Since the last major updates to Medicaid Managed Care regulation in 2003, Medicaid and managed care have both evolved dramatically. After years of waiting, CMS released the long-awaited final Medicaid Managed Care 'Mega-Reg' Rule. For those of you who would like to review it immediately, it is available here. As you know, this draft regulation will govern the activities of states and plans participating in the Medicaid and CHIP programs going forward. The time to plan has ended! It is “Game Time”!
IIR's Medicaid Managed Care Congress will be your first opportunity to dissect the implications of the Mega Reg and its impact on your daily operations and overall bottom line from thought leaders in the space including ACAP, Mostly Medicaid, and more.
Details:
Medicaid Managed Care Congress (MMCC 2016)
Marriott Harbor Inn
Baltimore, MD
May 18-20
MMCC’s Mega Reg Pre-Conference symposium will address and break down the rule, and analyze and interpret its effect with like-minded individuals and organizations. Key topics will include:
• Require transparency and fairness between plans and states in rate-setting
• Encourage efficient, realistic use of limited resources;
• Hold fee-for-service programs to the same standard as managed care;
• Set standards for network adequacy which reflect local conditions as they exist;
• Provide for realistic implementation timeframes for both plans and states;
• Promote the movement to value-based payment strategies; and
• Provide for comprehensive, accurate and fair quality reporting and standards.
Click here to download the full MMCC 2016 brochure
Below is a preview of the sessions in the Mega-Reg symposium:
Mostly Medicaid
Association for Community Affiliated Plans (ACAP)
Association for Community Affiliated Plans (ACAP)
IIR's Medicaid Managed Care Congress will be your first opportunity to dissect the implications of the Mega Reg and its impact on your daily operations and overall bottom line from thought leaders in the space including ACAP, Mostly Medicaid, and more.
Details:
Medicaid Managed Care Congress (MMCC 2016)
Marriott Harbor Inn
Baltimore, MD
May 18-20
MMCC’s Mega Reg Pre-Conference symposium will address and break down the rule, and analyze and interpret its effect with like-minded individuals and organizations. Key topics will include:
• Require transparency and fairness between plans and states in rate-setting
• Encourage efficient, realistic use of limited resources;
• Hold fee-for-service programs to the same standard as managed care;
• Set standards for network adequacy which reflect local conditions as they exist;
• Provide for realistic implementation timeframes for both plans and states;
• Promote the movement to value-based payment strategies; and
• Provide for comprehensive, accurate and fair quality reporting and standards.
Click here to download the full MMCC 2016 brochure
Below is a preview of the sessions in the Mega-Reg symposium:
MEGA REG SYMPOSIUM OPENING REMARKS
Jennifer Babcock, Vice President for Medicaid Policy and Director of Strategic Operations Association for Community Affiliated Plans (ACAP)NETWORK ADEQUACY
CHALLENGES IN RATE-SETTING
Clay Farris, Senior Healthcare ExecutiveMostly Medicaid
QUALITY
Deborah Kilstein, Vice President, Quality Management and Operational SupportAssociation for Community Affiliated Plans (ACAP)
MEDICAL LOSS RATIOS, RISK CORRIDORS, AND OTHER MMC FINANCING ISSUES
CHANGING THE FACE OF MEDICAID: PROGRAM INTEGRITY REQUIREMENTS FOR MEDICAID MANAGED CARE
Larry Heyeck, Deputy Director for Legal Services State of New MexicoALIGNMENT AND COORDINATION AMONG PUBLIC COVERAGE PROGRAMS, INCLUDING MEDICAID, MEDICARE, MARKETPLACES
Amy Thomas, Assistant Director of Plan SupportAssociation for Community Affiliated Plans (ACAP)
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