a hybrid conference and internet event … · joseph antos, phd, american enterprise institute eric...

HOSTED BY:Second National Medicare

Advantage Summit

www.medicareadvantagesummit.com

A HYBRID CONFERENCE AND INTERNET EVENT

HYATT REGENCY ON CAPITOL HILL WASHINGTON, DCMAY 16 – 18, 2018

CONTINUING EDUCATION CREDITS:Accounting Professionals: Approved for up to 15.50 NASBA CPE credits.Physicians: Pending approval for 15.50 AMA PRA Category 1 Credits™.

CO-SPONSOR BRONZE GRANTORS

MEDIA PARTNERS

For Early Bird Registration Discount

Register by Friday, March 30, 2018.

OTHER CO-SPONSORS

FEATURED SESSIONSPRECONFERENCE: The New MA Rule PLENARY SESSIONS:CMS Keynote AddressThe Policies and Politics of MA

FEATURED FACULTYMichael Adelberg, Principal, FaegreBD ConsultingJoseph Antos, PhD, American Enterprise InstituteEric Bailly, MA, Business Solutions Director, AnthemShawn Bishop, MPP, VP, Advancing Medicare, Commonwealth FundPhil Ciampa, MD, MPH, Chief Innovation Engineer, Atrius HealthJoyce Chan, MBA, VP, Medicare Product, HealthfirstPaul Cotton, Director of Federal Affairs, NCQAGaurov Dayal, MD, EVP & Chief of Strategy, ChenMedJoseph Damore, FACHE, VP, Population Health, PremierLynn Dong, FSA, MAAA, Principal & Consulting Actuary, MillimanBabette S. Edgar, PharmD, MBA, Principal, BluePeak Advisors

Matt Feret, MHA, Chief Sales Officer, Medicare, AetnaJane Galvin, Director, Regulatory Affairs, BCBSAJohn Gorman, Founder and Executive Chairman, Gorman Health GroupEllie Hollander, CEO, Meals on Wheels AmericaChris Jennings, Former Clinton and Obama White House Health Policy Advisor Stephen Z. Jenkins, MPP, Lead, MA VBID Model, CMSGreg Jones, MS, Government Affairs, Public Policy, AetnaKat Khachatourian, PharmD, MBA, VP-Pharmacy, Catholic Health InitiativesNancy LeaMond, MPP, Chief Advocacy & Engagement Officer, AARPJohn G. Lovelace, MS, President, Government Programs, UPMC Health Plan

CHAIR Allyson Y. Schwartz, President and Chief Executive Officer, Better Medicare Alliance; Former Member (D/PA) US House of Representatives, Washington, DC

CO-CHAIRJerry Penso, MD, MBA, President and Chief Executive Officer, AMGA; Former Medical Director, Continuum of Care, Sharp Rees-Stealy Medical Group, Washington, DC

MINI SUMMITS:MA Value-Based Insurance DesignFamily Caregivers and Patient EngagementMA and Health OutcomesJoint Ventured MA PlansSpecial Needs PlansProviders Can Help Plans Improve Star RatingsChanges in MA TelehealthEducating Your Patients

Christine Lynch, VP Medicare, Association for Community Affiliated PlansShawn Martin, SVP Advocacy, Practice Advancement and Policy, AAFPMara McDermott, JD, VP Federal Affairs, America’s Physician GroupsDan Mendelson, MPP, President, Avalere HealthMark Miller, PhD, VP, Health Care, Laura & John Arnold FoundationRobert Mirsky, MD, VP, Medical Operations & CMO, Medicare, AetnaSteve Nelson, MBA, MHSA, CEO, UnitedHealthCareKelley Ordonio, MPA, Health Insurance Specialist, CMSCheryl Phillips, MD, President & CEO, SNP AllianceJack Rollins, MPH, Sr Policy Analyst, Nat’l Assoc of Medicaid DirectorsAndrew Renda, MD, MPH, Director Bold Goal (Pop Health), Humana

John Rother, JD, President & CEO, National Coalition on Health CareLisa Rubino, MS, SVP, Medicare, Molina HealthcareHoward Shapiro, PhD, Director, Public Policy, Alliance for Community Health PlansFran Soistman, DHL, EVP & Head of Government Services, AetnaChet Speed, JD, LLM, Vice President, Public Policy, AMGANicholas Uehlecke, Staff, House Ways and Means CommTheresa Wachter, MA, Health Insurance Specialist, CMSHelene Weinraub, MPH, VP, UPMC Health PlanJoel White, President, Council for Affordable Health CoverageGhita Worcester, SVP, Public Affairs and Marketing, UCare MinnesotaJim Yocum, SVP, Connecture

Managing Pharma Costs and Improving OutcomesFuture of Programs for Dual EligiblesNetwork Optimization and AssessmentMedicare Advantage APMsNew Regulatory FlexibilityEncounter Data System DevelopmentsManaging the Opioid ChallengePalliative Care & Hospice

Star Ratings Employer Group Waiver PlansHow Physician Groups Can Succeed in MAFinal MA Rate NoticeBeneficiary EducationFlexibility and Social Determinants in Plan Design

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PARTICIPATION OPTIONS TRADITIONAL ONSITE ATTENDANCESimply register, travel to the conference city and attend in person.

PROS: Subject matter immersion; professional networking opportunities; faculty interaction.

LIVE AND ARCHIVED INTERNET ATTENDANCEWatch the conference in live streaming video over the Internet and at your convenience at any time 24/7 for six months following the event.

The archived conference includes speaker videos and coordinated PowerPoint presentations.

PROS: Live digital feed and 24/7 Internet access for the next six months; accessible in the office, at home or anywhere worldwide with Internet access; avoid travel expense and hassle; no time away from the office.

Onsite

At your office . . .

. . . or home

WHO SHOULD ATTEND• Health Plans, Hospitals and Health Systems, Physician Organizations, Consumer Organizations and Regulatory Bodies

• Pharmaceutical, Biotechnology and Medical Device Manufacturers

• Presidents/Chief Executive Officers/Chief Financial Officers/Chief Operating Officers

• Innovation and Transformation Officers

• Physicians and Physician’s Assistants

• Chief Medical Officers and Medical Directors

• Medicare/Medicaid Directors

• Managed Care Executives (Medical Directors, Pharmacy Managers)

• Population Health Officers, Directors and Managers

• Directors and Deputy Directors, State Departments of Public Health

• CIOs, CTOs, Vice Presidents and Directors of Information Systems

• Directors and Managers of Programs in Wellness, Prevention and Chronic Disease

• Quality Assurance and Improvement Managers

• Case Managers, Social Workers and Psychologists

• Nurses and Nurse Practitioners

• Directors and Managers of Health and Wellness Plans

• Directors of Disease Management

• Alternative Medicine Providers

• Pharmacists (Retail, Chain and Convenient Care)

• Healthcare Sales, Marketing and Development Directors and Managers

• Human and Community Resource Managers

• Industry Analysts and Consultants

• Health Services Researchers

• Health Policy Makers

• Academics

We welcome you to the Second National Medicare Advantage Summit.

Today, more than one in three Medicare beneficiaries are choosing to receive Medicare benefits through Medicare Advantage. 20 million benefi-ciaries appreciate the affordability, simplicity, quality care, and enhanced benefits available in Medicare Advantage.

In turn, providers support Medicare Advantage because it provides an effective framework to care for our country’s growing and increasingly com-plex Medicare patient population. They recognize that Medicare Advantage enables care the way it should be, with patient-centered primary care, early intervention, and care coordination, particularly for those with multiple chronic conditions.

Data show that by emphasizing early intervention and better care manage-ment, Medicare Advantage beneficiaries use the most appropriate site of care and avoid adverse, high cost events such as unnecessary ER visits and hospitalizations. Medicare Advantage is also leading the way in forging the value-driven partnerships between plans, providers, and community partners needed to reduce cost and improve outcomes for Medicare beneficiaries.

Medicare Advantage, as a successful public-private partnership offers more choice and value for beneficiaries. Both Republicans and Democrats in the House and Senate, as well as plans, providers, and millions of beneficiaries, all recognize the value of Medicare Advantage. The Administration has put forth policies to encourage a positive and stable environment for Medicare Advantage to continue to lead the way in flexibility and innovation that improves patient’s experience and outcomes.

Our advocacy work at Better Medicare Alliance is informed by our commu-nity of over 100 allies and hundreds of thousands of beneficiary advocates who share in our mission to build a healthy future for older American and those eligible for Medicare by advocating for a strong Medicare Advantage.

We look forward to having you, as policymakers, providers, insurers, community partners and advocates share your expertise and experiences at the 2018 MA Summit. Your contributions to innovative coverage and care available in Medicare Advantage is building that healthier future, today.

Congresswoman Allyson Y. Schwartz, President and Chief Executive Officer Better Medicare Alliance

THE SUMMIT IS THE ONLY EVENT THAT BRINGS TOGETHER PLANS, PROVIDERS, PATIENTS AND GOVERNMENT TO IMPROVE QUALITY, COST AND ACCESS IN MEDICARE ADVANTAGE

WELCOME BY BETTER MEDICARE ALLIANCE

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WEDNESDAY, MAY 16, 201811:00 am Summit Registration

PRECONFERENCE: THE NEW MEDICARE ADVANTAGE RULE • Overview, including focus on deregulation and additional flexibility

• Marketing provisions

• Enrollment provisions, including additional open-enrollment period

• New supplemental benefits policy

• Telehealth developments

• Changes in medical loss ratio determinations

• Changes in quality improvement programs

• Changes in benefit design

• Changes in compliance programs

• Changes in star-rating methodology

• Changes regarding stop-loss methodology and

• Pharmaceutical-related provisions

1:00 pm Welcome and Introduction

John Gorman, Founder and Executive Chairman, Gorman Health Group; Former Assistant to the Director of Health Care Financing Administration’s Office of Managed Care, HCFA, Washington, DC

Leslie Mullins, MBA, Senior Consultant, Gorman Health Group, Washington, DC

5:00 pm Adjournment

THURSDAY, MAY 17, 2018

SECOND NATIONAL MEDICARE ADVANTAGE SUMMIT OPENING PLENARY SESSION7:00 am Registration Opens: Continental Breakfast in Exhibit Hall

MORNING PLENARY SESSION 8:00 am Welcome and Introduction

Allyson Y. Schwartz, President and Chief Executive Officer, Better Medicare Alliance; Former Member (D/PA), US House of Representatives, Washington, DC (Chair)

Jerry Penso, MD, MBA, President and Chief Executive Officer, AMGA; Former Medical Director, Continuum of Care, Sharp Rees-Stealy Medical Group, Washington, DC (Co-chair)

8:15 am HHS/CMS Keynote AddressSeema Verma, MPH (Invited), Administrator, Centers for Medicare and Medicaid Services, US Department of Health and Human Services; Former Founder and Chief Executive Officer, SVC, Inc., Washington, DC

8:45 am KeynoteSteve Nelson, MBA, MHSA, Chief Executive Officer, UnitedHealthCare Inc.; Executive Vice President, UnitedHealth Group, Minnetonka, MN

9:15 am The Policies and Politics of Medicare Advantage

Joseph Antos, PhD, Wilson H. Taylor Scholar in Health Care and Retirement Policy, American Enterprise Institute (AEI); Former Assistant Director for Health and Human Resources, Congressional Budget Office (CBO), Washington, DC

Chris Jennings, President and Founder, Jennings Policy Strategies, Inc.; Former Deputy Assistant for Health Policy and Coordinator of Health Reform, The White House (Obama); Former Senior Health Advisor, The White House (Clinton), Washington, DC

Nicholas Uehlecke, Professional Staff Member (R), Subcommittee on Health, Committee on Ways and Means, US House of Representatives, Washington, DC

Dan Mendelson, MPP, President, Avalere Health; Former Associate Director for Health, Office of Management and Budget (OMB), Washington, DC (Moderator)

10:00 am Break

10:20 am Star Ratings

Paul Cotton, Director of Federal Affairs, NCQA; Former AARP Senior Legislative Representative Lobbying Congress; Former Director, Office of Legislation, Center for Medicare and Medicaid Services, Washington, DC

John Gorman, Founder and Executive Chairman, Gorman Health Group; Former Assistant to the Director of Health Care Financing Administration’s Office of Managed Care, HCFA, Washington, DC

Mark Newsom, MSc, Vice President, Public Policy Analysis, Humana; Former Director, Public Policy, CVS Health; Former Director, Division of Payment Reconciliation, CMS, Washington, DC

James Michel, Director of Policy, Better Medicare Alliance; Former Senior Director, American Health Care Association, Washington, DC (Moderator)

11:05 am Trends and Value of Employer Group Waiver Plans

Fran Soistman, DHL, Executive Vice President and Head of Government Services, Aetna, Hartford, CT

11:15 am Employer Group Waiver Plans

Cary Badger, MBA, Principal, HealthScape Advisors LLC; Former Corporate & Strategic Business Development and Marketing Leader, The Regence Group, Seattle, WA

Mike Morfe, Senior Vice President, East Actuarial Practice Leader, AON, Somerset, NJ

Fran Soistman, DHL, Executive Vice President and Head of Government Services, Aetna, Hartford, CT

Thomas E. Hutchinson, MPA, Strategic Advisor, EBG Advisors; Former Director, Medicare Plan Payment Group, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MD (Moderator)

Noon NETWORKING LUNCHEON AND PRESENTATION

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12:15 pm Medical Groups and MA Plans: What Do Groups Need to Succeed

Beth Honan, Chief Contracting Officer, Atrius Health; Former Vice President Contracting, Harvard Vanguard Medical Associates, Boston, MA

Jerry Penso, MD, MBA, President and Chief Executive Officer, AMGA; Former Medical Director, Continuum of Care, Sharp Rees-Stealy Medical Group, Washington, DC

Aric Sharp, MHA, CMPE, FACHE, Vice President, Accountable Care, UnityPoint Health Accountable Care Organization; Former Chief Executive Officer, Quincy Medical Group, Des Moines, IA

Chester A. Speed, JD, LLM, Vice President, Public Policy, AMGA; Former Executive Director, Federal Government Relations, The Cleveland Clinic; Former Senior Counsel, Office of Counsel, Inspector General, HHS, Alexandria, VA (Moderator)

MINI SUMMITS GROUP I 1:15 pm – 2:15 pm

Mini Summit I: Medicare Advantage Value-Based Insurance Design 1:15 pm Introductions, Panel Discussion and Q&A

Adam Finkelstein, JD, MPH, Counsel, Manatt Health; Former Health Insurance Specialist, Centers for Medicare and Medicaid Services, US Department of Health and Human Services; Former Counsel, Aetna, Washington, DC

Stephen Z. Jenkins, MPP, Lead, Medicare Advantage Value-Based Insurance Design Model, Centers for Medicare and Medicaid Services, US Department of Health and Human Services; Former Associate, Health Policy, Finance Committee, United States Senate, Alexandria, VA

Greg A. Jones, MS, Government Affairs, Public Policy, Aetna; Former Group Director, Part C, D and Program Integrity Analysis Group, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Washington, DC

Helene Weinraub, MPH, Vice President, UPMC Health Plan; President, W Squared Health: Medicare Strategic Consultants; Former Senior Vice President, Senior Products, Highmark Blue Cross Blue Shield, Pittsburgh, PA

A. Mark Fendrick, MD, Professor, Division of General Medicine, Depart-ment of Internal Medicine and Department of Health Management; Policy Director, Center for Value-Based Insurance Design, University of Michigan, Ann Arbor, MI (Moderator)

Mini Summit II: Family Caregivers and Patient Engagement

1:15 pm Introductions, Panel Discussion and Q&A

Nancy LeaMond, MPP, Chief Advocacy and Engagement Officer, AARP; Former President, Congressional Economic Leadership Institute, Washington, DC

R. Shawn Martin, Senior Vice President of Advocacy, Practice Advancement and Policy, AAFP; Former Director of Government Relations, American Osteopathic Association, Washington, DC

Lois Simon, MPH, Executive Vice President, Policy and Programs, Seniorlink; Founder and Principal, L. Simon Solutions LLC; Former President and Co-founder, Commonwealth Care Alliance, Boston, MA

C. Grace Whiting, JD, President and Chief Executive Officer, National Alliance for Caregiving; Former Advocacy and Communications Director, Leaders Engaged on Alzheimer’s Disease, Bethesda, MD (Moderator)

Mini Summit III: Medicare Advantage and Health Outcomes


Shawn Bishop, MPP, Vice President, Controlling Health Care Costs and Advancing Medicare, The Commonwealth Fund; Former Professional Staff Member, US Senate Finance Committee, Washington, DC

Gaurov Dayal, MD, Executive Vice President and Chief of Strategy and Growth, ChenMed; Former Senior Vice President, Lumeris; Former President, Interim CEO, and SVP, SSM Health Care System, Miami, FL

Christie Teigland, PhD, Vice President, Advanced Analytics, Avalere Health; Former Senior Director, Statistical Research, Inovalon, Washington, DC

Allyson Y. Schwartz, President and Chief Executive Officer, Better Medicare Alliance; Former Member (D/PA), US House of Representatives, Washington, DC (Moderator)

Mini Summit IV: Provider-Sponsored and Plan-Provider Joint Ventured Medicare Advantage Plans


Allan Baumgarten, MA, JD, Principal, Allan Baumgarten, LLC; Co-author, New Provider-Sponsored Health Plans: Joint Ventures Are Now the Preferred Strategy (Health Affairs Blog, February 23, 2018), Minneapolis, MN

Zoë Lyon, Senior Research Coordinator, University of Pennsylvania School of Medicine; Co-author, Provider-Offered Medicare Advantage Plans: Recent Growth and Care Quality, Health Affairs (March 2017), Philadelphia, PA

Brigitte Nettesheim, MBA, President, Joint Venture Markets, Aetna, Chicago, IL

Scott R. Seymour, ASA, Executive Director, Head of Provider Collaboration and Performance, Aetna Medicare, Atlanta, GA

Joseph F. Damore, FACHE, Vice President, Population Health Management, Premier Inc., Washington, DC (Moderator)

2:15 pm Transition Break

EXHIBIT AND SPONSORSHIP OPPORTUNITIESTake advantage of this unique opportunity to expand your reach! The Summit is attended by highly influential and experienced professionals. Sponsorship offers you strategic positioning as an industry leader. For more information call 206-673-4815 or email [email protected].

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MINI SUMMITS GROUP II 2:30 pm – 3:30 pm

Mini Summit V: Special Needs Plans


G. Lawrence Atkins, PhD, Executive Director, Long-Term Quality Alliance; Principal, Health Policy Concepts, LLC; President, National Academy of Social Insurance; Former Staff Director, Commission on Long-Term Care, Washington, DC

Michele Lepore, President, East Region, Optum Care Services, Complex Care; Former Plan President, UnitedHealthcare Community Plan, MA, Boston, MA

John G. Lovelace, MS, President, UPMC for You, Inc.; President, Government Programs and Individual Advantage, UPMC Health Plan; Board Chair, Association of Community Affiliated Plans (ACAP), Pittsburgh, PA

Cheryl Phillips, MD, President and Chief Executive Officer, SNP Alliance; Former Senior Vice President, Public Policy and Health Services, LeadingAge, Washington, DC (Moderator)

Mini Summit VI: Incentivizing Providers to Help Plans Improve Their Star Ratings


Joyce Chan, MBA, Vice President, Medicare Product, Healthfirst, New York, NY

Robb Cohen, MBA, Retired Health Care Executive and Philanthropist/Volunteer; Former Co-founder and Senior Executive, XLHealth/United HealthCare; Former CEO, Advanced Health Collaborative, Baltimore, MD

Ghita Worcester, Senior Vice President, Public Affairs and Marketing, UCare Minnesota; Former Director of Policy and Operations, University Affiliated Family Physicians (UAFP), Minneapolis, MN

James Gutman, MS, MBA, Former Vice President and Managing Editor, Atlantic Information Services; Former Editor, Medicare Advantage News, Laurel, MD (Moderator)

Mini Summit VII: New Changes in Medicare Advantage Telehealth


Phil Ciampa, MD, MPH, Chief Innovation Engineer, Atrius Health, Boston, MA

Latoya Thomas (Invited), Director, State Policy Resource Center, American Telemedicine Association; Former Associate Director of Government Affairs, National Association for Home Care and Hospice, Washington, DC

Jim Yocum, Senior Vice President, Connecture; Former Executive Vice President, DRX, Inc., Los Angeles, CA

Gary Capistrant, MA, President, Capistrant Consulting; Former Chief Policy Officer, American Telemedicine Association; Former Director, Congressional Relations, American Health Care Association; Former Staff Director, State Medicaid Directors Association; Former Health Legislative Assistant, Rep. Jim Corman, Washington, DC (Moderator)

Mini Summit VIII: Educating Your Patients on the Difference Between Original Medicare and Medicare Advantage & What Do You Really Know About Your Health Care Coverage?

2:30 pm Educating Your Patients on the Difference of Original Medicare and Medicare Advantage

Paula Yakubik, Managing Partner, MassMedia Health, Las Vegas, NV

3:00 pm What Do You Really Know About Your Health Care Coverage?

Christine Ferguson, JD, President, Leverage Global Consulting, Inc.; Former Executive Director, HealthSource RI, Providence, RI

Elaina Goldstein, MPA, JD, President, EKG Solutions; Former Legislative Counsel, Health and Retirement Income Policy, United States Senate, Providence, RI


MINI SUMMITS GROUP III 3:45 pm – 4:45 pm

Mini Summit IX: Pharmaceutical Issues: Managing Costs and Improving Member Outcomes 3:45 pm Introductions, Panel Discussion and Q&A

Paul Heldman, Managing Partner, Heldman Simpson Partners LLC, Washington, DC

Kat Wolf Khachatourian, PharmD, MBA, Vice President-Pharmacy Services, Strategy, Vendor Oversight, Catholic Health Initiatives; Former Vice President, Delegation Oversight, Pharmacy Services Strategy, Qual-Choice Health Plan, Seattle, WA

Marissa Schlaifer, MS, Principal, Schlaifer & Associates, LLC; Former Head of Policy, CVS Health; Former Pharmacy Affairs Director, Academy of Managed Care Pharmacy, Washington, DC

Babette S. Edgar, PharmD, MBA, FAMCP, Principal, BluePeak Advisors; Former President, Government Services, CatalystRx; Former Vice President, Clinical Business Development, Caremark/AdvancePCS; Former Director, Division of Finance and Operations, Medicare Drug Benefit Group, CMS, Baltimore, MD (Moderator)

Mini Summit X: The Future of Programs for Dual Eligibles


Christine Aguiar Lynch, Vice President of Medicare and Managed Long-Term Services and Supports, Association for Community Affiliated Plans (ACAP); Former Senior Policy Analyst, Medicare Payment Advisory Commission, Washington, DC

Michael Monson, MPP, Healthcare Strategy & Operations Senior Executive, Centene; Former Chief Administrative Officer and Vice President, Residential Services, Village Care of New York, St. Louis, MO

Jack Rollins, MPH, Senior Policy Analyst, National Association of Medicaid Directors (NAMD), Washington, DC

Lisa A. Rubino, MS, Senior Vice President, Medicare, Molina Healthcare, Inc.; Former Senior Vice President and Chief Executive, Individual, Small Group, and Government Business Unit, Blue Shield of California, Los Angeles, CA

Lois Simon, MPH, Executive Vice President, Policy and Programs, Seniorlink; Founder and Principal, L. Simon Solutions LLC; Former President and Co-founder, Commonwealth Care Alliance, Boston, MA (Moderator)

Mini Summit XI: Network Optimization and Assessment


Kelley Ordonio, MPA, Health Insurance Specialist, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MD

Theresa Wachter, MA, Health Insurance Specialist, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MD

Helene Weinraub, MPH, Vice President, UPMC Health Plan; President, W Squared Health: Medicare Strategic Consultants; Former Senior Vice President, Senior Products, Highmark Blue Cross Blue Shield, Pittsburgh, PA

John Weis, Co-founder and Chief Executive Officer, Quest Analytics, LLC, Appleton, WI

Michael S. Adelberg, Principal, FaegreBD Consulting; Former Director, Medicare Advantage Operations; Former Director, Insurance Programs Group; Former Acting Director, Exchange Policy and Operations Group, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Washington, DC (Moderator)

Mini Summit XII: Medicare Advantage APMs: How Plans and Groups Are Paying Doctors Downstream


Glen Bogner, MBA, Chief Operating Officer for Coordinated Regional Care, Prospect Medical Holdings; Former Regional Vice President, Molina Healthcare, Baltimore, MD

Sasha Dhall, Vice President, Risk Performance and Growth, AppleCare Medical Group, A Part of OptumCare, Lynwood, CA

Scott W. Disch, MPH, President and Chief Executive Officer, SolveMed Consulting, LLC, Cold Spring, NY

Peter J. Kelly, MBA, Senior Director of Value Based Programs, Care-Mount Medical; Former Executive Director of Market Operations, Universal American Corp., New York, NY

Mara McDermott, JD, Vice President, Federal Affairs, America’s Physician Groups, Washington, DC (Moderator)


MINI SUMMITS GROUP IV 5:00 pm – 6:00 pm

Mini Summit XIII: Marketing Issues: Taking Advantage of New Regulatory Flexibility


Michael S. Adelberg, Principal, FaegreBD Consulting; Former Director, Medicare Advantage Operations; Former Director, Insurance Programs Group; Former Acting Director, Exchange Policy and Operations Group, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Washington, DC

Kelli Back, JD, Attorney, Law Offices of Kelli Back, Washington, DC

Matt Feret, MHA, Chief Sales Officer and Executive Director, Medicare, Aetna; Former Divisional Vice President for Medicare Sales Strategy, HCSC; Former Marketing Director (National), Medicare, CVS, Chicago, IL

Lindsay Resnick, MHA, Executive Vice President, Wunderman Health, Chicago, IL (Moderator)

Mini Summit XIV: Encounter Data System Developments 5:00 pm Introductions, Panel Discussion and Q&A

Sean Creighton, MsC, Vice President, Avalere Health; Former Deputy Group Director, Payment Policy and Financial Management Group; Former Director, Payment Policy and Risk Adjustment, Centers for Medicare & Medic-aid Services, US Department of Health and Human Services, Washington, DC

Mary Grealy, JD, President, Healthcare Leadership Council; Former Chief Washington Counsel, American Hospital Association; Former Chief Operating Officer and Executive Counsel, Federation of American Hospitals, Washington, DC

Rebecca Paul (Invited), Director, Division of Payment Policy, Medicare Plan Payment Group, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MD

Lynn F. Dong, FSA, MAAA, Principal and Consulting Actuary, Milliman, Inc., Seattle, WA (Moderator)

MINI Summit XV: Managing the Opioid Challenge 5:00 pm Introductions, Panel Discussion and Q&A

Eric Bailly, MA, Business Solutions Director, Anthem, Inc., Moorhead, MN

Pamela Greenberg, MPP, President and Chief Executive Officer, Association for Behavioral Health and Wellness (ABHW); Former Deputy Director, AHIP, Washington, DC

Monique Yohanan, MD, MPH, Director, State Government Relations, MCG, San Francisco, CA

Mesfin Tegenu, President, PerformRx, Philadelphia, PA (Moderator)

MINI Summit XVI: Palliative Care and Hospice 5:00 pm Introductions, Panel Discussion and Q&A

Zinnia Ng Harrison, MHS, Vice President of Innovation & Inclusion, National Hospice and Palliative Care Organization; Former Division Director of Health Care Payment Models, Patient Care Models Group, Centers for Medicare & Medicaid Services, Washington, DC

Diane E. Meier, MD, FACP (Invited), Director, Center to Advance Palliative Care; Chair, Public Policy and Professor of Geriatrics and Palliative Medicine and Catherine Gaisman Professor of Medical Ethics, Icahn School of Medicine at Mount Sinai, New York, NY

Peter Stein, MA, Director of Government Affairs, Better Medicare Alliance; Former Senior Policy Advisor, US Senator Rick Santorum, Washington, DC (Moderator)

6:00 pm ADJOURNMENT AND NETWORKING RECEPTION

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FRIDAY, MAY 18, 2018

SECOND NATIONAL MEDICARE ADVANTAGE SUMMIT CLOSING PLENARY SESSION 8:00 am Welcome and Introductions

Allyson Y. Schwartz, President and Chief Executive Officer, Better Medicare Alliance; Former Member (D/PA), US House of Representatives, Washington, DC (Chair)

Jerry Penso, MD, MBA, President and Chief Executive Officer, AMGA; Former Medical Director, Continuum of Care, Sharp Rees-Stealy Medical Group, Washington, DC (Co-chair)

8:15 am Keynote Address

Mark E. Miller, PhD, Vice President, Health Care, Laura & John Arnold Foundation; Former Executive Director, MedPAC; Former Assistant Director, Health and Human Resources, CBO; Former Deputy Director of Health Plans, CMS; Former Health Financing Branch Chief, OMB, Washington, DC

8:45 am Delivery System Reform for Medicare Advantage

Robert Mirsky, MD, MMM, Vice President, Medical Operations and Chief Medical Officer, Medicare, Aetna, New York, NY

9:15 am Keynote Address: Member of Congress

Representative Kevin Brady (R/TX) (Invited), Chairman, Ways and Means Committee, US House of Representatives, Washington, DC

9:35 am Keynote Address: Member of Congress

Senator Ron Wyden, JD (D/OR) (Invited), Ranking Member, Finance Committee, US Senate, Washington, DC

9:55 am Break

10:15 am Final MA Rate Notice

Lynn F. Dong, FSA, MAAA, Principal and Consulting Actuary, Milliman, Inc., Seattle, WA

Jane Galvin, Director, Regulatory Affairs, Blue Cross Blue Shield Association, Washington, DC

David Introcaso, PhD, Senior Director for Regulatory and Public Policy, AMGA; Former Healthcare Policy Advisor, House Majority Leader, Rep. Steny Hoyer, Washington, DC

Howard B. Shapiro, PhD, Director of Public Policy, Alliance for Community Health Plans; Former Executive Director, State Associations of Addiction Services, Washington, DC

James Michel, Director of Policy, Better Medicare Alliance; Former Senior Director, American Health Care Association Washington, DC (Moderator)

11:00 am Beneficiary Education

Kelly Brantley, Vice President, Avalere Health; Former Senior Program Manager, Families USA, Washington, DC

Joel White, President, Council for Affordable Health Coverage; Former Staff Director of the Health Subcommittee, US House Committee on Ways and Means, Washington, DC

Adjoa Adofo, MS, Director of Communications, Better Medicare Alliance; Former Communications Director, Rep. Jan Schakowsky (D-IL), Washington, DC (Moderator)

11:45 am Flexibility and Social Determinants in Plan Design

Stuart M. Butler, PhD (Invited), Senior Fellow in Economic Studies, Brookings Institution; Former Director of the Center for Policy Innovation and Vice-President for Domestic and Economic Policy Studies, The Heritage Foundation, Washington, DC

Ellie Hollander, President and Chief Executive Officer, Meals on Wheels America; Former Executive Vice President and Chief People Officer, AARP, Arlington, VA

Andrew Renda, MD, MPH, Director Bold Goal (Population Health), Humana, Louisville, KY

Christopher P. Wing, MBA (Invited), Chief Executive Officer, SCAN Health Plan; Former Executive Vice President and CEO, PacifiCare of California, Long Beach, CA

John Rother, JD, President and Chief Executive Officer, National Coalition on Health Care; Former Executive Vice President for Policy, Strategy, and International Affairs, AARP, Washington, DC (Moderator)

12:30 pm ADJOURNMENT

Second National Medicare

Advantage Summit


Watch Our Website for Information

on the Conference App!

PLEASE NOTE: The Medicare Advantage Summit does not contract with any third party organization to make hotel reservations for attendees of the Summit. All attendees should make their hotel reservations directly with the hotel and not with a third party vendor.

The Hyatt Regency Washington on Capitol Hill is the official hotel for the 2nd National Medicare Advantage Summit. A special group rate of $319.00 single/double per night (plus applicable taxes) has been arranged for Summit Attendees. To obtain the group rate, please make your reservation directly with the hotel using the following information: Web-based reservations may be made by following this link: https://aws.passkey.com/go/HCCAMedicareAdvantage2018. Call-in reservations may be made by calling either 888-421-1442 or 202 737-1234 and referring to Medicare Advantage Summit.

Reservations at the group rate will be accepted while rooms are available or until the cut-off date of Tuesday, April 25, 2018. After this date, reservations will be accepted on a space-available basis at the prevailing rate.

Hyatt Regency Washington on Capitol Hill 400 New Jersey Avenue NW • Washington, DC 20001

HOTEL INFORMATION/RESERVATIONS

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SAVE THE DATESHEALTH DATAPALOOZA 2018HOSTED BY

MEDIA PARTNERS:

April 25 – 27, 2018Washington Hilton • Washington, DC www.HealthDatapalooza.org

EIGHTH NATIONAL ACO/APM AND BUNDLED PAYMENT SUMMITThe Leading Forum on the Role of Healthcare Payment Reforms with Special Focus on ACOs, APMs and Bundled Payment Approaches

MEDIA PARTNERS:

June 6 – 8, 2018Hyatt Regency on Capitol Hill • Washington, DC www.ACOSummit.com www.BundledPaymentSummit.com

HYBRID CONFERENCES & INTERNET EVENTS

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REGARDING WEBCAST REGISTRATIONS1. Individuals or groups may register for webcast access. Organizations may register for group access without presenting specific registrant names. In such instances the registering organization will be presented a series of user names and passwords to distribute to participants.2. Each registrant will receive a user name and password for access. Registrants will be able to change their user names and passwords and manage their accounts.3. Webcast registrants will enjoy six (6) months access from date of issuance of user name and password.4. Only one user (per user name and password) may access archived confer-ence. It is not permissible to share user name and password with third parties.5. User name and password use will be monitored to assure compliance.6. Each webcast registration is subject to a “bandwidth” or capacity use cap of 5 gb per user per month. When this capacity use cap is hit, the registration lapses. Said registration will be again made available at start of next month so long as registration period has not lapsed and subject to same capacity cap.7. For webcast registrants there will be no refunds for cancellations. Please call the Conference Office at 800-503-3650 for further information.

REGARDING ONSITE REGISTRATION, CANCELLATIONS AND SUBSTITUTIONS1. For onsite group registrations, full registration and credit card information is required for each registrant. List all members of groups registering concur-rently on fax or scanned cover sheet.2. For onsite registrants there will be no refunds for “no-shows” or for cancella-tions. You may send a substitute or switch to the webcast option. Please call the Conference Office at 800-503-3650 or 206-452-5675 for further information.

METHOD OF PAYMENT FOR TUITIONMake payment to Health Care Conference Administrators LLC by check, MasterCard, Visa or American Express. Credit card charges will be listed on your statement as payment to HealthCare (HC) Conf LLC. Checks or money orders should be made payable to Health Care Conference Administrators LLC. A $30 fee will be charged on any returned checks.

REGISTRATION OPTIONSRegistration may be made online or via mail, fax or scan.You may register through either of the following: • Online at www.medicareadvantagesummit.com.• Fax/Mail/Email using this printed registration form. Mail the completed form with payment to the Conference registrar at 12330 N.E. 8th Street, Suite 101, Bellevue, WA 98005-3187, or fax the completed form to 206-319-5303, or scan and email the completed form to [email protected]. Checks or money orders should be made payable to Health Care Conference Administrators LLC.The following credit cards are accepted: American Express, Visa or MasterCard. Credit card charges will be listed on your statement as payment to HealthCare (HC) Conf LLC.

For registrants awaiting company check or money order, a credit card number must be given to hold registration. If payment is not received by seven days prior to the Summit, credit card payment will be processed.

TAX DEDUCTIBILITYExpenses of training including tuition, travel, lodging and meals, incurred to maintain or improve skills in your profession may be tax deductible. Consult your tax advisor. Federal Tax ID: 91-1892021.

CANCELLATIONS/SUBSTITUTIONSNo refunds will be given for “no-shows” or for cancellations of either webcast or onsite registrations. You may send a substitute or transfer your onsite reg-istration to a webcast registration. For more information, please call the Confer-ence Office at 800-503-3650 or 206-452-5675.

INTELLECTUAL PROPERTY POLICYUnauthorized sharing of Summit content via Internet access through the shar-ing of user names and passwords or via alternative media (Flash Drive) through the sharing of said media is restricted by law and may subject the copyright infringer to substantial civil damages. The Summit aggressively pursues copyright infringers. If a registrant needs the ability to share Summit content within his or her organization, multiple Summit registrations are available at discounted rates.

The Summit will pay a reward for information regarding unauthorized sharing of Summit content. The reward will be one quarter (25%) of any recovery result-ing from a copyright infringement (less legal fees and other expenses related

to the recovery) up to a maximum reward payment of $25,000. The payment will be made to the individual or individuals who in the opinion of our legal counsel first provided the factual information, which was necessary for the recovery. If you have knowledge regarding the unauthorized Summit content sharing, contact the Summit registration office.

TUITION SCHOLARSHIPSThe Summit is now offering a limited number of partial and full Tuition Scholar-ships to qualifying representatives of consumer advocate organizations, safety net providers, academics, students and health services research organizations. The Tuition Scholarship application form can be downloaded from the Summit website.

REGISTRATION BINDING AGREEMENTRegistration (whether online or by this form) constitutes a contract and all of these terms and conditions are binding on the parties. In particular, these terms and conditions shall apply in the case of any credit/debit card dispute.

GENERAL TERMS AND CONDITIONSProgram subject to cancellation or change. If the program is cancelled the only li-ability of the Summit will be to refund the registration fee paid. The Summit shall have no liability regarding travel or other costs. Registration form submitted via fax, mail, email or online constitutes binding agreement between the parties.

FOR FURTHER INFORMATIONCall 800-503-3650 (Continental US, Alaska and Hawaii only) or 206-452-5675, send e-mail to [email protected], or visit our website at www.medicareadvantagesummit.com.

THE FOLLOWING REGISTRATION TERMS AND CONDITIONS APPLY HOW TO REGISTER: Fully complete the form on page 11 (one form per registrant, photocopies acceptable). Payment must accompany each registration (U.S. funds, pay-able to Health Care Conference Administrators, LLC).

ONLINE: Secure online registration at www.medicareadvantagesummit.com.

FAX: 206-319-5303 (include credit card information with registration)

MAIL: Medicare Advantage Conference Office, 12330 N.E. 8th Street, Suite 101, Bellevue, WA 98005-31871

FOR REGISTRATION QUESTIONS:

PHONE: 800-503-3650 (Continental US, Alaska and Hawaii only) or

206-452-5675, Monday-Friday, 7 AM - 5 PM PST

E-MAIL: [email protected]

MEDICARE ADVANTAGE SUMMIT — CONTINUING EDUCATION CREDITSNASBA Health Care Conference Administrators, LLC (dba GHC, LLC Healthcare) is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit.Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.learningmarket.org. A recommended maxi-mum of 15.5 credits based on a 50-minute hour will be granted for the entire learning activity. This program addresses topics that are of a current concern in the healthcare quality and patient safety environment. This is an update, group-live activity. For more informa-tion regarding administrative policies such as complaints or refunds, call 206-757-8053 or email [email protected].

AMA PRA CATEGORY 1 CREDITSAccreditation Statement This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Educa-tion (ACCME) through the joint providership of Amedco and Health Care Conference Administrators (HCCA). Amedco is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation Statement Amedco designates this live activity for a maximum of 15.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their partici-pation in the activity. Credits are available for those attending the Summit onsite and via the live video/audio Internet broadcast, but not for those who participate only via the archived video/audio Internet broadcast.

CERTIFICATE OF ATTENDANCE Onsite attendees can also request a Certificate of Attendance which they can file with appropriate entities for credit, and webcast attendees can request a Webcast Certificate of Attendance on which they can certify the number of hours they watched and can file with appropriate entities for credit.

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MEDICARE ADVANTAGE SUMMITCOMPLETE THE FOLLOWING. PLEASE PRINT CLEARLY:

NAME

SIGNATURE OF REGISTRANT - REQUIRED

JOB TITLE

ORGANIZATION

ONSITE CONFERENCE ATTENDANCEPRECONFERENCE (May 16, 2018): ❏ THE NEW MEDICARE ADVANTAGE RULE $ 495

CONFERENCE REGISTRATION (Does not include Pre-Conference):

STANDARD RATE:❏ Through Friday, March 30, 2018* $1,195 ❏ Through Friday, April 20, 2018** $1,595 ❏ After Friday, April 20, 2018 $1,995

SPECIAL ACADEMIC/GOVERNMENT/CLINIC RATE***:❏ Through Friday, March 30, 2018* $ 595 ❏ Through Friday, April 20, 2018** $ 795 ❏ After Friday, April 20, 2018 $ 995

GROUP REGISTRATION DISCOUNT (Does not include Preconference. Rates are per person):Three or more registrations submitted from the same organization at the same time receive the following discounted rates for conference registration only. To qualify, all registrations must be submitted simultaneously:

GROUP RATE:❏ Through Friday, March 30, 2018* $ 895 ❏ Through Friday, April 20, 2018** $1,195 ❏ After Friday, April 20, 2018 $1,495

CONFERENCE ELECTRONIC MEDIA:Onsite Attendees — Following the Summit, the video and presentations are made avail-able in the following formats. To take advantage of the discounted prices below, you must reserve media WITH your Summit registration:

❏ Flash Drive ($129 + $15 shipping) $ 144 ❏ 6 months’ access on Web $129

WEBCAST CONFERENCE ATTENDANCEAll webcast registrants are automatically registered for the preconference and the conference.

Webcast conference registration includes the live Internet feed from the Summit, plus six months of continued archived Internet access, available 24/7.

INDIVIDUAL REGISTRATION (Includes Preconference and Conference):

STANDARD RATE:❏ Through Friday, March 30, 2018* $ 795 ❏ Through Friday, April 20, 2018** $1,095 ❏ After Friday, April 20, 2018 $1,395

SPECIAL ACADEMIC/GOVERNMENT/CLINIC RATE***:❏ Through Friday, March 30, 2018* $ 495 ❏ Through Friday, April 20, 2018** $ 595 ❏ After Friday, April 20, 2018 $ 695

GROUP REGISTRATION (Includes Preconference. Rates are per person): Group registration offers the substantial volume discounts set forth below.

Group registration permits the organizational knowledge coordinator either to share con-ference access with colleagues or to assign and track employee conference participation.

Conference Access: ❏ 5 or more $395 each ❏ 20 or more $195 each ❏ 10 or more $295 each ❏ 40 or more $95 each

See INTELLECTUAL PROPERTY POLICY, page 10.

CONFERENCE ELECTRONIC MEDIA:Webcast attendees — Following the Summit, the video and presentations are made avail-able on a flash drive. To take advantage of the discounted price below, you must reserve media WITH your Summit registration:

❏ Flash Drive ($129 + $15 shipping) $144

(All Webcast attendees automatically receive 6 months access on web.)

REGISTRATION BINDING AGREEMENTRegistration (whether online or by this form) constitutes a contract and all of these terms and conditions are binding on the parties. In particular, these terms and conditions shall apply in the case of any credit/debit card dispute. For webcast and onsite registrants there will be no refunds for “no-shows” or cancellations.

ACCOUNT #

EXPIRATION DATE SECURITY CODE

NAME OF CARDHOLDER

SIGNATURE OF CARDHOLDER

PAYMENT Discount Code: The use of a registration discount code cannot be the basis of requesting a partial refund of fees already paid.

TOTAL FOR ALL OPTIONS, ONSITE OR WEBCAST:Please enclose payment with your registration and return it to the Registrar at Pay for Performance Summit, 12330 N.E. 8th Street, Suite 101, Bellevue, WA 98005-3187, or fax your credit card payment to 206-319-5303.

You may also register online at www.medicareadvantagesummit.com.

❏ Check/money order enclosed (payable to Health Care Conference Administrators LLC)

❏ Payment by credit card: ❏ American Express ❏ Visa ❏ Mastercard

If a credit card number is being given to hold registration only until such time as a check is received it must be so noted. If payment is not received by seven days prior to the Summit, the credit card payment will be processed. Credit card charges will be listed on your state-ment as payment to HealthCare (HC) Conf LLC.

SELECT YOUR MINI SUMMITS (Thursday, May 17; one from each group): Group I – 1:15 pm: ❏ MS I ❏ MS II ❏ MS III ❏ MS IV

Group II – 2:30 pm: ❏ MS V ❏ MS VI ❏ MS VII ❏ MS VIII

Group III – 3:45 pm: ❏ MS IX ❏ MS X ❏ MS XI ❏ MS XII

Group IV – 5:00 pm: ❏ MS XIII ❏ MS XIV ❏ MS XV ❏ MS XVI

SPECIAL SUBSCRIPTION OFFERS FOR ONSITE AND WEBCAST ATTENDEES:You can purchase an annual subscription to Accountable Care News, Medical Home News, Population Health News, Predictive Modeling News or Readmissions News for only $295 (regular rate $468) and an annual subscription to Value Based Payment News for only $195 (regular rate $295) when ordered with your conference registration.

❏ Accountable Care News $295 ❏ Predictive Modeling News $295❏ Medical Home News $295 ❏ Readmissions News $295❏ Population Health News $295 ❏ Value Based Payment News $195

* This price reflects a discount for registration and payment received through Friday, March 30, 2018.** This price reflects a discount for registration and payment received through Friday, April 20, 2018. *** For the purpose of qualifying for a discounted rate: (1) “academic” shall apply to individuals who are full time teaching staff or full time students at an academic institution (i.e., a faculty member at a medical school or hospital residency program who also sees patients is a provider, not an academic; (2) “govern-ment” shall apply to individuals who are full time employees of federal, state or local regulatory agencies (i.e., a State university health system or local public hospital is a provider, not government); and (3) “clinic” shall apply to individuals who are full time employees of a Federally Qualified Health Center or safety net clinic. This rate does not include the Preconference for onsite attendees.

ADDRESS

CITY/STATE/ZIP

TELEPHONE

E-MAIL

❏ Special Needs (Dietary or Physical)

PRESORTEDFIRST CLASS

U.S. POSTAGEPAID

PERMIT # 1PALM DESERT, CA

Medicare Advantage SummitPublications Printing Dept. 41651 Corporate Way Palm Desert, CA 92260 USA

(Address for Return Mail Only)



A HYBRID CONFERENCE AND INTERNET EVENT

HOSTED BY:

Second National Medicare

Advantage Summit

HYATT REGENCY ON CAPITOL HILL WASHINGTON, DCMAY 16 – 18, 2018





a hybrid conference and internet event … · joseph antos, phd, american enterprise institute eric...

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