National Conferences on Medicare, Medicaid & Duals

  • September 24 – 28, 2017
  • Washington, D.C.
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Washington, D.C.

Americans are living longer, healthier lives.
Since their enactment more than 50 years ago, the Medicare and Medicaid programs have made great strides in delivering health care to our nation’s most vulnerable – the aging, the poor, the disabled.

We can look to these programs’ innovations in payment reform, benefit design, and community-based care as models for reshaping the way we deliver quality health care:

  • How can we better balance affordability, access, cost, and quality?
  • How do we address the growing needs of an aging boomer population?
  • What might the potential impact of legislative changes be?
  • Can we determine a common set of metrics to work from?

Exploring Innovation – Measuring Results
AHIP’s National Conferences on Medicare, Medicaid & Duals includes three distinct events:

  • Medicare: Sept. 24-26
  • Dual Eligibles: Sept. 26
  • Medicaid: Sept. 27-28

Stay on top of the latest trends and operational need-to-knows. Register today for one, two, or all three events.

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Why Should You Attend: Face-to-Face Value

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85%

Say that in-person meetings are preferred over virtual alternatives.

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75%

Say that networking and making connections are important.

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71%

Have strong desire for opportunities for social interactions and discussion while attending.

agenda
  • Overview
about

Looking at Public Programs as Models for Reshaping the Way we Deliver Quality Health Care

The Medicare and Medicaid programs have made great strides in delivering health care to our nation’s most vulnerable. Stay on top of the latest trends and operational need-to-knows.

  • AHIP Congratulates Seema Verma on Her Confirmation to Lead CMS
    “AHIP congratulates Seema Verma on her confirmation. Millions of Americans are eager for solutions that will make health care more affordable and more accessible. We look forward to working with Verma and her staff on ways we can better serve our nation’s health care needs.”
  • Proposed Cuts to Medicare Advantage May Disrupt Seniors
    On February 1, 2017, the Centers for Medicare & Medicaid Services (CMS) released the Advance Notice of Methodological Changes for Calendar Year 2018 Medicare Advantage Capitation Rates and Part C and Part D Payment Policies (the 2018 Advance Notice).  The Advance Notice outlines the planned changes to Medicare Advantage (MA) capitation rates applied under Part C and Part D for calendar year (CY) 2018 and other regulatory changes that will affect plan reimbursement.
  • Medicare Advantage: What Did CMS Propose in the 2018 Advance Notice
    • +.25% CMS’s estimate of the overall impact on MA funding of the policies proposed in the Advance Notice, which is well below the projected cost inflation rate (i.e., effective growth rate) of 2.8 percent.
    • -1.9% The reduction in MA funding due to a technical update to the risk score called “normalization” that assumes risk scores of beneficiaries enrolled in traditional Medicare dramatically increased from 2015 to 2016.
    • -1.25% The estimated reduction in payments to Employer Group Waiver Plans (EGWPs), enrolling over 3.6 million beneficiaries, if CMS fully transitions to a new payment methodology first implemented in 2017.
  • Medicare Advantage: Star Ratings, Audits, and Compliance Findings
    The Star Ratings System evaluates the quality of care beneficiaries receive from Medicare Advantage and Part D plans on a 1 to 5 scale based on performance on more than 40 individual measures. The system was originally developed to help beneficiaries choose between available plans. Medicare Advantage plans with higher Star Ratings of at least 4 stars receive increased funding as an incentive to achieve high performance. Plans use these funds to provide additional benefits and reduce beneficiary cost-sharing.
  • Medicare Advantage Encounter Data: What You Need to Know
    Encounter data is detailed data generated by health care providers, such as doctors and hospitals, that documents both the clinical conditions they diagnose as well as the services and items delivered to beneficiaries to treat these conditions. The Centers for Medicare & Medicaid Services (CMS) began collecting encounter data from Medicare Advantage plans in 2012.
  • Studies: Quiet Changes to How Data Is Analyzed Leads to Medicare Advantage Payment Cuts
    Medicare Advantage (MA) health plans provide health benefits to more than 18 million seniors and people with disabilities across the United States. As it sets payment rates for MA plans each year, the Centers for Medicare & Medicaid Services (CMS) determines how much it will pay toward each plan through a process called “risk adjustment.” The sicker the patient population within a plan, the higher the payment that plan receives from CMS. In this way, the federal government helps protect patients who need care the most.
  • Virginia Finds Better Ways to Transition Patients from the Hospital to Their Homes
    Nearly one in five Medicare patients discharged from a hospital – approximately 2.6 million seniors – are readmitted within 30 days, at a cost of over $26 billion a year. Implementing appropriate interventions necessary for reducing readmissions can go a long way to reduce costs and improve quality of care. An innovative program in eastern Virginia is helping them do just that – and is being expanded across the state because of its success.
  • Medicare Advantage: Real Results, Proven Solutions
    We need to fix health care. Let’s start by looking at what’s working. Today, more than 18 million Americans get their health benefits through a Medicare Advantage (MA) plan. These plans deliver better services and better results – and better value. Delivering affordable coverage by capping out-of- pocket costs. Improving health with additional services that traditional Medicare doesn’t cover, like integrated vision, hearing, dental, and wellness programs. Giving seniors access to affordable prescription drug plans.
  • The Medicare Part D Program: A Record of Success
    Medicare Part D, the prescription drug program for Medicare beneficiaries, covers most medications – including biologics and vaccines – that are not otherwise covered by the Medicare Part A hospital benefit or the Medicare Part B benefit for physician services and supplies.

National Conferences on Medicare, Medicaid & Duals

Will we see you in D.C.?

Hotel and Travel information

Conveniently located, Washington, D.C. is a great place to get down to business. We’ll have special room rates for conference attendees to help stretch even the most limited of travel budgets. Hotel space can be limited and tends to fill up quickly. Be sure to sign up to get notified when hotel reservations open!

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Accenture is a leading global professional services company, providing a broad range of services and solutions in strategy, consulting, digital, technology and operations.

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CareCentrix drives savings, improved outcomes, and patient satisfaction

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Driven by data, Inovalon identifies gaps in care, quality, data integrity, and financial performance

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McKesson Health Solutions delivers clinical evidence and expert technology to help payers and providers collaborate

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NTT DATA is an end-to-end service provider of IT and business solutions for health

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Optum combines technology, data and expertise to power modern health care.

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RxAdvance is a national full-service pharmacy benefit manager

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ikaSystems delivers cloud/SaaS-based business automation and process solutions

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Welltok, Inc. is fundamentally transforming the way population health managers partner with consumers

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