The WHCC 4th Annual Medicaid and Medicare Reform Summit

Workshop A: Cutting Costs in Employer-Sponsored Health Care

Workshop B: Preparing People and Organizations for the Challenge of Change: Seven Critical Success Factors

Workshop C: The Future of Interoperable Health IT: Direct, eHealth Exchange, and Beyond

Workshop D: Employee Engagement Strategies for HR Professionals

• How does patient churn between plans and provider networks affect the marketplace and patient-provider relationships, and what are possible approaches to overcome problems posed by churn?
• Evolution to a more sustainable Medicare payment system - Will Medicare Advantage replace traditional Medicare?
• What possibilities do employers and plans see in defined contribution and private exchanges?

• Hear how data is impacting traditional care methods
• Explore money-saving innovations that add value
• Apply science and big data to the bedside with genomic medicine

Market Insight A - Patients Take the Wheel: The Road Ahead

• Hear about the impact of state decisions on Medicaid expansion
• Explore alternative Medicaid expansion models
• hear from states that have introduced innovative models
• discuss issues and challenges in adopting non-traditional approaches to expansion
• Gain strategies to manage uninsured populations in non-expansion states

• Learn about innovative payment models that improve outcomes and reduce Medicaid expenditure
• see how Medicaid can drive payment delivery reform
• hear from CMMI grant recipients
• Tackle fiscal constraints and budget cuts
• implications in funding the ACA insurer fee: A state perspective
• insight on challenges ahead in funding specialty drugs (Hep. C, HIV medication)

• Examine the growing role of Medicaid in the Health Insurance Marketplace
• Tackle and minimize the effects of churn

• Strategic insights from health system, plan, and other leaders transitioning from FFS to value-based care
• Why have some ACOs failed and others succeeded?
• Where is industry experiencing measurable benefits?
• How has the ACO model started disruptive processes for providers, payers, and hospital financing

• Perspective on how the business community can influence delivery reforms
• Approaches to reduce cost by equipping employees to partner in health care decisions
• Uptake and outcomes of financial incentive programs and cost transparency tools

• Economic determinants impacting provider, payer, employer, and supplier business strategies
• How could the ACA Marketplaces be reformed and expanded?
• The potential of market forces to affect pricing, overall cost, and innovation in health care

• Discuss levers that payers, providers, and employers can pull to impact health care cost
• Hear about Rosencare, an employer-led alternative to the ACA that is dramatically reducing cost while providing richer health benefits, and how it can apply to the broader U.S. health system
• Gain insight into trends impacting the cost curve including provider consolidation, utilization, and specialty drug pricing

• Hear results and lessons learned from the Illinois and New Jersey Dual demonstrations
• Learn how to efficiently overcome challenges when managing patients who suffer from chronic or mental illnesses
• easy access to primary care physicians with expertise in complex populations
• Examine innovative long term care models such as Medicaid health homes and Patient Centered Medical Homes (PCMH)

• Understand the implications of proposed Medicare payment changes
• examine the role of private plans in Medicare and how policy can encourage more choice and better care
• The Medigap market: How is it changing? What is the appropriate role of Medigap plans in the context of Medicare reform?
• Insight on integration of traditional Medicare and private plan options to ensure the welfare of beneficiaries

• Analyze performance measures and standards
• hear about recent updates in ratings, financial incentives, bonuses, CAPHS, and HEDIS scores
• Apply financial models to achieve quality standards and reduce total cost of care
• Explore tools and strategies for managed care plans to address key quality issues, acquire 4 or 5 Star Ratings, and receive the 5% bonus
• gain insight on the importance of collaborating with providers to improve scores: What challenges do out-of-network health plans face to achieve high ratings?

• The missing link in patient care – a focus on compassion
• The move toward a “System for Health” with patient-centered wellness and education

• Impacts of value-driven alliances and partnerships between payers, providers, employers, and suppliers
• Provider consolidation and the future of these affiliations
• The rise of the employed physician and how that changes health care delivery
• Vertical integration of plans and health systems: How is that working?

• Explore disruptive care models that overcome roadblocks to innovation and quicken the pace of change
• Look at examples of innovation and excellence driving cost savings and improved outcomes
• Examine technology that is transforming care in a scalable way

• Consumer engagement in an era of high-deductibles, narrow networks, and transparency
• Strategies to improve experience and influence choice throughout the consumer journey as purchaser, member, and patient
• Leveraging technology and data to effectively engage members, improve health outcomes, and enhance the member experience

• What does connected mean? Is it theory, tools, or the Consumer Electronics Market (CEM)?
• Explore results of implementing patient engagement tools and the effectiveness of wearables
• How does virtual medicine impact the provider-patient relationship? Where does responsibility begin and end?
• Can the current system adapt or is it poised for a revolution?