February 26 27, 2018 Hilton Austin Austin, TX Develop Coordinated Value-Based Care to Improve Health Outcomes and Decrease Expenditures in a Changing Medicare Environment2018 Featured Speakers Keynote Thomas Graf, Chief Medical Officer and Vice President, HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY Leah Hirsch, Government Relations Director, Medicare, ANTHEM Bill Jensen, Vice President, ICARE John Gorman, Founder, GORMAN HEALTH GROUP Session Highlights Christine Leo, Assistant Vice President, Senior Products, CIGNA George Miller, Adjunct Professor, CENTRAL MICHIGAN UNIVERSITY; Former Commissioner, MEDICARE PAYMENT ADVISORY COMMISSION Peter Lymm, Chief Operating Officer, CHENMED John O Shea, M.D., Surgeon and Senior Fellow, Center for Health Policy Studies, THE HERITAGE FOUNDATION Michael Perez-Mesa, Division Director Managed Care, SAVASENIORCARE Annamarie Rakes, Director, Quality Improvement and Stars, BLUE CROSS BLUE SHIELD OF TENNESSEE Examine the 2018 Final Rule to understand its impact on MACRA Develop a Specialized Medicare Advantage Plan for long-term population Leverage network providers to engage members Create I-SNP plans that include care benefits for special needs Define critical strategies to engage members, increase compliance, and improve star ratings Examine the effect of engagement strategies on HEDIS and STAR measures Scott Sarran, M.D., Chief Medical Officer, Government Programs, BLUE CROSS BLUE SHIELD OF ILLINOIS Curtis Stubblefield, Director, Value- Based Care, NATIONAL CORPORATION Deann Tate, Director, Coding Effectiveness, BON SECOURS HEALTH SYSTEM
WHO SHOULD ATTEND 2018 Dear Colleague, After a year of uncertainty regarding the future of Medicare and the Affordable Care Act, Medicare professionals are back to business as usual and so is ExL s Medicare Conference. In 2018, the Medicare Conference once again equips attendees with methods and strategies to improve the quality, ratings, member engagement and health system alignment of your Medicare Advantage and/or Dual Eligibles program. Speakers representing health plans, regulatory agencies, and health systems share their experiences and lessons learned of navigating the Medicare landscape while defining the proven practices that result in improved health outcomes, decreased expenditures, and better ratings. Featured topics this February include: Specialized Medicare Advantage Plans for Long-Term Care MACRA Implementation Improving Star Ratings and Quality Measurement Performance Aligning Health System and Plan Activities to Better Serve the Medicare Population Medicare experts are excited to convene for two days of peer learning to persist and thrive in the 2018 Medicare landscape. I look forward to welcoming you to Austin this winter! Sincerely, Mercy Lister Mercy Lister Conference Production Director ExL Events, a division of Questex, LLC VENUE Hilton Austin Hotel 500 E. 4th Street Austin, TX 78701 To make reservations, please call Hilton Austin: (512) 482-8000 or Hilton Reservations: 1-800-236-1592 and request the negotiated rate for ExL. You may also make reservations online using the following weblink http://bit.ly/2x65zwq. The group rate is available until February 5, 2018. Please book your room early, as rooms available at this rate are limited. *ExL Events is not affiliated with Exhibition Housing Management (EHM)/Exhibitors Housing Services (EHS) or any third-party booking agencies, housing bureaus or travel companies. ExL Events is affiliated with event company Questex, LLC. In the event that an outside party contacts you for any type of hotel or travel arrangements, please disregard these solicitations and kindly email us at info@exlevents.com. ExL has not authorized these companies to contact you and we do not verify the legitimacy of the services or rates offered. Please book your guest rooms through ExL s reserved guest room block using the details provided. This conference is designed for representatives from healthcare insurance and health systems involved in Medicare with responsibilities in the following areas: Sales/Marketing Senior Products Account Management Legal/Counsel/Regulatory Compliance Payment Models QRS Star Ratings MACRA Risk Adjustment Dual Eligible Plans Patient Access Quality Improvement Care Coordination Value-Based Care Population Health This conference is also of interest to: Member Recruitment, Retention, and Engagement Consultants Data Management Service Providers Population Health Solutions Providers
Monday, February 26, 2018 Day One Registration and Continental Breakfast 12:45 Lunch 9:00 Chairperson s Opening Remarks 1:45 9:15 Outlook for Medicare Advantage and Dual Eligibles in 2018-2020 Deep Dive Into Tactics That Increase Member Engagement and Ultimately Improve Star Ratings and Decrease Costs KEYNOTE 8:00 Gain an understanding of how to better leverage their network providers to engage members Learn critical strategies to engage members as primary care providers Examine how these engagement strategies will impact HEDIS and STAR measures as well as impact medical costs Understand the political and competitive landscape facing MA and state enrollment of duals in health plans Explore implications of MACRA s banning of Medigap firstdollar coverage plans in 2020 for MA plans Propose outlook for risk adjustment, Star Ratings, and compliance under the Trump Administration Peter Lymm, Chief Operating Officer, CHENMED John Gorman, Founder, GORMAN HEALTH GROUP Address the Challenges of Successful MACRA Implementation Consider the current transition to MACRA implementation and what changes are needed moving forward Examine the 2018 Final Rule to understand its impact on MACRA Understand how MACRA implementation reflects payment and delivery reform 2:30 PANEL 10:00 John O Shea, M.D., Surgeon and Senior Fellow, Center for Health Policy Studies, THE HERITAGE FOUNDATION 10:45 Networking Break 11:15 Bridge the Gap Between Fee-for-Service and Managed Care 12:00 Christine Leo, AVP, Senior Products, CIGNA 3:45 Analyze the Skilled Nursing Facility s Perspective in Managed and Accountable Care for Medicare Populations Review core principles surrounding managed care in the skilled and long-term care population in the United States Emphasize working within regional and state models to improve patient outcomes, increase revenue, and elevate patient satisfaction Michael Perez-Mesa, Division Director Managed Care, SAVASENIORCARE 4:30 Thomas Graf, Chief Medical Officer and Vice President, HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY 5:15 All speakers were experienced content experts who shared amazing information through comprehensive presentations. Medicare 2028: What Will the Next Decade Bring? Develop a strong understanding of Medicare 1965 to consider the program s growth Debate the successes and challenges facing Medicare today to define the necessary measures to continue growth Scrutinize proposed policies that will define Medicare over the next decade Leonard Kirschner, M.D., MPH, former President, AARP; former Director, ARIZONA MEDICAID Director, Care Coordination, ASCENSION-WHEATON FRANCISCAN Director, HEOR, BMS Apply Lessons Learned From Successful IDNs in the Real World to Re-Engineering for Value for Medicare Populations Understand how IDNs leverage various elements to create value for Medicare and Medicaid populations Describe how these lessons can be applied in multiple geographies with varying resources Learn the steps needed to create value in any organization for any Medicare population TESTIMONIALS Impressive speakers, interesting presentations and great takeaways. Leah Hirsch, Government Relations Director, Medicare, ANTHEM Scott Sarran, M.D., Chief Medical Officer, Government Programs, BLUE CROSS BLUE SHIELD OF ILLINOIS Networking Break Set Customer Expectations Before Contracting to Promote Engaged, Educated and Long-Lasting Members Examine how setting customer expectations up front can aid in improved customer retention Reduce complaints and member confusion by taking the time to explain benefits at the time of contracting Improve CAHPS scores as a result of members taking advantage of benefits and understanding how to navigate the health plan Discuss the implications of value-based arrangements for traditional employer groups, government programs and public exchanges Understand how to succeed in the evolving marketplace as value-based arrangements take hold 3:15 Understand the history and current state of Fee-for-Service provider compensation in the context of Alternative Payment Models Promote strategies for aligning physician efforts and preventing physician burnout in an era of regulatory uncertainty Define practical tactics for improving patient outcomes using electronic records and analytics while complying with regulatory requirements of the Quality Payment Program (QPP) Sarah Kramer, M.D., Chief Medical Information Officer, YUMA REGIONAL MEDICAL CENTER Panel: Evolve the Marketplace With Health Plan-Provider Value-Based Arrangements 6:00 Day One Concludes
Tuesday, February 27, 2018 8:00 8:45 Day Two Continental Breakfast Chairpersons Recap of Day One Chairpersons Recap of Day One Health System-Plan Alignment 9:00 Dual Eligible De-fragmentation Utilize Data Analytics and Data Mining to Audit With Medicare s New Payment Models Case Study: BIDCO Partnership With MassHealth to Improve Medicaid/Medicare Populations Utilize the EHR to Optimize Physician Documentation and Code Selection Discover Tactics to Increase Healthcare Enrollment and Healthcare Quality for Dual Eligible Special Needs Plans Provide simple and practical tips in critical areas to audit for risk and reward Understand unique data analytics essential to ICD-10 coding compliance Paul Belton, Vice President, Corporate Compliance, SHARP 9:45 CASE STUDY Examine the major restructuring that will allow for improved and more coordinated care Review the new ACO model that includes payment to improve the care coordination and health outcomes for MassHealth members Understand opportunities to provide clinical and communitybased support for dual eligible populations Michael Olsen, MBA, Senior Director, Network Strategy and Contracting, BETH ISRAEL DEACONESS CARE ORGANIZATION Learn effective physician communication with clinical scenarios Establish a successful Dual Eligible Special Needs Plan (D-SNP) rather than code-speak through the integration of Medicaid and Medicare membercentered programs Use templates and smart phrases for compliant and efficient documentation Explore the modus operandi of recruiting potential dual eligible members and retaining 5-star quality Engage physicians in non-clinical aspects of patient care Deann Woods Tate, Director, Coding Effectiveness, BON SECOURS Learn how icare went from 2.5 to 4.5 stars with a challenging high-needs population HEALTH SYSTEM, INC. Bill Jensen, Vice President, ICARE 10:30 11:00 Networking Break Develop Strategies for Post-Acute Care Planning Under Medicare Advantage Create strategies for plans and providers to partner and increase quality scores Discover opportunities to develop partnerships and discuss the types and nature of varying strategic relationships Discuss the legal limitations, strategies, and issues to which plans and providers must be sensitive when creating strategic partnerships Deborah Walters, Director, Case Management, ST. DAVID S 11:45 Analyze Innovations in Healthcare for Succinct Integration and Application for the Member and the Plan Navigate Successful Benefit Structures to Drive Members to Engage and Manage Their Health Discuss where members find value in benefits to incentivize and target members accordingly Consider supplemental benefits for standard beneficiaries and C-SNP/D-SNP beneficiaries to improve care, lower costs and increase coordination Use tools such as marketing and outreach engagement to aid members outside the scope of their benefits and improve care 2:15 Learn how other companies revolutionizing health insurance through technology, data, and design Evaluate which elements of new healthcare design could work for Medicare Advantage plans Understand how simplifying healthcare can create a better member experience Annamarie Rakes, Director, Quality Improvement and Stars, BLUECROSS BLUESHIELD OF TENNESSEE 12:30 Luncheon 1:30 Develop a Specialized Medicare Advantage Plan for Long-Term Population Compare and contrast internal and independent agent channels to identify respective best practices Maintain compliance while maintaining growth Change the narrative from costs and benefits to service and value Larry Baca, Director, Sales, INTER VALLEY HEALTH PLAN 3:00 Uncover Best Practices for Establishing MACRA at Your Organization Benchmark your transition to the new reimbursement structure against other organizations Debate if the new Quality Payment Program will make Medicare better for your patients Understand the MIPS and APMS processes necessary to succeed in 2018 and beyond Address the specific challenges of special needs populations to ensure care addresses the spectrum of needs Create an Institutional Special Needs Plan (I-SNP) that includes long-term care benefits for special needs Curtis Stubblefield, Director, Value-Based Care, NATIONAL CORPORATION Address Challenges With Multiple Sales Channels by Balancing Growth Through Online, Internal Sales Team and Independent Agents George Miller, Adjunct Professor, CENTRAL MICHIGAN UNIVERSITY; Former Commissioner, MEDICARE PAYMENT ADVISORY COMMISSION 3:45 Chairperson s Closing Remarks 4:00 Conference Concludes
Registration Registration Fees for Attending ExL s Medicare Conference 2018 EARLY BIRD PRICING Register by Friday, January 12, 2018 PRICE Health Plans...$1,395 Solution Providers...$1,795 Government Entities/Hospitals/Nonprofits... $795 STANDARD PRICING Register After Friday, January 12, 2018 PRICE Health Plans...$1,695 Solution Providers...$2,095 Government Entities/Hospitals/Nonprofits... $895 ONSITE PRICING PRICE Health Plans...$1,795 Solution Providers...$2,195 Government Entities/Hospitals/Nonprofits... $995 GROUP DISCOUNT PROGRAMS Save 25% Save 15% Save 25% per person when registering four For every three simultaneous registrations from your company, you will receive a fourth complimentary registration to the program (must register four at one time). This is a savings of 25% per person. Save 15% per person when registering three Can only send three? You can still save 15% off every registration. Offers may not be combined. Early Bird rates do not apply. 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q YES! Register me for this conference! Name: Title: Company: Check Credit Card Make checks payable to PMA Conference Management MasterCard Visa ver Dept.: Address: City: State: Zip: Email: Phone: Fax: Please contact me: q I m interested in marketing opportunities at this event. q I wish to receive email updates on ExL Events upcoming events. CONFERENCE CODE: C996 Method of Payment: q q Signature: Card Type: q q q Disco q AMEX Card Number: Exp. Date: CVV: Name on Card: February 26 27, 2018 Hilton Austin Austin, TX Develop Coordinated Value-Based Care to Improve Health Outcomes and Decrease Expenditures in a Changing Medicare Environment2018 Featured Speakers Thomas Graf, HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY Leah Hirsch, ANTHEM Bill Jensen, ICARE Christine Leo, CIGNA Peter Lymm, CHENMED Michael Perez-Mesa, SAVASENIORCARE