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Conferences

AHIP 2023 Medicare, Medicaid, Duals & Commercial Markets Forum

Dates:
Mar 14 - 16, 2023
Location:
Washington, DC

AHIP 2023 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.

Agenda Filters

Sessions

7:30 am – 5:00 pm
, Registration Desk Open

Terrace Foyer
Registration and Information Desk Open

7:30 am – 9:00 am
, Continental Breakfast

Concourse Foyer

8:00 am – 8:30 am
, AHIP Member Briefing*

  • , Lincoln-Monroe

    CPI Policy Priorities for 2023*

    ,

    In this session, CPI’s Deputy Administrator and Director of the Center for Program Integrity will discuss the agency’s priorities for protecting the Medicare and Medicaid programs from fraud, waste and abuse. 

    *This session is for AHIP member health insurance providers only and is closed to Press, non-members, and other registration categories. This session will not be available on-demand following the conference.
    • Learn more about Dara Corrigan
      Dara Corrigan
      ,
      Deputy Administrator and Director, Center for Program Integrity
      , Centers for Medicare and Medicaid Services (CMS)
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8:45 am – 10:00 am
, General Session

  • 8:45 am – 9:15 am, International Ballroom West-Center

    Improving Mental Health Care for All Americans

    ,

    Join us for a dialogue with the leader of SAMHSA to discuss their priorities for addressing the behavioral health care needs of individuals, communities, and service providers. The priorities include preventing overdose, preventing suicide, promoting resilience and emotional health for children and families, integrating behavioral and physical health, and strengthening the behavioral health workforce.

    • Learn more about Miriam E. Delphin-Rittmon, PhD
      Miriam E. Delphin-Rittmon, PhD
      ,
      Assistant Secretary for Mental Health and Substance Use
      , U.S. Department of Health and Human Services (HHS) and the Administrator of the Substance Abuse and Mental Health Services Administration (SAMHSA)
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  • 9:15 am – 10:00 am, International Ballroom West-Center

    Transparency and Interoperability Requirements

    ,

    Policymakers from CMS and ONC share recent regulatory updates on transparency, information sharing, and interoperability. Learn about new requirements for data sharing, updates on the Trusted Exchange Framework and Common Agreement (TEFCA), and efforts to build the necessary infrastructure to support interoperability, including the USCDI+ and the National Directory for Healthcare.

    • Learn more about Alexandra Mugge, MPH
      Alexandra Mugge, MPH
      ,
      Director and Deputy Chief Health Informatics Officer, Health Informatics and Interoperability Group (HIIG)
      , Centers for Medicare & Medicaid Services (CMS)
    • Learn more about Micky Tripathi, PhD, MPP
      Micky Tripathi, PhD, MPP
      ,
      National Coordinator for Health Information Technology, Office of the National Coordinator for Health IT (ONC)
      , U.S. Department of Health and Human Services (HHS)
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10:00 am – 7:00 pm
, Exhibit Hall Open

Columbia

10:00 am – 11:00 am
, Break

Columbia
Coffee Break in the Exhibit Hall with Solutions Providers

11:00 am – 11:45 am
, Concurrent Sessions

  • SERIES 4: CONCURRENT SESSIONS

    • High Performance Networks in the Individual Market: Improving Quality + Cost

      Location
      Jefferson
      Speakers
      Details

      Health insurance issuers curate provider networks to deliver high-quality, low-cost care that meets the diverse needs of individual market enrollees. In 2023, HHS adopted new federal network adequacy time and distance standards for issuers offering plans on the Federal Exchange, and more changes may be on the way. This panel will discuss the challenges issuers have faced while implementing those requirements and suggest flexible solutions that balance patient access, quality, and costs.

    • Current Legal Issues in Medicare Advantage and Part D

      Location
      Lincoln-Monroe
      Speakers
      Details

      Legal experts will review the current landscape of legal issues affecting the policy and regulatory agenda for Medicare Advantage and Part D plans.   

    • Achieve the Triple Aim for Medicare Members by Activating Family Caregivers

      Presented by Ceresti Health
      Location
      Georgetown
      Speakers
      Details

      Frail elderly members are an underserved and difficult-to-engage population that incurs more than 50% of total medical costs. Increasingly, family caregivers are being enlisted as they are uniquely able to detect and address changes in a member’s condition. Join this session to learn how a digital caregiver program activates family caregivers by utilizing a framework that aims to improve cost, quality and member experience.

    • Advancing Health Equity through End-to-End Solutions

      Presented by Optum – An AHIP Select Sponsor
      Location
      International Ballroom East
      Speakers
      Details

      Medicaid MCOs are experiencing increased pressure given elevated contractual requirements from states and shifting market dynamics. Increased requirements to support health equity and collect data on social determinants of health have made it more imperative than ever to manage the total cost of care. Join this session to learn how to develop end-to-end solutions to meet states’ contractual and accreditation expectations and create a measurable and positive impact on health equity and SDOH.

11:45 am – 1:45 pm
, Networking Lunch

Columbia
Lunch & Dessert in the Exhibit Hall with Solutions Providers

2:00 pm – 3:45 pm
, Concurrent Sessions

  • 2:00 pm – 2:45 pm

    SERIES 5: CONCURRENT SESSIONS

    • Best Practices in Medicare Advantage: Leveraging Provider Networks to Improve Care and Equity

      Location
      Jefferson
      Speakers
      Details

      As Medicare Advantage continues to grow, partnerships with provider networks are essential to improve health outcomes and ensure equity. Learn about progressive strategies to design an ecosystem that aligns regional/local providers and community-based organizations to advance health equity and improve care delivery to vulnerable communities.

    • Maternal Health and Postpartum Coverage

      Location
      International Ballroom East
      Speakers
      Details

      Speakers will discuss the changing nature of perinatal and maternal health care, highlighting national trends in access and outcomes, post-partum Medicaid coverage, and innovative care delivery, including the use of digital tools and telehealth. Panelists will explore important policy options to improve maternal and infant health and strategies to address disparities.

    • Generational Trends and Perceptions across Medicaid & Medicare Populations

      Presented by Zipari
      Location
      Lincoln-Monroe
      Speaker
      Details

      Generational differences are becoming increasingly salient as digital tools dominate the consumer experience space. Join this session to hear insights from a recent survey of Medicaid members on their digital consumer experiences with their health plans compared with members of Medicare and commercial health plans. Learn how health insurance providers can employ market-specific insights into digital trends to directly impact key organizational outcomes.

    • Scaling Enrollee Outreach and Communications: Lessons from Other Industries

      Presented by CAQH
      Location
      Georgetown
      Speakers
      Details

      The end of the Public Health Emergency will put enormous burden on Medicaid programs and health care organizations to find, communicate, and coordinate with enrollees at scale for eligibility renewals and program changes. Join this discussion to hear perspectives and learnings about how consumer banking and other industries have developed approaches to scale massive consumer outreach efforts using target segmentation, automation, data and insights.
  • 3:00 pm – 3:45 pm

    SERIES 6: CONCURRENT SESSIONS

    • Emerging State Medicaid Trends

      Location
      International Ballroom East
      Speakers
      Details

      In this session, experts will discuss trends in Medicaid programs and priorities of state Medicaid directors and how plans are partnering with states to achieve states’ goals. 

    • Medicare Advantage Rate Notice and Regulatory Environment for 2024

      Location
      Jefferson
      Speakers
      Details

      In this session, experts will discuss key elements of the 2024 Advance Notice and Regulations for MA and Part D and share insights on the impact and implications for plans. 

    • Impacting Medical Loss Ratio: Innovative Approaches to Collaborate with PCPs

      Presented by Optum – An AHIP Select Sponsor
      Location
      Lincoln-Monroe
      Speakers
      Details

      Despite advancements in value-based care efforts, Medicare Advantage plans may face challenges in achieving their Medical Loss Ratio (MLR) goals. Join this session to discuss an innovative approach to addressing fragmentation across quality, risk and affordability initiatives. Learn how Medicare Advantage plans can foster payer/provider collaboration and partner with independent PCPs to positively impact their MLR.

    • Pain Is Personal — How Digital Care Addresses Health Inequities

      Presented by Hinge Health
      Location
      Georgetown
      Speakers
      Details

      Everyone experiences pain in unique ways. Effective pain care must recognize the whole person and adapt to individual differences, including social determinants of health that are linked to worse health outcomes across the board. How are digital care solutions addressing musculoskeletal (MSK) pain, depression, anxiety, and women’s health issues? How can employers close the health equity gap? Learn how personalized health care solutions can help people move beyond pain.

4:00 pm – 6:00 pm
, General Session

  • 4:00 pm – 4:30 pm, International Ballroom West-Center

    The Value of Medicare Advantage

    ,

    Speakers will discuss the value of public-private partnerships for the Medicare Advantage program and the growth and popularity of this vital program that serves millions of older adults and people with disabilities.

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  • 4:30 pm – 5:15 pm, International Ballroom West-Center

    Overcoming Barriers to Address Health Equity

    ,

    A panel of health care and health insurance provider leaders will explore strategies and solutions to build a culture of equity within organizations and to promote a more inclusive and equitable health care system. They will discuss policy levers that facilitate health insurance providers’ and other stakeholders’ ability to focus on health equity and how an ecosystem approach to equity can overcome challenges.

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  • 5:15 pm – 6:00 pm, International Ballroom West-Center

    CMS 2023 Priorities for Medicaid and Marketplace in a Post-Pandemic Future

    ,

    The coming year will present government health programs with challenges ranging from verifying continuing eligibility to improving health equity, promoting competition and increasing access to behavioral health services. In this general session, the directors of CCIIO and CMCS will discuss their respective agencies’ plans for tackling the major issues affecting the individual health insurance marketplaces and the Medicaid program in 2023.
    • Learn more about Ellen Montz, PhD
      Ellen Montz, PhD
      ,
      Deputy Administrator and Director, Center for Consumer Information and Insurance Oversight (CCIIO)
      , Centers for Medicare & Medicaid Services (CMS)
    • Learn more about Daniel Tsai
      Daniel Tsai
      ,
      Deputy Administrator and Director, Center for Medicaid and CHIP Services (CMCS)
      , Centers for Medicare & Medicaid Services (CMS)
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6:00 pm – 7:00 pm
, Reception

Columbia
Reception in the Exhibit Hall with Solutions Providers