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AHIP
Conferences

2024 Medicare, Medicaid, Duals & Commercial Markets Forum

Dates:
Mar 12 - 14, 2024
Location:
Baltimore, MD

The 2024 Medicare, Medicaid, Duals & Commercial Markets Forum focuses on the most pressing policy priorities, emerging issues and regulatory updates for Medicare, Medicaid, Duals, and the commercial market.

Agenda Filters

Sessions

7:00 am – 9:00 am
, Coffee Break

Key Ballroom South Foyer, Level 2
Presented by Best Buy Health

7:00 am – 5:45 pm
, Registration and Information Desk Open

Key Ballroom South Foyer, Level 2

8:45 am – 11:00 am
, Welcome and Opening Sessions

11:00 am – 6:30 pm
, Exhibit Hall Open

Holiday Ballroom 2-6, Level 2

11:00 am – 11:45 am
, Coffee Break with Solutions Providers

Holiday Ballroom 2-6, Level 2
Presented by BestBuy Health

11:45 am – 12:30 pm
, Concurrent Sessions

  • Concurrent Series 1

    • Medicare Advantage & Part D

      MA & Part D Program Audits: Best Practices & Lessons Learned

      Location
      Key Ballroom 9-10, Level 2
      Speakers
      Details

      Speakers will provide insight on practical tools and share best practices that MA organizations and Part D plan sponsors can implement to successfully prepare for program audits and improve performance.

    • Medicaid Managed Care & Medicare-Medicaid Dual Eligibles

      Medicaid Redeterminations: State of Play

      Location
      Peale, Level 1
      Speakers
      Details

      We will hear from national experts on the current landscape of Medicaid redeterminations, digging in on the policy, political, and rate setting impacts.

    • Commercial Market & Employer-Provided Coverage

      Impacts of ERISA Preemption

      Location
      Johnson, Level 1
      Speakers
      Details
      ERISA preemption has a significant impact on health insurance providers as it helps to streamline administrative processes and ensure uniformity in plan administration. Join this session to hear from experts on how efforts in several states to erode ERISA preemption may adversely impact labor markets, disadvantage employees based on where they live or work, cause employers to cut back on benefit coverage, and raise the cost of health insurance and retirement plans.
    • Advancing Health Equity

      Leveraging Value-Based Contracts and Technology to Improve Total Health Equity

      Presented by Gray Matter Analytics
      Location
      Key Ballroom 11-12, Level 2
      Speakers
      Details

      To address health equity disparities, health insurance providers are deploying new strategies to eliminate obstacles to high quality care. Join this session to explore how one health insurance provider is utilizing data analytics to gain insight into social determinants of health and gaps in care to help match outreach and interventions to each patient’s needs. Learn how employing value-based arrangements with providers can maximize timely, preventative care and improve total health equity.

12:30 pm – 1:45 pm
, Lunch & Learns

  • 1:00 pm – 1:45 pm

    Lunch will begin at 12:30 pm. Speaking Sessions will begin promptly at 1:00 pm.

    • The Power of Food as Medicine: Best Practices to Improve Member Health Outcomes

      Presented by Mom's Meals 2022 logo
      Location
      Peale, Level 1
      Speakers
      Details

      Evidence is mounting on the benefits of food as medicine programs as they gain popularity in managed care. However, few programs report on member outcomes longitudinally. Learn how a comprehensive nutrition program positively impacted dually eligible members with heart failure and achieved health insurance provider cost savings 6 and 12 months after member participation ended. Gain valuable insights on designing a program to support successful long-term behavior change and cost savings.

    • Building Member Trust & Engagement with Community Based Social Support Groups

      Presented by Wider Circle
      Location
      Johnson, Level 1
      Speakers
      Details

      Establishing trust is key to effectively engaging members in their care. A peer-to-peer approach that builds community and social support for members can have a significant impact on health outcomes, equity, engagement, cost of care, and retention. Join this session to review outcomes of a national community-based solution for MA, DSNP, and Medicaid populations, and share best practices and results from an actuarially validated methodology.

    • Caregiver Activation: Strategies to Drive Improved Outcomes and Well-Being

      Presented by Helpful
      Location
      Holiday 1, Level 2
      Speakers
      Details

      This session will explore the multifaceted value of caregiver support. Learn how to activate caregivers with an effective care plan to enhance outcomes and positively impact well-being for both members and caregivers. Join us to examine strategies to develop a well-supported caregiver network to engage and align caregivers with health management goals, leading to enhanced patient care.

    • Mobile Strategies to Transform Member Onboarding and Improve Access to Care

      Presented by Relay Network
      Location
      Key Ballroom 9-10, Level 2
      Speakers
      Details

      Health insurance providers are leveling up standard short message service (SMS) campaigns to personalized mobile experiences that drive members to action. Panelists will discuss mobile strategies, from onboarding to retention, that drive behaviors and usage of plan benefits and identify key parts of a member’s journey that influence critical metrics. Gain insights to improve access to care metrics, drive improvements to Star Ratings, and proactively influence the member experience.

    • A Whole-Person Approach to Manage Frailty & Aging in Place for Older Adults

      Presented by Sagility – An AHIP Select Member
      Location
      Key Ballroom 11-12, Level 2
      Speakers
      Details

      Improving care for older adults requires a whole-person approach and early interventions to prevent frailty, which can lead to a higher risk of long-term care. Falls, dementia and social determinants of health deficits worsen frailty. Join this session to learn how a comprehensive, multi-disciplinary clinical care plan can improve health and reduce the risk of long-term care. Explore how to engage older adults with a customized care plan and assistive technology for aging in place.

1:45 pm – 2:30 pm
, Dessert Break with Solutions Providers

Holiday Ballroom 2-6, Level 2

2:30 pm – 4:15 pm
, Concurrent Sessions

  • 2:30 pm – 3:15 pm

    Concurrent Session Series 2

    • Medicaid Managed Care & Medicare-Medicaid Dual Eligibles

      Advancing Medicaid Long-Term Services & Supports

      Location
      Johnson, Level 1
      Speakers
      Details
      In this session, speakers will review the current trends in long-term services and supports (LTSS) and home and community--based services (HCBS) in Medicaid, progress toward rebalancing from facility to home and community settings, and the outlook for policy and technological developments impacting LTSS in the coming year.
    • Advancing Health Equity

      Improving Health Equity Through Better Data Collection

      Location
      Key Ballroom 9-10, Level 2
      Speakers
      Details

      This session will explore the importance and use of health data in addressing health disparities, the barriers that persist in limiting health data, and policy levers that can improve health data collection and utilization at the federal level including changes to data standards and systems, incentives and requirements, education and technical assistance, and regulation.

    • Whole Person Care Delivery & Innovation

      Cell and Gene Therapies: Regulatory Updates and Coverage Policies

      Location
      Peale, Level 1
      Speakers
      Details
      Cell and gene therapies hold immense promise for addressing previously untreatable or chronic conditions, however, their high costs pose challenges for the health care system. Speakers in this session will explore the evolving landscape of cell and gene therapies and examine the potential impacts and policy options for these transformative treatments.
    • Market Strategy & Operational Innovation

      Simplifying Operations to Improve Member Engagement

      Presented by Softheon – An AHIP Select Member
      Location
      Key Ballroom 11-12, Level 2
      Speakers
    • Market Strategy & Operational Innovation

      How Digital Health Supplemental Benefits Can Close Care Gaps and Improve Quality

      Presented by Hello Heart
      Location
      Holiday 1, Level 2
      Speakers
      Details

      Sweeping changes to the Medicare program, such as the Inflation Reduction Act and the Health Equity Index for Star Ratings are poised to reshape the MA landscape. These changes place increased emphasis on elevating quality ratings amidst lower CMS payment rates. As a result, health insurers are turning to innovative supplemental benefits to address these challenges. Learn how MA leaders can leverage digital health solutions as a valuable supplemental benefit to close care gaps and boost quality.

  • 3:30 pm – 4:15 pm

    Concurrent Session Series 3

    • Medicaid Managed Care & Medicare-Medicaid Dual Eligibles

      Current and Emerging Trends in Medicaid Managed Care

      Location
      Peale, Level 1
      Speakers
      Details

      The director of CMS’ Division of Managed Care Policy will review trends and progress in Medicaid and managed Medicaid programs and the Administration’s Medicaid priorities for managed care for the coming year.

    • Commercial Market & Employer-Provided Coverage

      Updates on Risk Adjustment in the Individual Market

      Location
      Johnson, Level 1
      Speakers
      Details

      This panel will discuss current trends and stakeholder perspectives about the ACA’s individual risk adjustment program and highlight potential areas of interest for the future.

    • Advancing Health Equity

      Best Practices to Collect Sexual Orientation and Gender Identity Data (SOGI)

      Location
      Holiday 1, Level 2
      Speakers
      Details
      Health insurance providers are increasingly required to collect data on sexual orientation and gender (SOGI) to help identify disparities and inform culturally appropriate care. Hear from one of the nation’s pioneers and experts on SOGI data collection and gain insights to collect SOGI data in patient-centered and respectful ways, incorporate this data collection into workflows, improve communication around SOGI data collection, and promote gender affirming care.
    • Market Strategy & Operational Innovation

      Virtual Care Strategies to Address Emerging Trends in 2024

      Presented by Teladoc Health
      Location
      Key Ballroom 11-12 , Level 2
      Speakers
      Details

      Virtual care and other digital tools have the power to democratize health care access for all, including the underserved. Join us to explore how progressive managed care organizations are elevating the use of virtual care to offer a broader range of solutions to a wider range of Medicare, Medicaid, and Marketplace members. You will also gain insights into the emerging trends of 2024 and learn how virtual care and AI can refine personalization and engage hard-to-reach populations.

    • Whole Person Care Delivery & Innovation

      Leveraging Home-Based Care to Improve Outcomes and STAR Ratings

      Presented by Evernorth Health Services
      Location
      Key Ballroom 9-10, Level 2
      Speakers
      Details

      This session will highlight CMS’s recent changes to STAR ratings, including new measures and changes to how various factors are weighted. Join us to learn how leading health insurance providers are using an integrated strategy with home-based care to ensure optimal outcomes and address whole person care, and how to leverage best practices to enhance and improve your STAR ratings.

4:30 pm – 5:45 pm
, General Session

5:45 pm – 6:45 pm
, Reception with Solutions Providers

Holiday Ballroom
Opening Night Reception in the Exhibit Hall with Solutions Providers