World Congress Leadership Summit on Medicaid Managed Care

CMS and the states work in concert to ensure the best quality of care for the populations they serve. As more and more states elect to integrate managed care into their Medicaid program, CMS must evaluate these programs and determine how to manage participants to ensure health care is delivered adequately.

• Learn how CMS is approaching the move to managed care, especially in long term care
• Understand CMS’s expectations for states and their health plans

Medicaid Managed Care is a growing industry, and managed care organizations need to hear from states that have chosen to expand Medicaid. In this session, hear from states that are becoming models for others considering managed care expansion.

• Discover what influenced the decision to choose managed care and what they are expecting from the plan
• Learn about each state’s plan for managed care in long term care, care for the aged, blind, disabled, and duals, and Medicaid expansion
• Understand the trajectory of state programs as a whole including coverage for mothers and children
• Explore populations that vary from what was anticipated prior to expansion
• Identify how the health care needs of new populations vary from traditional programs

In this keynote panel, hear about the health plan experience thus far with Medicaid expansion.

• Examine the overall health plan experience with expansion
• Discuss the future of Medicaid managed care as a result of expansion
• Understand the trends that are emerging in the expansion population
• Explore how the plans are interacting and collaborating with states

As some states choose different methods of expanding care for their uninsured populations, more states open themselves up to the possibility of expansion. In this session, hear what the states are considering doing to increase the number of insured.

• Understand the structure of the alternative form of expansion
• Discover methods of funding for the program
• Uncover what role managed care organizations will play

An increasing number of Medicaid beneficiaries are living with a behavioral health condition, but managed care struggles with the best way to coordinate care and services

• Discuss strategies for integrating physical and mental health services for Medicaid managed care beneficiaries
• Collaborate with outside organizations to properly manage care