18th Annual Medicaid Innovations Forum

How to Deliver Quality, Accountable, Transparent, and Cost-Efficient Care in the New Medicaid Reality

February 4-5, 2027
Rosen Shingle Creek, Orlando, FL

About The Event

SSN’s 18th Annual "Medicaid Innovations Summit" will be held February 4-5, 2027 at the Rosen Shingle Creek in Orlando, FL! This forward-thinking conference is designed to help Medicaid health plans, government agencies, and providers navigate OBBBA and the unprecedented challenges they are facing under the new administration.
This industry-leading annual event goes beyond policy, offering a unique combination of case study presentations from Medicaid managed care plans and state government agencies, interactive panel discussions featuring a variety of perspectives on topics critical to Medicaid professionals, and insights from industry experts. Past events have gathered 250+ professionals from Medicaid health plans, state agencies, and industry organizations. Also, you'll have the opportunity to visit up to 30 select key solution providers offering a variety of products and services we deem critical for success in the Medicaid market.

Speakers

who should attend

From Health Plans & MCO's:

Cheif Executive Officers, Chief Operating Officers, Cheif Medical Officers, Chief Strategy Officers, Chief Financial Officers and Chief Information Officers. Also, Presidents, Vice Presidents, Directors and Managers of:

  • Medicaid
  • Care Management
  • Health Services
  • Long-Term Care/LTSS
  • Behavioral Health
  • Population Health
  • Network Management & Development
  • Quality
  • Government Programs/Affairs
  • Clinical Services
  • Data Analytics
  • Interoperability
  • Operations
  • Health Equity
  • SDoH/HRSN
  • Maternal Health
  • Medicaid Policy
  • Risk Management
  • Utilization Review/Management

From State & Government Agencies:

State Medicaid Directors, and Vice Presidents, Directors, and Managers of:

  • Medicaid
  • Managed Care
  • Health Services
  • Social Services
  • Behavioral Health
  • Health Information Technology
  • Data Analytics
  • Eligibility
  • Strategic Planning and Innovation
  • Long Term Care/LTSS
  • Program Integrity
  • Compliance
  • Quality
  • Maternal Health

From Medicaid Solution Providers:

Companies serving the following areas:

  • Value Based Care
  • Care Management/Coordination
  • Member Engagement
  • Behavioral Health
  • Health Equity/SDoH
  • Data Analytics
  • Interoperability
  • Health IT
  • AI/Machine Learning
  • Remote Patient Monitoring
  • Fraud, Waste & Abuse
  • Maternal Health
  • LTSS
  • Eligibility/redetermination
  • Pharmacy
  • NEMT
  • Telehealth
what you will learn
  • Evaluating the Impact of the Midterm Elections on Medicaid

ELIGIBILITY, WORK REQUIREMENTS, AND REDETERMINATION

  • Work Requirements: Lessons Learned to Date from Early Adopters
  • Partnering with CBOs to Provide Enrollment Support and to Meet Work Requirements: Medicaid Member Retention Strategies
  • Mitigating Coverage Losses at Redetermination: Proactive Steps to Stabilize Health Coverage and Access to Care for Vulnerable Populations
  • The Intersection of Immigration and Medicaid—Addressing the Limitation of Coverage for Non-Citizens
  • Reducing the Administrative Burden of More Frequent Redeterminations—Leveraging AI, Analytics and Digital Modernization to Process the High Volume of Verification Documents and Flag Fraud
  • Managing the Reduction in Medicaid Retroactive Coverage: Ensuring Faster Application Filing, Aggressive Patient Intake Screening, and Streamlined Digital Workflows

ADJUSTING TO THE CHANGING MEDICAID LANDSCAPE

  • Fraud, Waste & Abuse: Leveraging Data-Driven Prevention, Detection and Enforcement Tools to Promote Program Integrity
  • Advancing Interoperability to Share Patient Claims, Encounter Data, and Clinical Records with Providers Electronically
  • Leveraging 1115 Waivers as an Innovation Tool while Adjusting to Budget Neutrality Requirements
  • Implementing Standardized, Electronic Prior Authorization Transactions: AI-Powered PA for Faster Approvals, Enhanced Transparency, and Patient Empowerment

MEDICAID FINANCING

  • Value-Based Care: Operationalizing VBC at Scale in Medicaid to Reward Outcomes and Control Long-Term Costs
  • Leveraging State-Directed Payments to Close Funding Shortfalls and Advance Value-Based Care
  • Rate Setting in a Contracting Budget Environment
  • Evaluating the Implications of CMS' Proposed Provider Taxes Rule on Health Plans and States: Developing Alternative Financing Strategies

CARE DELIVERY

  • Addressing the Physical, Behavioral, and Health-Related Social Needs of Pregnant and Postpartum Medi-Cal Members
  • Maternal Health: Strengthening Perinatal Care within Medicaid and Expanding Access, Coverage and Continuity
  • Developing Integrated Care Delivery Models for Dual Eligibles: Addressing the Complex Needs of This Vulnerable Population
  • Oral Health and Medicaid: Managing Provider Shortages, Low Reimbursement, and State Funding Cuts
  • Rural Health: Aligning Initiatives with What Community Members Really Need, Sustained Funding, Workforce Development, System Stabilization
  • Narrowing Health Disparities through Medicaid: Managing Social and Structural Barriers to Care Despite Policy Shifts and Funding Constraints
  • MLTSS: Developing and Training the LTSS Workforce to Build and Sustain HCBS Capability

BEHAVIORAL HEALTH

  • Behavioral Health: Expanding Access, Integrating Care, and Addressing SDoH
  • Correctional Health: Transitioning from Incarceration to Community and Ensuring Continuation of Care
  • Stabilizing SUD/OUD Treatment in Medicaid: Preserving Access and Managing the Risk of Disrupted
  • Medication-Assisted Treatment

PHARMACY IN MEDICAID

  • Managing Policy Shifts Impacting Pharmacy in Medicaid

2026 Event Testimonials

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