Both Medicaid plans and states will benefit from this forward-thinking event, which will focus on:
• Aligning problems, policies, and politics to improve health
outcomes while containing costs
• Promoting healthier behaviors through stakeholder partnerships
and health education initiatives
• Expanding and diversifying the product portfolio
• Incorporating home and community based service waivers
• Evaluating the uninsured population eligible for Medicaid post reform
• Establishing interventions that work to reduce emergency room
inpatient admissions
• Strengthening payor/provider relationships by developing a VIP program
• Identifying administrative cost reduction and improved
efficiency opportunities
• Positioning for success within health insurance exchanges
• Creating cost containment and revenue generation strategies
• Meeting the challenges of dual eligibles
• Developing innovative ways to case manage the Medicaid population
• Leveraging technology to streamline and simplify Medicaid enrollment
• Streamlining systems with user-friendly, automated technology that
will determine eligibility
• Creating incentives to improve quality of care provided in Medicaid
managed care plans
• Controlling the problem of churning in Medicaid and managing the
impact on care management
• Implementing a high performing Accountable Care Organization
• Developing and maximizing the effectiveness of Patient Centered
Medical Home models
• Establishing performance and evaluation metrics to assess
effectiveness of improved health outcomes of Medicaid beneficiaries
State specific issues include:
• Designing a health insurance exchange that helps consumers
understand their Medicaid options
• Balancing ease of enrollment with fraud prevention
• Monitoring access and quality of Medicaid managed care plans
• Leveraging pay for performance programs that automatically assign
new enrollees to better performing plans
• Ensuring effective ICD-10 planning and implementation
• Leveraging consumer engagement to allow patients access to personal
health data and specifics about their providers as well as to see
processing status of their own Medicaid claims
Hear what past attendees had to say about our 2011 event:
“I was very impressed with the conference…very informative!”
“As a State Dept. of Justice Medicaid Fraud Director, I was pleasantly surprised by how informative the program was. The speakers and material presented thoroughly explored a myriad of issues facing the
Medicaid System now"
“The conference covered a good range of topics.”
“Great topics—not boring!”
2012 Speakers
Program Specialist
Physician Services
Nebraska Medicaid and Long Term Care
Physician Services
Nebraska Medicaid and Long Term Care
Director of Commonwealth
Care Program
Commonwealth Health
Insurance Connector Authority
(Health Connector)
Care Program
Commonwealth Health
Insurance Connector Authority
(Health Connector)
Vice President
Government Program
Management & Strategies
OptumInsight Consulting
Government Program
Management & Strategies
OptumInsight Consulting
Deputy Director, Medical
and Managed Care Services
South Carolina Department of
Health and Human Services
and Managed Care Services
South Carolina Department of
Health and Human Services
Linda Hamacher, President &
CEO, Genesee Health Plan of Michigan
Senior Consultant, Health Management
Associates
CEO, Genesee Health Plan of Michigan
Senior Consultant, Health Management
Associates
National Senior Medical
Director for Clinical
Performance and Compliance
OptumInsight
Director for Clinical
Performance and Compliance
OptumInsight
Director, Bureau of Medicaid
Financial Management and
Administrative Services
State of Michigan
Financial Management and
Administrative Services
State of Michigan
Chief Program Administrator
Arkansas Department of Human
Services, Division of Medical
Services - Program Integrity Unit
Arkansas Department of Human
Services, Division of Medical
Services - Program Integrity Unit
Executive Director
Government Relations
and External Affairs
Gundersen
Lutheran Health System
Government Relations
and External Affairs
Gundersen
Lutheran Health System
Senior Director,
Program Development for Medicaid
University of Pittsburgh Medical Center Health Plan
Program Development for Medicaid
University of Pittsburgh Medical Center Health Plan
Related Conferences

Past participants include representatives from:
» Cigna Government Services
» BCBS Michigan
» Amerigroup
» Molina Healthcare
» BCBS Florida
» State of Alabama
» Affinity Health
» United Healthcare
» Boston Medical Center Healthnet Plan
» State of Arizona
» DC Dept of Healthcare Finance
» State of Virginia
» St. Vincent Health
» Utah Dept. of Health
» Lilly USA
» Genesee Health Plan
» Triad Healthcare
» Blue Care Network of Michigan
» Network Health
» CareSource
» BCBS Michigan
» Amerigroup
» Molina Healthcare
» BCBS Florida
» State of Alabama
» Affinity Health
» United Healthcare
» Boston Medical Center Healthnet Plan
» State of Arizona
» DC Dept of Healthcare Finance
» State of Virginia
» St. Vincent Health
» Utah Dept. of Health
» Lilly USA
» Genesee Health Plan
» Triad Healthcare
» Blue Care Network of Michigan
» Network Health
» CareSource



























