Medicaid Innovations Forum

Medicaid Innovations 2011– Agenda In Progress

melissa — Wed, 01 Sep 2010 11:29:44 +0000

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

Reducing Coverage Interruptions and Gaps in Care - Controlling Member Churn:

melissa — Mon, 12 Apr 2010 13:41:44 +0000

Medicaid managed care, satisfying members is not enough to retain them. Gaps in coverage create more than business disruption; they can lead to discontinuity in member care. This session explores opportunities to improve member retention and minimize coverage gaps and highlights:

The impact of churn on medical utilization/costs
The impact of churn on plan administrative costs
The impact of churn on NCQA quality measures
Ways to proactively manage churn

Jill Spencer, Vice President of Business Development, Human Arc

Medicaid Innovations Brochure - Access it here

alexengel — Fri, 09 Apr 2010 16:23:44 +0000

Medicaid Innovations Brochure 1

Medicaid News Round-up

alexengel — Mon, 05 Apr 2010 20:30:45 +0000

The latest news about all things Medicaid.

Expanding Medicaid Enrollment In A New Market - Changing Marketplace Session:

melissa — Thu, 01 Apr 2010 14:25:37 +0000

In an increasingly competitive Medicaid marketplace, both local and national players want to win contracts. Submitting a well-written proposal is necessary, but not enough to capture the business. To win, your organization has to be properly positioned in the hearts and minds of the stakeholders, including providers, community advocates, agency staff, legislators, and the governor. This presentation will discuss what you need to do, and what not to do, in pursuing a new market opportunity.

Pursuing and capturing an opportunity: cycle, activities, timelines
Positioning your organization with market stakeholders
Gathering market intelligence and using it effectively in the proposal
Creating a winning proposal

David C. Kumpf, PMP, Founder and CEO, Optimetra, Inc.

Innovative and Integrated Approaches to Behavioral Health To Decrease Costs and Improve Quality - Actionable Strategies:

melissa — Wed, 31 Mar 2010 18:59:39 +0000

Dr. Toney will provide innovative approaches to managing Behavioral Health in context of overall health. Discussion will include the following topics:

Behavioral health: costs, quality and opportunities
Best practices for improved quality and cost savings

Sam Toney, MD, Chief Medical Officer, Health Integrated, Inc.

A Call for Solutions

alexengel — Mon, 22 Mar 2010 21:03:23 +0000

Comments welcome Heartbreaking stuff.

Healthcare Reform and Medicaid

alexengel — Mon, 22 Mar 2010 18:16:27 +0000

A nice article from the Times about implications for Medicaid and Medicare under the Obama health care plan. View it here.

Obama Gets Tough on Medicaid and Medicare

alexengel — Thu, 11 Mar 2010 18:06:07 +0000

From the Baltimore Business Journal

Gretel Felton, Director of the Certification Support Division For Alabama has just been added to our program

alexengel — Tue, 02 Mar 2010 19:59:23 +0000