Customize Your Experience at the Medicaid Managed Care Congress

Reserve your seat today for the 21st Annual Medicaid Managed Care Congress taking place on May 20-22 in Baltimore. With four preconference options and three reconfigured tracks, you can build an agenda that best aligns with the goals of your health plan and department, as well as the skills you need for personal development.

Choose from the 4 preconference options that provide learning opportunities of the specific Medicaid managed care elements matter most to you:

1) Medicaid Managed Care 101: Provides an overview and key topics regarding Medicaid

2) Health Insurance Exchange Intensive: In-depth analysis of exchanges from health plan and state perspective

3) Medicaid Managed Care: Gain insight into how specific plans build their formularies

4) Clinical & Financial Benefits of Predictive Modeling: Identify fraud, abuse and risk to improve health outcomes

During the main conference, you can further customize your experience by choosing from the following tracks led by health plan industry leaders:  


·  Administrative & Financial Considerations: The administrative and financial considerations track covers some of the area’s most likely to affect your profitability, such as state financial constraints and healthcare reform. 

·  Enrollment, Engagement & Retention: The enrollment, engagement and retention track is right for you if you’re looking to increase membership by reaching potential new members while retaining your current members through innovative marketing campaigns. 

·  Complex Care Management: The complex care management track provides you with technical examples to increase clinical outcomes through health homes, lifestyle adherence programs and mental health integration.

In addition, you will hear from keynote speaker Richard Gilfillan M.D., Director of the Center for Medicare and Medicaid Innovation from CMS as well as other state Medicaid Directors and industry luminaries.

To learn more, download our full brochure.

As a reader of this blog, you can use priority code XP1826BLOG to receive 15% off of the standard rate to register. If you have any questions or need any further information, feel free to email kdevery@iirusa.com or visit the webpage.

Cheers,

The Medicaid Managed Care Congress

Visit the MMCC Homepage
Follow the MMCC Twitter

States looking to Medicaid Managed Care plans to control costs

California is just one of the states looking to Managed Care to better care for the high risk beneficiaries in their state.  By partnering with a Managed Care plan instead of paying fee for service, they'll be able to better care for the at risk patients.  The team taking over the care, Molina Healthcare of California, will work with the beneficiaries to provide better care from the beginning, and avoiding the high cost of emergency care that can be prevented.  This arrangement also allows for education and recognition of which populations need education.  According to Manged Care Mag, by providing the education to these individuals, they can also minimize high cost of future care that can be avoided.

With Medicaid accounting for anywhere from 1/4th to 1/3rd if annual budgets are spent on Medicaid.  By shifting to the manged care model, states can also care for more people.  Many are looking to expand to new populations, new geographies and new services, provided by a pre-arranged network arranged by the Manged Care program.  

The Medicaid Managed Care Congress will take place this May and bring together states and health plans to discuss the current state of the program, and promote collaboration and innovation to help the states and managed care programs achieve the new goals of the programs in this current challenging economic state.  For more information on the event, visit the webpage.

While cost savings is a major goal of states turning to Medicaid Manged Care plans, what are some of the other benefits that the beneficiaries will see?

The State of Managed Care

In a report from the Kaiser Family Foundation, the found that in 47 out of 50 states, the Medicaid programs are run by Managed Care, and in 2010, there were 54 million who were covered by the program.  Thirty-six of those programs were run by contracted managed care providers.  However, many of those eligible have problems accessing the care available, especially dental, mental health and pediatric services.

Even with those setbacks, the benefits of the system are huge.  The Managed Care System results in:

• -Improved Accountability
• -Restructured delivery system
• -Ensured access to those eligable
• -Better ability to measure quality

The main concern arises when 14 million extra patients are eligible for managed care under the Affordable Care Act.  How can states and plans work together to increase access to care?