitt, director of the health care delivery management administration, DC Department of Health Care Finance (DHCF). Truitt will discuss the transition into managed care, how to design effective beneficiary incentives, and a case example of Medicaid reform at the DC DHCF.
John Kaelin, senior advisor, Centene, visiting fellow, Rockefeller Institute of Government will kick-off day two with an interactive breakfast session. Kaelin will lead a lively discussion about the implications and opportunities of exiting the federal marketplace and creating a state-based exchange, a timely topic as multiple states consider public options. Kaelin will also share emerging details from his paper in conjunction with the Rockefeller Institute of Government, about Medicaid buy-in initiatives and the impacts on managed care organizations (MCOs).
U.S. Government Accountability Office representatives, Susan Barnidge, assistant director, health care U.S., and Leslie Gordon, assistant director, will share reviews of program integrity and oversight in managed care. Barnidge and Gordon will discuss current federal and state management practices, challenges related to provider screening and enrollment and eligibility determinations, and state practices to improve oversight and federal compliance.
Day two will include a fireside chat about the Administration of Community Living (ACL). Sharon Williams, founder and CEO, Williams Jaxon Consulting, and Kelly Cronin, deputy administrator, center for innovation and partnership, ACL, will share how the organization is preparing CBOs to interface with health care ecosystems, current ACL initiatives, and programs currently funded by the ACL through CBOs, including evidence based programs and other social services.
Jessica Grabowski, executive director, Coordinated Care Alliance, will lead a session on CBO/MCO contracting strategies. Grabowski will discuss partnering goals for CBOs, providers, and plans within a managed care ecosystem, expectations with potential partners, and the balance between standardization and flexibility in contract negotiation and agreements.
Separate track themes
Day one will consist of two concurrent track themes, each including three sessions.
The clinical case studies track will focus on best practices and overcoming challenges in the clinical space. The track sessions will include presentations on:
- Case study-supporting the Medicaid population as a part of their continuum of care with WellSpan Health
- Data sharing with Medicaid MCOs–move the needle and maximize your impact with Colleen Sonosky, associate director, division of children’s health services, health care delivery management administration, Department of Health Care Finance
- Behavioral health needs and crisis stabilization at the point of care led by Andrew F. Cleek, chief program officer, McSilver Institute for Poverty Policy & Research NYU
The second track will address SDoH in Medicaid populations and focus on how health plans are finding new ways to address SDoH among their enrollees. The three sessions will include:
- A panel discussion on addressing SDoH for Medicaid enrollees with moderator Jennifer Babcock, vice president for Medicaid policy and director of strategic operations, Association of Community Affiliated Plans
- A case study on addressing the needs of vulnerable populations with food security with Susan Hawkins, FACHE, senior vice president of population health, Henry Ford Health System
- A case study that examines a successful collaboration that increased access to health care and addressed food insecurity between Aetna Better Health of Maryland and the state of MD with Adelline Ntatin, MPH, MBIM, MA, cultural & health care equity director, Aetna Better Health of Maryland
There will be three panels throughout the two-day conference:
A multi-perspective panel led by Lisa Truitt, director of health care delivery management administration, DC Department of Health Care Finance, will dive into the keys to Medicaid/Medicare integration in a managed care environment. Panelists will discuss advancements in integrating care through Dual Eligible and Special Needs Plans, share updates on current financial alignment demonstrations, examine new innovations in long-term services and supports, and provide insights into the core elements of integrated care.
Merrill Friedman, senior director of disability policy engagement, Anthem, Inc., will moderate a keynote panel sharing state Medicaid director insights into program developments in managed care. Representatives from Virginia, Texas, and Colorado will discuss priorities in their state Medicaid programs for 2020, their actions to address challenges and overcome barriers in their Medicaid populations, and contract expectations for CBOs.
Williams will return to moderate a panel discussion on the integration of CBOs as partners to address the needs of Medicaid populations. The panel will discuss how to address ecosystem-specific barriers to health care integration between CBOs, providers, and health plans, identify tools for data collection, how to gain interest in partnerships from your health care network, and the impact of growing digitized CBO referral networks.
A keynote roundtable will provide Medicaid association leadership perspectives on the current and future managed care landscape. Leading experts will discuss updates on Medicaid eligibility in 2020 and beyond, how to scale for the enrollment decline in Medicaid, and tips to prepare for the Centers for Medicare & Medicaid Services interoperability regulations.
There will be optional lunch roundtables with state Medicaid officials from Minnesota, Texas, Virginia, and Colorado. Participants who join the informal, idea-exchange session will have the opportunity to ask their pressing questions, network with fellow attendees, and get an understanding on the regulatory changes for their organizations.