Next Generation Medicaid Managed Care: Strategies to Expand Coverage, Improve Quality and Control Costs

Strategic Solutions Network is pleased to announce our 11th Annual Medicaid Innovations Forum on February 5-7, 2020, at the Hyatt Regency Grand Cypress, Orlando, FL. This highly anticipated annual event offers a unique combination of forward-thinking perspectives, first- hand case studies and examples of true innovation from both Medicaid managed care plans and state government agencies.

If you are interested in joining our all-star faculty, please contact Pamela Masselli at pamela@strategicsolutionsnet.com. For sponsorship opportunities, please contact Aron Barkan at aron@strategicsolutionsnet.com. Space is extremely limited, so please connect with us today.

Through case study presentations, industry expert sessions, and interactive panel discussions, this groundbreaking program goes beyond policy to explore the specific strategies that leading organizations are leveraging to address within these key areas:

ADAPTING TO MEDICAID MARKET CHANGES

• Evaluating the Impact of the Political Environment on Medicaid Programs
• Expanding SDOH Services with a Focus on ROI
• Section 1115 Demonstration Waivers: Innovations and Lessons Learned
• Implementing Work Requirements and Incentivizing Community Engagement Activities: Challenges and Successes to Date
• Shifting from Fee for Service to an Outcomes-Based Payment Model

BEHAVIORAL HEALTH/SUDs

• Behavioral and Acute Care Health Integration
• Taking a Value-Added Approach to Opioid Addiction
• Developing Services to Respond to SUD Reform and Measuring Financial Impact

PATIENT INTERACTION

• Expanding Telehealth Services and Virtual Patient Interaction to Deliver Effective Physical and Behavioral Care to Rural Populations
• Creating an Engagement Strategy in the New Medicaid Market: Understanding Your Members and Directly Connecting with Them Based on Wants and Needs
• Leveraging Data to Improve the Member Experience, Drive Healthy Behaviors and Develop Targeted Interventions

CARE COORDINATION AND CARE DELIVERY INNOVATIONS

• Improving Care Transitions Between Settings to Reduce Avoidable Readmissions and Improve Outcomes
• Adopting a Community Health Worker (CHW) Model
• Building on Successes of the ACO Model to Reduce Costs and Utilization
• Sustaining the PCMH Model to Reward Team-Based Care, Promote Early Intervention, Improve Quality, and Enhance the Patient Experience
• Leveraging Episodes of Care to Refine and Streamline Pathways for Care Delivery
• Developing a Targeted Care Strategy for Medicaid Beneficiaries with Complex Care Needs
• Best Practices for Ambulatory Practice Care Management

PHARMACY INNOVATIONS

• Developing a Pharmacy Value-Based Purchasing Model to Improve Health Outcomes While Controlling Costs
• Adapting to Gene Therapy and Ultra High-Cost Drugs to Make Leading-edge Care Affordable
• Ensuring Responsible Pharmaceutical Utilization: Incentivizing Outpatient Antibiotic Stewardship

MANAGING MEDICAID GROWTH

• Optimizing Supplemental Benefits to Promote Member Health and Wellness within the Medicaid and Dual Eligible Populations
• Ensuring Access to Care within an Expanded Medicaid Population: Strengthening Network Adequacy for Primary and Behavioral Care
• Using MLTSS as a Strategy for Expanding HCBS, Promoting Community Inclusion, Ensuring Quality, and Increasing Efficiency

OPERATIONAL INNOVATIONS

• Improving the Interoperability of Electronic Health Information to Improve Patient Access, Seamless Data Exchange, and Enhanced Care Coordination
• Combating Provider Fraud, Waste, and Abuse Through the Comprehensive Medicaid Integrity Plan
• Developing Medicaid Enterprise System Modernization Strategies that Ensure Process and Data Standardization