HMA Conference 2020
What’s Next for Medicaid, Medicare, and Publicly Sponsored Healthcare:
How Payers, Providers, and States Are Navigating a Future of Opportunity and Uncertainty
Pre-Conference Workshop: October 25
Conference: October 26-27
Location: Fairmont Chicago, Millennium Park
Dear Friends,
The fifth annual HMA conference on trends in publicly sponsored health care is schedule for October 25-27 at the Fairmont Chicago, Millennium Park.
It was well before the COVID-19 outbreak when we came up with the conference theme – What’s Next for Medicaid, Medicare, and Publicly Sponsored Healthcare: How Payers, Providers, and States Are Navigating a Future of Opportunity and Uncertainty. We had no idea just how “uncertain” the future would become for all of us.
Our sincere hope is that by October we will be back to some semblance of “normal,” and our goal is to move ahead with the conference as scheduled. Early Bird Registration is currently open at https://conference.healthmanagement.com/. We have an impressive roster of speakers already confirmed, and sponsors are already signing up to exhibit.
The agenda to date appears below. Confirmed keynote speakers to date include (in alphabetical order):
Drew Altman, President, CEO, Henry J. Kaiser Family Foundation
Melisa Byrd, Senior Deputy Director/Medicaid Director, Department of Health Care Finance, District of Columbia
Heidi Chan, Market President, AmeriHealth Caritas North Carolina
Alec Cunningham, EVP, Government Services, Aetna, a CVS Health Company
David Fields, President, Dean Health Plan
Jesse Hunter, EVP, Mergers & Acquisitions, Chief Strategy Officer, Centene Corp.
Beth Kidder, Deputy Secretary, Division of Medicaid, Florida Agency for Health Care Administration
Carter Kimble, Deputy Secretary of Health and Human Services, State of Oklahoma
Kate Massey, Senior Deputy Director, Medical Services Administration, Michigan Department of Health and Human Services
Stephanie Muth, Former Deputy Executive Commissioner, Medicaid & CHIP, Texas Health & Human Services
Keith Payet, CEO, UnitedHealthcare Community Plan of Tennessee
Of course, we recognize the possibility that a continuing outbreak or extended stay-at-home orders could force us to rethink the event, including the potential use of live-streaming technology and social distancing protocols that limit the number of attendees. Refunds will be available should we be forced to cancel the event, and discounts will be available for any live-streaming access we may offer in lieu of a live event.
As you know, the HMA conference has emerged as a premier informational and networking event, attracting 500 healthcare industry executives, clinicians, and policy experts. Feel free to contact me directly if you have any questions or concerns. I look forward to seeing you in October. Stay safe!
Group rates and sponsorships are available.
_____
HMA Annual Conference on Trends in Publicly Sponsored Healthcare
Conference: October 26-27, 2020
Pre-Conference Workshop: October 25, 2020
Fairmont Chicago, Millennium Park
| What’s Next for Medicaid, Medicare, and Publicly Sponsored Healthcare: How Payers, Providers, and States Are Navigating a Future of Opportunity and Uncertainty | |
| Pre-Conference Workshop: Sunday, October 25 | |
| 1:00 – 5:00 pm | Inner Workings of Medicare Advantage |
| Conference Day One: Monday, October 26 | |
| 7:00 – 8:00 am | Registration & Breakfast |
| 8:00 – 8:45 am | Keynote AddressInnovations in Care Delivery and Value-Based Payments for Publicly Sponsored HealthcareFederal and state regulators continue to support efforts to improve healthcare quality and lower costs through the implementation of value-based payments and new care delivery models for publicly sponsored healthcare programs. During this keynote address, a leading healthcare expert will provide an overview of existing value-based payment initiatives, address government efforts to support new care delivery models, and offer a vision for the future of Medicare and Medicaid innovation. Speakers Speaker to be announced. Moderator Jay Rosen, President, HMA, Lansing, MI |
| 8:45 – 10:00 am | State Medicaid Q&A Keynote SessionWhat’s Next: State Medicaid Issues and Priorities Now and in the FutureDespite the potential for significant policy shifts at the federal and state level, Medicaid programs are pushing ahead with several key priorities in the next decade. These include efforts to address financial sustainability, access to care, social determinants of health, substance use disorder, long-term services and supports, value-based care, eligibility verification systems, prescription drug costs, and dually eligible Medicare-Medicaid members. During this keynote Q&A session, state Medicaid directors will discuss key short-term and long-term priorities for state Medicaid programs, including a look at innovate initiatives designed to improve Medicaid outcomes, efficiency, and cost. Speakers Melisa Byrd, Senior Deputy Director/Medicaid Director, Department of Health Care Finance, District of Columbia Beth Kidder, Deputy Secretary, Division of Medicaid, Florida Agency for Health Care Administration Carter Kimble, Deputy Secretary of Health and Human Services, State of Oklahoma Kate Massey, Senior Deputy Director, Medical Services Administration, Michigan Department of Health and Human Services Stephanie Muth, Former Deputy Executive Commissioner, Medicaid & CHIP, Texas Health & Human Services Moderator Kathy Gifford, Principal, HMA, Indianapolis, IN |
| 10:00 – 10:30 am | Break |
| 10:30 – 11:30 am | The Big PictureThe Future of Publicly Sponsored HealthcarePublicly sponsored healthcare programs continue to play a growing role in improving the health and wellness of Americans. That’s true despite legal and regulatory challenges, policy proposals, and political battles that could dramatically alter the nation’s healthcare policy agenda and impact the future of core programs like Medicaid and Medicare. During this session, leading healthcare executives, public policy experts, and government officials will discuss what’s next for publicly sponsored healthcare, including a look at the latest innovations, potential disruptions, the impact of COVID-19, and whether government programs represent the future of healthcare in America. Speakers Speakers to be announced. Moderator Carl Mercurio, Principal and Publisher, HMA Information Services, New York, NY |
| 11:30 – 12:30 | Medicaid Managed Care Keynote Q&A SessionKey Strategies, Priorities, and Concerns for Medicaid Managed Care PlansManaged care plans face a variety of challenges as they strive to help states improve the quality and efficiency of Medicaid programs. Along with frequent demands for improvements in access, quality, and cost, health plans are also being asked to address social determinants of health, participate in value-based payment arrangements, navigate tightening eligibility criteria, and serve patient populations with increasingly complex healthcare needs – all while facing state budget shortfalls and an uncertain political future. More broadly, Medicaid plans are pursuing opportunities that include Medicare-Medicaid dual eligibles, individual Exchange members, foster children, substance abuse treatment, prison populations, and individuals with developmental disabilities, among others. During this keynote Q&A session, leading managed care executives will discuss the strategies, priorities, and concerns they have as they strive to meet the needs of vulnerable member populations and to serve a broadening constituency. Speakers Heidi Chan, Market President, AmeriHealth Caritas North Carolina Alec Cunningham, EVP, Government Services, Aetna, a CVS Health Company Jesse Hunter, EVP, Mergers & Acquisitions, Chief Strategy Officer, Centene Corp. Keith Payet, CEO, UnitedHealthcare Community Plan of Tennessee Moderator Donna Checkett, Vice President, HMA, Chicago, IL |
| 12:30 – 2:00 pm | Luncheon |
| 2:00 – 3:30 pm | Concurrent Breakout SessionThe Role of Housing Supports in Addressing Social Determinants of HealthHousing supports have emerged as a key strategy in addressing social determinants of health, with health plans, provider organizations, state governments, and federal regulators partnering on a wide variety of promising early initiatives. During this breakout session, speakers will outline some of the early lessons learned, including successful approaches to financing, risk-sharing, and measuring return-on-investment. Speakers will also provide insights on how supportive and recovery housing might be scaled up to serve the needs of a far broader population of homeless and housing insecure Medicaid beneficiaries. Speakers Elizabeth (Libby) Boyce, Director of Access, Referral, and Engagement, Housing for Health Andy McMahon, Vice President, Health and Human Services Policy, UnitedHealthcare Community & State Other speakers to be announced. Moderator John O’Connor, Managing Director, HMA Community Strategies, Los Angeles, CA |
| Concurrent Breakout SessionExtending Medicaid Coverage for Women’s Health: Impacts on Access, Outcomes, and CostSeveral states are seeking to extend Medicaid coverage to address women’s health issues, including increased access to family planning services, reproductive health, group prenatal care, doula services, and postpartum care. Initiatives include waivers to extend postpartum coverage beyond 60 days after delivery; programs aimed at improving birth outcomes and reducing infant mortality; and waivers addressing a broad array of women’s health services, including family planning, breast and cervical cancer screening, postpartum depression, diabetes, and other health conditions. During this breakout session, representatives of state Medicaid programs, health plans, and providers will outline some of these emerging initiatives, with a special emphasis on how they are expected to improve access to care, outcomes, and cost. Speakers Angie Truesdale, CEO, Centering Healthcare Institute Lisa Hollier, MD, Chief Medical Officer, Texas Children’s Health Plan Other speakers to be announced. Moderator Margaret Kirkegaard, MD, Principal, HMA, Chicago, IL | |
| Concurrent Breakout SessionAssessing Progress in the Treatment of Addiction, Opioid Use DisorderState regulators, federal officials, health plans, and providers continue to push forward with efforts to ensure access to effective treatment for addiction and opioid use disorder. During this breakout session, speakers will provide an overview of the current state of addiction in the United States and assess the strengths and weaknesses of ongoing efforts to address the problem. Speakers will also provide case studies and best practices for offering addiction treatment across varying locations of care, including hospitals, community-based organizations, prisons, and jails. Speakers Speakers to be announced. Moderator Corey Waller, MD, Principal, HMA, Lansing, MI | |
| Investor Breakout Session: Part 1Investing in Innovative Healthcare CompaniesInvestment firms are deploying billions of dollars in capital in search of innovative organizations serving Medicaid, Medicare, and other publicly sponsored healthcare markets. During this breakout session, speakers from private equity backed companies in healthcare technology, care delivery, population health, member engagement, and other areas will assess emerging market opportunities, prospects for sustainable growth, and key differentiators of success at the cutting edge of healthcare innovation. Speakers Vytas Kiselius, CEO, Referwell William McKinney, CEO, The MENTOR Network Other speakers to be announced. Moderator Greg Nersessian, Managing Director, HMA Investment Services, New York | |
| 3:30 – 4:00 pm | Break |
| 4:00 – 5:30 pm | Concurrent Breakout SessionHow the Healthy Adult Opportunity Waiver Will Impact Medicaid ExpansionThe Trump Administration’s Healthy Adult Opportunity (HAO) waiver provides states with the flexibility to pursue block grant funding for Medicaid expansion populations, including expansion initiatives limited to certain geographical areas or individuals with specific medical conditions. The implications of the HAO waiver are far reaching and likely to face legal challenges. But HAOs may also provide conservative states the political cover needed to implement Medicaid expansion in one form or another. During this breakout session, leading Medicaid policy makers, state government officials, and healthcare executives will outline the key provisions and likely impact of HAOs, including an understanding of funding mechanisms, shared saving components, eligibility and benefit levels, patient protections, and the likelihood of adoption among remaining non-expansion states. Speakers Carter Kimble, Deputy Secretary of Health and Human Services, State of Oklahoma Greg Moody, Executive in Residence, John Glenn College of Public Affairs, The Ohio State University Other speakers to be announced. Moderator Matt Powers, Managing Director, HMA Medicaid Market Solutions, Chicago, IL |
| Concurrent Breakout SessionMeasuring ‘Value’ in the Delivery of Long-Term Services and Supports to Individuals with Intellectual or Developmental DisabilitiesAmong the challenges in meeting value-based payment incentives in healthcare is determining what exactly constitutes “value” and how to measure it. That’s especially true when evaluating the delivery of long-term services and supports to individuals with intellectual or developmental disabilities, where care is as much about assistance with daily living as it is about getting healthy. During this breakout session, members of an unofficial work group of health plans, providers, advocates, academics, and accreditation organizations will deliver some of the findings and recommendations of their recent efforts to develop a framework for identifying, measuring, and delivering value to IDD populations. Speakers Linda Timmons, President and CEO, Mosaic Mary Kay Rizzolo, President and CEO, Council on Quality and Leadership Kathy Carmody, CEO, Institute on Public Policy for People with Disabilities Other speakers to be announced. Moderator Josh Rubin, Principal, HMA, New York, NY | |
| Concurrent Breakout SessionCovering Innovator Drugs: Payment Models, Partnerships to Ensure Access for Medicaid Members State Medicaid programs are struggling to balance member access to innovator drugs with the financial constraints facing Medicaid programs. During this breakout session, representatives of state Medicaid programs, health plans, drug manufacturers, and pharmacy benefit managers will outline some of the ways they are partnering to make innovator drugs available, including the use of value-based payment models that tie reimbursements to outcomes. Speakers Alan Eisenberg, VP, Global Government Relations and Public Policy, Alnylam Harold Carter, VP, Pharma Strategy & Contracting, Express Scripts Other speakers to be announced. Moderator Anne Winter, Managing Principal, HMA, Phoenix, AZ | |
| Investor Breakout Session: Part 2Investing in Innovative Healthcare Companies (continued) Investment firms are deploying billions of dollars in capital in search of innovative organizations serving Medicaid, Medicare, and other publicly sponsored healthcare markets. During this breakout session, speakers from private equity backed companies in healthcare technology, care delivery, population health, member engagement, and other areas will assess emerging market opportunities, prospects for sustainable growth, and key differentiators of success at the cutting edge of healthcare innovation. Speakers Speakers to be announced. Moderator Greg Nersessian, Managing Director, HMA Investment Services, New York | |
| 5:30 – 7:00 pm | Reception |
| Conference Day Two: Tuesday, October 27 | |
| 7:00 – 8:00 am | Breakfast |
| 8:00 – 8:45 am | Election Year Keynote AddressPolitics and Policy: Medicaid, Medicare, and Publicly Sponsored Healthcare in the Next Decade Much of the short-term direction of healthcare policy in the United States will depend on the results of the November 2020 election and litigation surrounding the constitutionality of the Affordable Care Act. Long term, however, a heated debate will continue over how to best ensure every American has access to affordable health-care coverage and whether a continued shift to Medicaid, Medicare, and other forms of publicly sponsored healthcare is likely. During this keynote address, a leading healthcare policy expert will discuss various election scenarios at the national, state, and local level, including a look at the likely impact on healthcare policy, financing, and politics over the short and long term. Speaker Drew Altman, President, CEO, Henry J. Kaiser Family Foundation Moderator Vern Smith, Senior Fellow, HMA, Lansing, MI |
| 8:45 – 10:00 am | Disrupting Healthcare: How Direct-to-Consumer Retailers Are Shaking Up Care DeliverySome of the biggest innovations in publicly sponsored healthcare may end up coming from some of the most unlikely sources, including retailers and other direct-to-consumer companies offering clinical services and technologies designed to ensure patients convenient and low-cost access to care. During this panel discussion, leading retailers and direct-to-consumer organizations will discuss some of these potentially disruptive products and services, including initiatives in the areas of long-term services and supports, home care, community-based clinics, and transportation.Speakers David Fields, President, Dean Health Plan Liz Baker-Ray, Director, Health and Wellness, Walmart Other speakers to be announced. Moderator Jean Glossa, MD, Managing Principal for Clinical Services, HMA, Washington, DC |
| 10:00 – 10:30 am | Break |
| 10:30 – 11:30 am | What’s Next for Telehealth: A Care Delivery Technology Comes of Age Telehealth emerged as a key strategy for expanding access to care in response to COVID-19, and it’s use is likely to continue to grow even after the pandemic subsides. During this session, government regulators, payers, and providers will discuss what’s next for telehealth, including some of the important lessons learned during the COVID-19 pandemic. Speakers will also outline the key elements of implementing and sustaining a telehealth strategy, including the role of technology, clinical implications, billing considerations, and how regulatory changes can play a key role in fostering broader utilization of remote care delivery.Speakers Nora Belcher, Executive Director, Texas eHealth Alliance Other speakers to be announced. Moderator David Bergman, Principal, HMA, New York, NY |
| 11:30 am – 12:30 pm | Assessing the Impact of New and Extended Dual Eligible Integration OpportunitiesA variety of new and extended dual eligible demonstration opportunities afford states, health plans, and providers the flexibility to test innovative models for improving the care of Medicare-Medicaid beneficiaries. During this session, state officials and healthcare industry executives will assess the impact of emerging opportunities, including an early take on whether these new and extended models are positively impacting outcomes. States, health plans, and advocates will also discuss new Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) integration requirements, how Medicaid managed long-term services and supports programs tie into dual integration, and whether additional flexibilities are needed to address the more challenging issues that arise when attempting to integrate care for Medicare-Medicaid beneficiaries.Speakers Christine Aguiar Lynch, VP for Medicare and MLTSS Policy, Association for Community Affiliated Health Plans Other speakers to be announced. Moderator Sarah Barth, Principal, HMA, New York, NY |
| 12:30 pm | Adjourn |