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National Medicaid Transformation and Provider Collaboration Web Summit - 2015
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Overview
Medicaid is a growing economic powerhouse, anchoring the new coverage paradigm under the Affordable Care Act and wielding increasing influence within the healthcare sector and beyond. Already the largest source of federal funding flowing to states and a major revenue stream for providers, health plans, pharmaceutical companies, and vendors, Medicaid will be covering a record 71.6 million people with total spending coming close to $500 billion dollars going into 2016. Enrollment has grown 22% from pre-ACA levels, largely due to ACA state expansion options to cover new adult populations.

This growth, combined with increasing sophistication from state purchasers, continued pressure to contain state budgets, and a national drive for payment and delivery reform, have spurred transformative initiatives for Medicaid programs across the country.

More than half of all Medicaid beneficiaries nationwide receive most or all of their care from risk-based managed care organizations that have state contracts to deliver comprehensive Medicaid services to enrollees. 39 states (including DC) have contracts with Medicaid managed care organizations, and 90% of all Medicaid beneficiaries live in these states.

Health systems and provider networks across the country are exploring, pursuing or implementing collaborations with states and with Medicaid health plans, and are evaluating or determining how to participate in applicable transformation initiatives,  as stakeholders position themselves to best serve Medicaid populations.

The National Medicaid Transformation and Provider Collaboration Web Summit features a 90-minute webinar on Thursday, September 17th, plus many more features. The live webinar speakers include Jeremy D Palmer, FSA, MAAA, Principal and Consulting Actuary, Milliman and Chris T Pettit FSA, MAAA, Principal and Consulting Actuary, Milliman, discussing Analysis of Medicaid Managed Care Administrative Costs; Vatsala Pathy, Director, Colorado Governorís Office State Innovation Model (SIM) talking about The Colorado State Innovation Model, a Case Study; and Rachel Cahill, Senior Health Program Officer, The Nicholson Foundation sharing their experience in Fostering Medicaid Accountable Care Organization Development in New Jersey.

The event also includes two on-demand video sessions. Bob Atlas from EBG Advisors and Helaine Fingold with Epstein Becker Green discuss The Medicaid Managed Care Proposed Rule - Digesting the Details and Implications; and CareSource's Bob Gladden and Cathy Meade present on Population Strategy: Incorporating Predictive Modeling into Member Care.

Please join us for the National Medicaid Transformation and Provider Collaboration Web Summit, featuring the live webinar on Thursday, September 17th, 2015 from 1:00 p.m. to 2:30 p.m. Eastern (10:00 - 11:30 a.m. Pacific).

 
Webinar Agenda
Thursday, September 17, 2015
1:00 p.m. to 2:30 p.m. Eastern (10:00 a.m. - 11:30 a.m. Pacific)
Click here to find out what time your event starts in your time zone.
  • 1:00 pm - 1:30 pm  Analysis of Medicaid Managed Care Administrative Costs  - Jeremy D Palmer, FSA, MAAA, Principal and Consulting Actuary, Milliman and Chris T Pettit FSA, MAAA, Principal and Consulting Actuary, Milliman
  • 1:30 pm - 2:00 pm  The Colorado State Innovation Model, a Case Study  - Vatsala Pathy, Director, Colorado Governorís Office State Innovation Model (SIM)
  • 2:00pm - 2:30 pm  Fostering Medicaid Accountable Care Organization Development in New Jersey - Rachel Cahill, Senior Health Program Officer, The Nicholson Foundation
 
On-Demand Sessions & More
On-Demand video presentations with recorded presentation audio and synchronized slide advancement:
  • The Medicaid Managed Care Proposed Rule - Digesting the Details and Implications - Bob Atlas, President and Strategic Advisor with EBG Advisors and Helaine Fingold, Senior Counsel, Health Care and Life Sciences with Epstein Becker Green (61 minutes)
  • Population Strategy: Incorporating Predictive Modeling into Member Care - Bob Gladden Vice President, Center for Analytics, CareSource and Cathy Meade Director for Healthcare Analytics, CareSource (61 minutes)
  • Plus other Web Summit features including a Medicaid Article Library, and an exclusive Medicaid Transformation e-poll, and a free subscription to HealthChange Bulletin.
 
Learning Objectives
Participants will be able to:
  1. Gain an overall sense of selected insights, perspectives, challenges, opportunities and developments relating to Medicaid transformation and provider collaboration activities.
  2. Understand Medicaid transformation innovation experiences with pioneering stakeholders, including the Colorado Medicaid State Innovation Model and New Jersey's Medicaid Accountable Care Organization (ACO) Demonstration Project.
  3. Consider findings and implications from analysis of Medicaid managed care administrative costs.
  4. Learn how support of community healthcare coalitions through interrelated projects can foster development of Medicaid ACOs.
  5. Explore the details and implications of the Medicaid Managed Care proposed rule.
  6. Examine a case study of applying a persona based population health strategy to incorporate predictive modeling into member care for a health plan with a significant Medicaid population.
  7. Experience e-learning at the attendees' convenience, with downloadable on-demand sessions, article library, and other online Summit features available 24/7.
  8. Engage in interactive learning through live webinar providing online question submission, attendee surveys, feedback and opportunity for follow up questions, and networking with attendees, faculty and other professionals through dedicated LinkedIn group.
 
Who Should Attend
Interested attendees would include:
  • C-Suite Executives
  • Government Program Executives and Staff
  • Medicaid Operations Executives and Staff
  • Transformation, Innovation and Integration Executives and Staff
  • Medical Directors
  • Network Management Executives and Staff
  • Provider Contracting Executives and Staff
  • Accountable Care Executives and Staff
  • Managed Care Executives and Staff
  • Network Management Executives and Staff
  • Planning and Strategic Executives and Staff
  • Legal & Regulatory Executives and Staff
  • Business Development Executives and Staff
  • Business Intelligence Staff
  • Other Interested Parties

Attendees would represent organizations including

  • Hospital Systems
  • Provider Networks
  • Accountable Care Organizations
  • Medicaid Health Plans
  • Medical Groups
  • Other Providers
  • Government
  • Pharmaceutical Organizations
  • Consulting Organizations
  • Solutions Providers
  • Associations, Institutes and Research Organizations
  • Media
 
Registration
2015 Medicaid Transformation & Provider Collaboration Web Summit
 
  Individual Registration Fee: $295. Audio Conference CD-ROM: $45 for attendees; $360 for non-attendees after the event. Register online or download the event brochure.  
     
 
Register Now   Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!
 
 
 
Faculty
Jeremy Palmer

Jeremy D Palmer,
FSA, MAAA
Principal and Consulting Actuary
Milliman
 
 
  Jeremy is a principal and consulting actuary with the Indianapolis office of Milliman. He joined the firm in 2004. Jeremy has developed an expertise in the financial forecasting, reporting, and reserving of all types of health insurance, including commercial and government sponsored populations. He has extensive experience in the evaluation of Medicaid managed care financing, including negotiation and strategy of risk-based managed care capitation contracts, as well as healthcare trend analysis. Jeremy consults to state Medicaid agencies and health plans in more than 15 states. Prior to joining Milliman, Jeremy worked as a healthcare staff actuary with Anthem Blue Cross Blue Shield for eight years.

He has experience with State Medicaid agency risk-based capitation rate development; State Medicaid agency budget, forecasting, and special projects; Medicaid health plan association consulting; Medicaid health plan capitation rate certification and bid development; and Medicare/Medicaid dual eligible demonstration analysis.

Jeremy's affiliations include the Society of Actuaries Health Section; Society of Actuaries Social Insurance & Public Finance Section; Society of Actuaries Entrepreneurial Actuaries Section; American Academy of Actuaries Medicaid Workgroup; and Ball State University Actuarial Science Advisory Board. He is a Fellow, Society of Actuaries; and Member, American Academy of Actuaries. He received a BS in Actuarial Science from Ball State University
.
 


Chris Pettit

Chris T Pettit,
FSA, MAAA,
Principal and Consulting Actuary
Milliman
 
  Christopher is a principal and consulting actuary with the Indianapolis office of Milliman. Prior to serving with Milliman, he was an Actuarial Student with Towers Perrin from 2002 to  2004.

He is a Fellow, Society of Actuaries; and Member, American Academy of Actuaries. He received am undergraduate degree in Accounting, with concentration in math from the University of Notre Dame.


Vatsala Pathy

Vatsala Pathy
Director, Colorado Governorís Office State Innovation Model (SIM)
State of Colorado
 

Vatsala Pathy brings over 17 years of experience in healthcare and public health. She is presently the SIM Director in the Office of Governor John Hickenlooper.

Prior to that, she was the Founder and Managing Director of Rootstock Solutions LLC, a healthcare consulting firm. She was also a senior program officer at The Colorado Health Foundation, where she was responsible for grant making and initiative development to support healthcare delivery for low-income populations. Vatsala was a program officer at the CDC Foundation, where she served as a steward and manager of a number of national and international public health projects.

She has extensive experience on state health policy research and program implementation with the Office of Colorado Governor Roy Romer, the Georgia Health Policy Center and Kaiser Foundation Health Plan of Colorado.

Vatsala is a recipient of the American Marshall Memorial Fellowship and was selected to participate in the University of Coloradoís Denver Community Leadership Forum. She is presently a trustee and chair of the strategic planning committee for the Bonfils Blood Center Operating Board, a board member of Playworks, and trustee and chair of the heritage committee at St. Anneís Episcopal School.

Vatsala received a Master of Public Affairs from the Lyndon B. Johnson School of Public Affairs, and a Master of Arts degree from the Institute of Latin American Studies at the University of Texas at Austin. She graduated cum laude with distinction with a Bachelor of Arts degree in political science and history with a Latin America concentration and a minor in North American Studies from The Colorado College.


Rachel Cahill

Rachel Cahill
Senior Health Program Officer
The Nicholson Foundation

 
 

Rachel leads the Foundationís work to improve the safety net healthcare delivery system through the development of payment reforms, including Medicaid Accountable Care Organizations.

She has many years of experience in research, program development, and operations of healthcare and human services systems. Rachel has held several leadership roles at the New York City Human Resources Administration and in the Department of Psychiatry at Montefiore Medical Center. In these positions, she developed large-scale innovative and cost-effective programs for vulnerable populations. 


Bob Atlas

Robert F. Atlas
President and Strategic Advisor
EBG Advisors
 

Bob Atlas is President of EBG Advisors, Inc. He serves as an executive consultant on strategy, policy analysis, program development, and performance improvement for health care providers, payers, policymakers, investors, and others. Mr. Atlas has more than three decades of experience as an advisor to leaders in the health care industry and the public sector.
 
Since 2013, Mr. Atlas has served as advisor on Medicaid reform to North Carolinaís Secretary of Health and Human Services. He facilitated the deliberations of a governor-appointed Medicaid Reform Advisory Group and coordinated the production of a report to the General Assembly on proposed changes to the program, which emphasized the need to move away from fee-for-service to a value-based approach. 
 
Previously, Mr. Atlas was Executive Vice President and Chief Operating Officer of Avalere Health, as well as President of The Lewin Group. Mr. Atlas has led engagements on managed/accountable care, aiding many states and health plans in implementing Medicaid managed care programs. 
 
After receiving an M.B.A. in Health Administration and Finance from The University of Chicago Booth School of Business, Mr. Atlas served as a commissioned officer in the U.S. Public Health Service. He worked in Medicareís Health Standards and Quality Bureau and the Office of Health Maintenance Organizations.

 


Helaine I. Fingold

Helaine I. Fingold
Senior Counsel, Health Care and Life Sciences 
Epstein Becker Green
 

Helaine Fingold is a Senior Counsel in the Health Care and Life Sciences practice, in the Baltimore office of Epstein Becker Green. She has more than 20 years of broad health law and regulatory experience, including prior government experience in both the legislative and executive branches of the federal government.

Ms. Fingold advises on issues involving the Medicare Program Parts A, B, C, and D, Medicare Innovations, Medicare Dual Eligibles, Medicaid, and Veterans' health care programs. She counsels on issues related to products offered on public and private health insurance exchanges and related health insurance reform issues, and provides interpretative and practical advice regarding oversight and compliance requirements of the Medicare Advantage and Medicare Prescription Drug programs. She also advises on the development of business arrangements to assure compliance with federal and state fraud and abuse laws; and counsels companies on legislative and regulatory strategies involving government health programs including health insurance reform.

Prior to rejoining the firm, Ms. Fingold worked at the Center for Medicare & Medicaid Services' ("CMS's") Center for Consumer Information and Insurance Oversight (CCIIO) in the Exchange Policy and Operations Group. As both a Senior Technical/Policy Lead and as the Acting Director, Rates & Benefits Branch, Division of Plan Management, Ms. Fingold was responsible for defining and interpreting requirements relating to the qualification of qualified health plans and stand-alone dental plans in both state and federally-facilitated exchanges, oversight of these plans, essential health benefits, and market-wide cost sharing limitations.

From 2004 to 2012, Ms. Fingold worked in a range of capacities at CMS with responsibility for areas of the Medicare Advantage program, including plan application review and approval, application denials and appeals, contracting, plan surveillance, oversight, and marketing. She also is experienced in the Medicare Advantage and Prescription Drug audit and sanction process.

Ms. Fingold began her professional career as an attorney in the Office of the General Counsel of the Department of Health and Human Services assigned to CMS's predecessor agency on legal issues arising under Medicare Parts A and B and Medicaid. Ms. Fingold then was a team lead within Office of Research and Demonstrations at CMS's predecessor agency, working on Medicaid waiver and Medicaid demonstration programs. She later spent two years as a health care attorney in the DC office of Epstein Becker Green. Ms. Fingold left the firm to serve as General Counsel for the Medicare Payment Advisory Commission before rejoining CMS in 2004.

Ms. Fingold received her J.D. from the Northeastern University School of Law and her B.A. from the University of Massachusetts. She is admitted to the Bar in the state of Maryland.
  


Bob Gladden

Bob Gladden
Vice President, Center for Analytics
CareSource 
 

Bob Gladden is Vice President for the Center for Analytics at CareSource, a nonprofit Medicaid organization with over 1 million members. He leads analytics for the organization that guide its mission-driven focus.

Bob has over 30 years of experience in the fields of health care analytics, health care administration, actuarial science, underwriting and finance with major consulting organizations, hospital systems, management companies and payers. Bob holds an MA degree from Bowling Green State University.


 


Cathy Meade

Cathy Meade
Director for Healthcare Analytics
 CareSource 
 

Cathy Meade is Director for Healthcare Analytics at CareSource, a nonprofit Medicaid organization with almost 1 million members. She currently leads the health care analytic efforts for the organization, with a focus on diagnostic and predictive analytics that maintains a strong practical sense of helping the organization achieve its mission-driven focus.

Cathy has over 20 years of experience in the fields of health care analytics, business process improvement, finance and IT within the health care, technology and banking industries. Cathy holds a BA degree in business from Capital University.

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