Wednesday, October 16, 2013

Webinar: Medicare and Medicaid Demonstration and Integrated Medicare Plans Landscape and Update


Date & Time: Friday, November 15, 2013 – 2:00pm – 3:00pm(EST)
Speakers:  Andrew Gaffner, Actuary, Milliman

Simon Moody, Principle and Consulting Actuary, Milliman
Registration Link: http://webinars.ahcancal.org/session.php?id=11884

Session Description: Currently, critical phases of the Medicare-Medicaid Coordination Demonstration such as three-way contracts and open enrollment periods are in place in select states.  With the establishment of two new offices under the Affordable Care Act designed to test ways to deliver quality care to Medicare-Medicaid beneficiaries, more states will soon roll out similar coordination demonstrations. Please join us for an update on the evolving Medicare-Medicaid Coordination Demonstration Landscape focused on key characteristics across States in different phases of the implementation process, focusing on Memorandum of Understandings (MOU) with CMS and the States, and three-way contracts signed in select states. The webinar will focus on Memorandum of Understanding (MOU) or Contracts, such as:
  • Standard rate methodologies for Medicare and differences in Medicaid rate methodologies by state.

  • Savings and withhold assumptions for each state along with a state explanation of the assumptions. We will also review and discuss quality measures and incentives, and focus on states with MOUs and Contracts in place.
 
  • Discuss the differences between the populations included the demonstration design in each state.

Learning Objectives:

  • Providers will learn how the Medicare-Medicaid Coordination program or “dual-eligible” demonstration has evolved in each State.

  • Providers will learn about the status of key characteristics as reflected and possible impact on providers in MOUs or Contracts signed with the State, CMS and health plans, particularly with respect to quality and rate methodologies.

  • Providers will be better able to understand basics of how the demonstration is different from other programs currently serving Medicare and Medicaid enrollees, or dual-eligibles.  These include Institutional Special Needs Plans, Chronic Care Special Needs Plans, Dual-Eligible Special Needs Plans and Fully Integrated Dual Eligible Plans.

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