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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.

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Sessions

7:00 am – 9:00 am
, Coffee

7:00 am – 9:00 am
, Coffee

Key Ballroom Foyer
Boozy Bomboloni Sponsored by Carrot | Booth 1413 Espresso Martinis Sponsored by HealthEdge Booth 1119

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

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

  • 8:45 am – 9:00 am, Key Ballroom 5-12

    Welcome

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  • 9:00 am – 9:30 am, Key Ballroom 5-12

    CMS Priorities for Medicare

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    CMS’ Center for Medicare lead will share her vision and priorities to support the continuing growth and evolution of the Medicare Advantage and Part D programs.

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  • 9:30 am – 10:10 am, Key Ballroom 5-12

    Congressional Priorities for Medicare Advantage

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    A panel of D.C. insiders will offer insights on Congressional priorities for the MA program in 2024 and beyond.

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  • 10:10 am – 11:00 am, Key Ballroom 5-12

    Filling the Gaps in the Behavioral Health Workforce

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    In this session, a panel of experts will explore approaches and solutions for filling the gaps in the behavioral health workforce and promoting access to care by addressing workforce development and recruitment, workforce training and the need for greater diversity among clinicians, and integration of behavioral health into the broader health care system to meet the growing demand for mental health services.

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

Holiday Ballroom

11:00 am – 11:45 am
, Break

Holiday Ballroom
Coffee Break with Solutions Providers

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

  • Concurrent Series 1

    • Medicare Advantage & Part D

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

      Speaker
      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

      Speaker
      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

      Speaker
      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
      Speaker
      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
      Speaker
      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
      Speaker
      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
      Speaker
      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.

1:45 pm – 2:30 pm
, Break

Holiday Ballroom
Dessert Break with Solutions Providers

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

      Speaker
      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.
    • Whole Person Care Delivery & Innovation

      Cell and Gene Therapies: Regulatory Updates and Coverage Policies

      Speaker
      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.
    • Advancing Health Equity

      Improving Health Equity Through Better Data Collection

      Speaker
      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.

  • 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

      Speaker
      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

      Speaker
      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)

      Speaker
      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
      Speaker
      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
      Speaker
      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

  • 4:30 pm – 5:00 pm, Key Ballroom 5-12

    2024 Marketplace Priorities: View from CCIIO

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    The Deputy Director for Policy in CMS’ Center for Consumer Information and Insurance Oversight will discuss the agencies’ priorities for the individual health insurance marketplaces in 2024.

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  • 5:00 pm – 5:45 pm, Key Ballroom 5-12

    Health Care Leadership Agenda: Vision for the Future

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    A panel of health insurance provider leaders will share their long-term vision for building a resilient and sustainable health care system while ensuring greater equity of access. They will also discuss the role health insurance providers can play in driving affordability and high-value care.

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5:45 pm – 6:45 pm
, Reception

Holiday Ballroom
Welcome Reception with Solutions Providers