Performance and Cost Effectiveness of Your Plans – Walk away with  new ideas on how to improve your technology utilization 

There are many technologies and solutions being leveraged in many states to streamline their operations, drastically decrease costs and improve quality outcomes.  In this session , attendees hear about an array of solutions being used to great success across multiple states. 

• Predictive Modeling & Data Analytics (data sharing and federal funding options to be discussed  )
• MMIS Implementation
• ICD10
• WEDI
• Identification cards

Panelists To Be Announced

2:45p – 3:30pm

Panel Session:
Innovations in Health Promotion and Outreach

• Partnering with healthcare practitioners
• Translating CMS and MDCH rules into
• Leveraging PR campaigns to enhance enrollment
• Online/Offline marketing
• Telephone outreach
• Finding growth in newly opened market segments
• Leveraging Web 2.0 and Social Marketing techniques
• Deploying technology via handheld devices to maximize reach and ongoing contact/monitoring

Panelists To Be Announced

3:30pm – 4:00pm – Networking Refreshment Break in the Solutions Zone

3:45pm – 4:30pm

Innovative Strategies For Serving Dual Eligibles

• What is the true market potential of this segment?
• Identifying who is eligible and what services are covered
• Overcoming challenges marketing to Dual Eligibles
• Managed long-term and acute care programs for Medicaid participants
• Upcoming regulatory changes that will impact this market segment
• Uninsured, underinsured and lower-income workers

4:30pm – 5:15pm

Strategies for Delivering Cost-Effective Care To Medicaid’s Highest-Need, Highest-Cost Populations

Approximately 5% of Medicaid beneficiaries drive up to 50% of total spending. 80%+ of these have 3 or more chronic conditions and up to 60% have 5+.  Yet these patients receive fragmented care leading to unnecessary costs on hospitals and institutions. This leaves a lot of opportunity for cost containment and improved care.

• Integrated care collaborative
• Strategies for identifying these patients
• Tailored care management initiatives
• How to measure quality and cost outcomes
• Updates on the National Learning Network

5:15pm – 6:00pm

Carve-Out Panel Session
Innovative Value-Added Programs to Enhance The Reach and Effectiveness of Plans

Carve-out programs are rapidly becoming a major part of most plan designs, especially with so many high cost patients having more than one serious and/or chronic condition.  This panel will give viable options to value-added programs that can be added to current programs to enhance patient care at reduced costs.

• Pre-paid Health Plans
• Dental
• Vision
• Mental Health/Behavioral health
• Reimbursement strategies

Panelists To Be Announced

6:00pm – 7:00pm Cocktail Networking Reception in the Solutions Zone

7:00pm – Close of Day One – We encourage all partiipants to reach out to each other early to make dinner plans!

WEDNESDAY, FEBRUARY 2ND

7:30- 8:30am

Event Registration and Networking Breakfast in the  Solutions Zone

8:30am-9:15am

Innovations in Preventative Care: Health & Wellness  Initiatives
       
Maximizing member, provider and community participation in programs to improve healthy behavior, reduce illness and improve the quality of life of participant

• Provide outreach for at-risk members in need of medical intervention
• Creating community partnerships
• Disease Management Programs
• Driving  overall success of Wellness initiatives in the general population
• Translating this to the unique challenges of Medicaid populations
• Point of care solutions

Additional Topics Being Considered:

• Home and community-based services
• Technology innovations – what are the new technologies emerging that can help states and plans battle a growing population
• with less funds?
• Control Fraud And Abuse
• Driving Pharmaceutical Management 
• Improve Outreach, Enrollment And Retention
• Deploy Technology To Ensure Quality
• Utilize Best Practices In Case Management And Benefits Coordination
• Expand Alternative Care Delivery Models
• Enhanced Primary Care Case Management Programs
• Enhanced Contracting
• Understand Drug Rebate Equalization
• Evaluate Long Term Care Need
• Work Within Budget Constraints To Deliver Quality Care

All speaker submissions can be sent to Melissa Morrissey at melissa@strategticsolutionsnet.com