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Operationalizing the Medicaid Managed Care Rule: A Go or a No?

Event Date: 7/7/2017

Event Overview

Friday, July 7, 2017
2:00pm – 3:30pm CT (90 minutes)

Session description: 

Mike Adelberg, Senior Director with FaegreBD Consulting, returns to the Alliance webinar calendar to share his observations on how health plans nationwide are approaching the Medicaid Managed Care Rule.  With many elements due to be operationalized this summer, amid uncertainty as to what will be peeled back or kept, and to what extent CMS will enforce the rule's requirements, many health plans are unsure how to proceed.  In this session Mike shares his insight on the calculus health plans must execute when determining resource allocation, as well as their short and long term strategies.  

Webinar registrants will be sent a short survey prior to the event, to help guide the discussion's focus.  Mike will prepare comments designed to fill 30-45 minutes of the content, and then moderate a discussion among attendees, and facilitate Health Plan Alliance members' conversation regarding the multiple approaches to this challenge. 

This event is designed for:

Medicaid health plan leadership and stakeholders engaged in advocacy, policy work, and operationalizing the components of the Medicaid Mega Rule.

This event is hosted on our Readytalk platform.


Other events you might find of interest:

  • Webinar | Aug 3, 2017 | Policy Update: The latest activity in Washington and why it matters  Click here

  • Webinar | Aug 10, 2017 | The 5 policy pieces ACA marketplace participants care about most  Click here


Documents
7/7/2017

Presentation: Operationalizing the Medicaid Managed Care Rule: A Go or a No?
Mike Adelberg, Senior Director with FaegreBD Consulting, returns to the Alliance webinar calendar to share his observations on how health plans nationwide are approaching the Medicaid Managed Care Rule. With many elements due to be operationalized this summer, amid uncertainty as to what will be peeled back or kept, and to what extent CMS will enforce the rule's requirements, many health plans are unsure how to proceed.

7/7/2017

Recording: Operationalizing the Medicaid Managed Care Rule - A Go or a No?
Mike Adelberg, Senior Director with FaegreBD Consulting, returns to the Alliance webinar calendar to share his observations on how health plans nationwide are approaching the Medicaid Managed Care Rule. With many elements due to be operationalized this summer, amid uncertainty as to what will be peeled back or kept, and to what extent CMS will enforce the rule's requirements, many health plans are unsure how to proceed.

6/30/2017

Medicaid managed care regulations with 07012017 Compliance dates
The CMS Medicaid managed care final rule includes several provisions that have a compliance date beginning with the rating period for managed care contracts that start on or after July 1, 2017. States and managed care plans are required to comply with these provisions; however, as states have noted, there can be administrative challenges associated with updating states' managed care contracts an operational procedures.

Attendees

Below is a list of all delegates registered to date for this event

  • Karen Baratta
  • ALLIANCE MEMBER
  • Executive Office Manager at Baylor Scott & White Health Plan
  • Pamela Bower
  • ALLIANCE MEMBER
  • Program Manager, Risk Adjustment at Presbyterian Health Plan
  • Jim Burnosky
  • ALLIANCE MEMBER
  • VP, Strategic Planning at Fidelis Care New York
  • Gray Clarke
  • ALLIANCE MEMBER
  • Vice President, Chief Medical Officer at Presbyterian Health Plan
  • Lisa Crow
  • ALLIANCE MEMBER
  • VP, Population Health at Community First Health Plans
  • Edward Curis
  • ALLIANCE MEMBER
  • Product Director - Medicaid at Neighborhood Health Plan of Rhode Island
  • Dekker Dirksen
  • ALLIANCE MEMBER
  • Sr. Public Policy Analyst at Community Health Plan of Washington
  • Michelle Faniola
  • ALLIANCE MEMBER
  • Program Integrity Investigator III at Presbyterian Health Plan
  • Linda Farrar
  • ALLIANCE MEMBER
  • Director of Claims at Cook Children's Health Plan
  • Jessica Fischer
  • ALLIANCE MEMBER
  • Director of Communications at Network Health
  • Carley Flores
  • ALLIANCE MEMBER
  • Director of Accreditation at Valley Health Plan
  • Paul Gillan
  • ALLIANCE MEMBER
  • Practice Group Leader & Chief Legal Counsel, Managed Care & Population Health at Johns Hopkins Health Plans
  • Paris Hill
  • ALLIANCE MEMBER
  • Senior Healthcare Regulatory Analyst at Valley Health Plan
  • Evelyn Kim
  • ALLIANCE MEMBER
  • SIU Manager at Community First Health Plans
  • Priti Mody-Bailey
  • ALLIANCE MEMBER
  • Chief Medical Officer/VP at Community First Health Plans
  • Jonathan Moody
  • ALLIANCE MEMBER
  • Director of ACA Products and Government Affairs at Quartz Health Solutions
  • Greg Pugh
  • ALLIANCE MEMBER
  • Sr. Director, Service Development & Chief of Staff at Passport Health Plan
  • Dan Rhodes
  • ALLIANCE MEMBER
  • Market and Network Development Executive at Adventist Health Plan
  • Tim Riley
  • ALLIANCE MEMBER
  • Chief Information Officer at Network Health
  • christina salm
  • ALLIANCE MEMBER
  • Vice President of Medical Management Operations at Quartz Health Solutions
  • Janvi Shah
  • ALLIANCE MEMBER
  • Analyst, Value Based Payment Initative at Fidelis Care New York
  • Jeff Snyder
  • ALLIANCE MEMBER
  • Vice President and Controller at Sentara Health Plans (Optima)
  • Julie Vogelsong
  • ALLIANCE MEMBER
  • System Configuration Analyst III-Pricing at Paramount Health Care
  • Laura Watkins
  • ALLIANCE MEMBER
  • Vice President, Marketing and Enrollment at Santa Clara Family Health Plan
  • Todd Wood
  • ALLIANCE MEMBER
  • Medicaid Program Director at SelectHealth
Speakers