This workshop provides an overview of the major provisions and anticipated impacts of the Patient Protection and Affordable Care Act (ACA) related to Medicare, Medicaid, and Health Insurance Marketplaces. A basic overview of the Medicare and Medicaid programs and the private health insurance marketplaces is provided, leading into a detailed discussion of the ACA Medicaid expansion, creation and implementation of the ACA health insurance marketplaces, and ACA provisions reforming elements of Medicare. Topics to be addressed include:

• Medicaid expansion and health workforce concerns
• Impact on vulnerable populations in states where no Medicaid expansion is taking place
• ACA provisions related to Medicare targeting quality and efficiency on the delivery of health care
• Explanation of the ACA health insurance marketplace rules for providing qualified
health plans that cover essential health benefits
• Subsidies provided for eligible individuals to purchase insurance through the marketplace

Congressman Waxman plans to retire at the end of 2014. He has worked tirelessly, in office for 20 terms, for health care reform. Few people have a better idea of what the future holds for health care than him. As he exits office he will honestly, and openly share what the future holds for Medicaid, Medicare, the health insurance exchanges, and health reform. In this Keynote Address, hear from a veteran of the Hill on exactly where health care is headed including:

• How much money will be appropriated toward Medicare, Medicaid, and government sponsored care?
• What regulations are on the horizon?
• What does a changing political environment mean for health care in America?
• Where can you expect to see cuts, increases in funding, and the most dramatic changes to the health care system?

We can change a health plan, we can change a hospital, and we can change an entire health care system; but if we don’t change how people take care of themselves and engage in health care, we will never change the health of America.

• Hear an overview of current successful health programs — Reducing obesity, heart disease, etc.
• Learn about policies the government plans to put in place that will impact health care
• Discuss strategies to change the culture of health in America

Enrollment isn’t just about getting as many people as possible; it’s also about targeting all segments of the uninsured population. States are actively working to make this happen. In this session, hear key strategies being implemented to increase the volume and variety of enrollees.

• Learn which demographics are hardest to reach and how states are reaching them
• Understand the different state strategies for enrollment and what is working
• Hear strategies that extend the reach for additional enrollees in 2014

The exchanges are new territory for everyone, and health plans aren’t excluded. How are health plans navigating the exchanges?

• Understand regulations and guidelines
• Create products for the marketplace
• Identify lessons learned so far in 2014

Understanding who makes up the new exchange population is critical. This session dissects this new population and offers insight into how the industry can address the needs of this group and the impact they are having on the larger health care landscape.

• Identify who makes up the new exchange population — Demographics, characteristics, etc.
• Determine what type of care they will need
• Explore what experts predict 2015 may look like for enrollees
• Understand what this all means for the federal and state exchanges

Plans face many new challenges in health care. They must do more with less in every part of their business. Finding opportunities amongst the challenges has become their business. In this session, hear a presentation from each industry expert, and then engage in a facilitated Q&A; with encouraged audience participation.

• Hear how plans are managing their business in a time of expansion and reform
• Discover how plans are managing their providers through innovative new approaches
• Learn how plan leaders see the future of Medicare, Medicaid, Duals, and the health insurance exchanges and how they believe it will impact their business and the business of health care

Many states have experienced difficulties launching the exchanges. Others have been successful. Understanding the challenges and learning from the successes help all of the state and federal exchanges improve their operations in the long run. In this high-level overview, hear four state perspectives on:

• Current operational challenges and successes
• Network adequacy
• Funding the state exchanges
• New products for the exchanges

Medicaid is rapidly changing in states that are expanding, and in the states that have chosen not to expand. In this Keynote Panel Discussion, Medicaid Directors from a variety of states discuss the changing environment and initiatives being implemented to ensure sustainable success.

• Discuss how states are handling expansion and what progress has been made in 2014
• Learn the methods states are using to handle managed care, quality/access initiatives
• Realize how the directors plan to create sustainability in their programs

When it comes to Medicaid and the exchanges, the churn dilemma is on many states’ minds. This session explores the intricacies of the churn and strategies to manage the ‘in between.’

• Discuss how best to manage the churn
• Understand what strategies will be employed by states and health plans
• Hear how the proposed solutions will affect your business

The exchanges are the newest, most fragile, and some say most important part of the Affordable Care Act. Unlike Medicaid and Medicare they are new with little foundation. What is the future for the exchanges considering the complications in the past and many hopes for its future? During this Interactive Discussion, the State Exchange Directors share their insights on this topic, plus take additional questions from the audience around other topics that may not have been addressed during the Keynote session.

During these interactive roundtable discussions, attendees have the opportunity to engage in informal discussions with the meeting’s expert speaking faculty and diverse network of peers participating in the meeting. Learn from state experts, industry leaders, and one another on the issues that you care about most. Participate in a variety of roundtable discussions to network, exchange ideas, identify new opportunities, and develop solutions to common obstacles.