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NATIONAL MEDICAID CONGRESS
AGENDA: PRECONFERENCE
Monday, June 13, 2011

PRECONFERENCE SYMPOSIUM I: NEW MODELS FOR MEDICAID SERVICE DELIVERY - HEALTH HOMES, MEDICAL HOMES, PSNs, ACOs
7:00 a.m. Registration Commences
8:00 a.m. Preconference Welcome and Overview

Jason R. Kessler, MD, FAAP, CHBE
Medical Director, Iowa Medicaid Enterprise, Des Moines, IA (Preconference Chair)
8:15 a.m. IowaCare Medical Home - Pay for Performance Results

Jason R. Kessler, MD, FAAP, CHBE
Medical Director, Iowa Medicaid Enterprise, Des Moines, IA
Presentation Material (Acrobat)
8:45 a.m. Medication Management of Chronic Diseases in a Medical Home Model

Marghie Giuliano, RPH, CAE
Executive Vice President, Connecticut Pharmacists Association, Rocky Hill, CT

Marie Smith, PharmD
Professor and Department Head - Pharmacy Practice, University of Connecticut School of Pharmacy, Storrs, CT
Presentation Material (Acrobat)
9:15 a.m. The SoonerCare Health Management Program

Michael Herndon, MD
Medical Director, Oklahoma Health Care Authority, Oklahoma City, OK

Mike Speight
Senior Director, Health Management Group, Iowa Foundation for Medical Care, West Des Moines, IA
Presentation Material (Acrobat)
9:45 a.m. Break
10:15 a.m. Florida's Provider Sponsored Networks - Viable ACOs?

R. Paul Duncan, PhD
Chair, Department of Health Services, Research, Management and Policy, University of Florida, Gainesville, FL
Presentation Material (Acrobat)
10:45 a.m. Overview of the CMS Health Home Initiative

Mary Pat Farkas
Health Insurance Specialist, Disabled and Elderly Health Programs Group, CMS, Baltimore, MD

Nancy Kirchner
Health Insurance Specialist, Disabled and Elderly Health Programs Group, CMS, Baltimore, MD
Presentation Material (Acrobat)
11:15 a.m. Faculty Panel and Audience Q&A

Jason R. Kessler, MD, FAAP, CHBE
Medical Director, Iowa Medicaid Enterprise, Des Moines, IA (Moderator)
11:45 a.m. Adjournment

PRECONFERENCE SYMPOSIUM II: CRITICAL OUTCOMES RESEARCH ANALYSIS (CORA) CERTIFICATION PROGRAM
7:00 a.m. Registration Commences
8:00 a.m. Presentation

Fictional Outcomes Reporting: The "Back Story" of the North Carolina Medicaid PCMH and other Demonstrably Invalid Outcomes

Finally, a presentation that "does the math": The $300 million in savings through PCMH claimed by North Carolina Medicaid turn out to directly contradict the actual data, which (until now) was suppressed and which shows a cost increase. This presentation will also reveal other examples of mathematically impossible outcomes, and show how you, as a lay person, can distinguish fact from fiction through Critical Outcomes Report Analysis.

Al Lewis
President, Disease Management Purchasing Consortium International, Inc., Waltham, MA (Preconference Chair)
9:15 a.m. Interactive Workshop: Case Studies in Identifying Invalid Outcomes

The group will divide into teams and be given several case studies, and work together to find the invalidities, and then "report out" on what they found.

Guarantee: Anyone who at the end of these two hours does not dramatically more confident in their ability to critically analyze outcomes reports receives a free follow-up private syllabus and tutorial, normally costing $500.
10:00 a.m. Conclusion of Critical Outcomes Report Analysis Preconference

Break
10:15 a.m. Critical Outcomes Report Analysis Certification Exam (optional - requires separate registration)

Join the 200 people already certified in this personally and professionally valuable credential by taking (and passing) the test. Questions? Ask any of those 200 -- all listed at www.dismgmt.com -- whether they think this is worthwhile.
11:45 a.m. Adjournment

NATIONAL MEDICAID CONGRESS
AGENDA: DAY I
Monday, June 13, 2011
OPENING PLENARY SESSION: THE CURRENT LANDSCAPE
1:00 p.m. Welcome and Overview

John Iglehart
Founding Editor, Health Affairs, National Correspondent, New England Journal of Medicine, Washington, DC (Co Chair)
1:15 p.m. The Medicaid Landscape

Diane Rowland
Executive Vice President, Henry J. Kaiser Family Foundation, Executive Director, Kaiser Commission on Medicaid and the Uninsured, Washington, DC
Presentation Material (Acrobat)
2:00 p.m. Managing the Medicaid of Today and Tomorrow

Cindy Mann
Deputy Administrator and Director, Center for Medicaid, CHIP and Survey & Certification, CMS, Washington, DC
Presentation Material (Acrobat)
2:45 p.m. The Burden of Medicaid Fraud

James G. Sheehan, Esq.
New York State Medicaid Inspector General, Former Associate United States Attorney, US Attorney's Office, Eastern District of Pennsylvania, Albany, NY
Presentation Material (Acrobat)
3:15 p.m. Break
3:45 p.m. New Opportunities for Coordinating Care for Dual Eligibles

Melanie Bella
Director, Federal Coordinated Health Care Office, Centers for Medicare & Medicaid Services, US Department of Health & Human Services, Baltimore, MD
Presentation Material (Acrobat)
4:15 p.m. Congressional Staff Panel - Medicaid and CHIP

Stephanie Carlton
Health Policy Advisor, Minority Staff, Senate Finance Committee, Washington, DC

Howard Cohen
Majority Chief Health Counsel, House Energy & Commerce Committee Washington, DC

Purvee Kempf
Minority Counsel, House Energy and Commerce Committee, Washington, DC

Kelly Whitener
Health Policy Advisor, Majority Staff, Senate Finance Committee, Washington, DC
5:15 p.m. Strategies for Managing Growing Medicaid Populations

Dave Goetz
Vice President for State Government Solutions, Ingenix; former Commissioner of Finance and Administration, State of Tennessee, Eden Prairie, MN
Presentation Material (Acrobat)
5:45 p.m. Adjournment Day I




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