event

 ACAP CEO Summit

*invite only*

Thursday, June 28

All meeting sessions will take place in the Presidential Ballroom

All meals will take place in the Congressional/Senate Room

Open to all attendees who would like to run or walk on a scenic route through downtown Washington, D.C.

Meet in the hotel lobby at 6:55 a.m.

This award is given to a congressional member that has championed many policies that are integral to ACAP’s mission and vision. In gratitude for his strong support of America’s health care safety net throughout 2017, Representative Leonard Lance (NJ-R) will receive the ACAP 2018 Congressional Leadership Award. In 2017, Mr. Lance voted to maintain Medicaid coverage for low-income Americans and for those who receive coverage through health insurance exchanges. He also opposed legislation that would have incentivized states to gut revenues for Medicaid and other critical safety net programs. After the award ceremony, we will hear directly from Rep. Lance about his thoughts and perspectives on Medicaid and CHIP, the Affordable Care Act, and the role of publicly supported health care programs.

Presented by: John Lovelace, President, UPMC for You

John Lovelace, Chair of ACAP and President of UPMC for You, and Meg Murray, CEO of ACAP, will discuss the contributions of Medicaid managed care to Medicaid.

Tim Hill, Acting Director of Center for Medicaid and CHIP Services, will share his perspectives on Medicaid managed care, including changes in oversight of quality of care, upcoming revisions to the Medicaid managed care regulation, the access regulation, pharmacy policy and state waivers.

·         Tim Hill, Acting Director, CMCS

Joseph Antos of the American Enterprise Institute (AEI) will provide his forecast for the individual market in a post-ACA, post-mandate, post-CSR world.  He will address what actions need to be taken by Congress and/or the Administration to ensure a functioning individual market for both consumers and issuers.

·         Joseph Antos, Wilson H. Taylor Scholar in Health Care and Retirement Policy, American Enterprise Institute

The former CMS Administrator will share his thoughts on the future of the Affordable Care Act and the role that his new organization, United States of Care, will play in the coming years.

·         Andy Slavitt, Former Acting Administrator, Centers for Medicare And Medicaid Services, Senior Advisor, Bipartisan Policy Center

This award honors a community-based organization or individual whose work clearly goes beyond the norm and whose services are recognized as best practices which stand as a model for replication in the safety net environment. The aim is to reward unique ways of thinking and innovative ways of performing, underlined by data depicting success. This year’s award is being presented to Project Destiny. Since 2004, Project Destiny has provided the Pittsburgh, PA. region a safe place where youth and families can find needed resources, become involved in support groups, and access cultural and educational
programming. Inner city children, youth, and families are empowered to become leaders in their community as they develop character, vision, and knowledge of the world outside their surroundings.
Introduced by: Marcia Martin, Vice President, Gateway Health Plan
Presented by: Mary Dale Peterson, M.D., President and CEO, Driscoll Health Plan
Accepted by: Rev. Brenda Gregg, Founder and Executive Director, Project Destiny

The ability to either adapt to change or act as a change agent is a key trait of successful leadership. However, the current business climate for health insurance plans has been a constant change, going back to deliberations around comprehensive health reform nearly a decade ago. The body of work of Congress and the Administration has shown that a great deal of more change lies ahead. A panel of Safety Net Health Plan leaders will discuss how plans have adapted to an ever-shifting business and policy climate and explore challenges that lie ahead.

·        Doug Wirth, President & CEO, Amida Care

·        Mary Dale Peterson, M.D., President and CEO, Driscoll Health Plan

·        Peter Marino, President & CEO, Neighborhood Health Plan of Rhode Island

Moderator: Rachana Pradhan, Health Care Reporter, POLITICO

CMS has prioritized increased flexibility for state Medicaid programs in 2018. A letter to state Medicaid directors published in January 2018 allows states to implement work requirements as a condition of eligibility. So far, Kentucky, Indiana, New Hampshire and Arkansas have received approval to implement “community engagement” requirements from CMS. While work requirements in other federal means-tested programs such as SNAP and TANF have added administrative complexity resulting in eligibility churn for enrollees, they have not been tested in Medicaid until now. The impacts of these requirements on safety net providers, Medicaid health plans, and most importantly, Medicaid enrollees, will be discussed by three ACAP plan executives.

• Kathy Oestreich, CEO, Banner University Health Plan
• Jill Joseph Bell, Vice President, Chief Marketing & Communications Officer, Passport Health Plan

Social determinants of health are defined by the World Health Organization as the conditions in which people are born, grow, live, work, and age. Collectively, these factors are believed to be the most significant influences on individual health. ACAP has recently published two reports on social determinants of health, highlighting the work of Medicaid Safety Net Health Plan efforts to address housing transitions for patients accessing long term services and supports, and health plan members experiencing chronic homelessness.

Leaders from plans which are engaged in this work will explain their motivations for making these investments and will describe how this work has impacted the health of their enrollees.

• Amy Kendall, CAO, Cardinal Innovations Healthcare
• Amy Riegel, Director of Housing, CareSource

Moderator: Patricia Tanquary, CEO, Contra Costa Health Plan

North Gate Grill

Friday, June 29

Open to all attendees who would like to run or walk on a scenic route through downtown Washington, D.C.

Meet in the hotel lobby at 6:55 a.m.

Meg Murray, CEO of ACAP, will welcome attendees to the second day of the ACAP CEO Summit and provide a recap of yesterday’s sessions. She will also discuss the current trends shown in Medicaid managed care and what this means for plans.

Katherine Hempstead of the Robert Wood Johnson Foundation will present new data on the role of Medicaid plans’ in the Marketplaces, surrounding premiums, provider reimbursement, and enrollee characteristics.  She will then moderate a discussion with two Safety Net Health Plans on how these unique characteristics enable them to function as a so-called “public option” – without actually being a public option.

·         Katherine Hempstead, Senior Advisor to the Executive Vice President, Robert Wood Johnson Foundation (RWJF)

·         John Baackes, Chief Executive Office, L.A. Care Health Plan

·         Ken Janda, President & CEO, Community Health Choice, Inc.

CMS’s Medicare-Medicaid Coordination Office (MMCO) has been instrumental in developing and implementing numerous initiatives – including the financial alignment demonstration – to align and coordinate benefits for individuals enrolled in both Medicare and Medicaid. Tim Engelhardt, the Director of MMCO, will give an update on MMCO’s initiatives and demonstrations, and will discuss the impact of the recently passed CHRONIC Care Act on states’ ability and desire to integrate care. Maya Altman, CEO of the Health Plan of San Mateo, will discuss her plan’s methods to address social isolation among people in the duals demos.

·     Tim Engelhardt, Director, Medicare-Medicaid Coordination Office, Centers for Medicare & Medicaid Services

·     Khoa Nguyen, Chief Strategy Officer, Health Plan of San Mateo

State Medicaid budgets are buckling under the rapidly increasing cost of providing pharmacy benefits to enrollees. ACAP will soon release a report by The Menges Group outlining the rise in pharmacy as a percentage of total health plan expenditures and demonstrating how high-cost drugs are increasingly dominating the Medicaid pharmacy environment.

Some states are taking matters into their own hands and implementing strategies designed to lower drug costs, either by way of controlling which drugs Medicaid health plans are allowed to cover, by leveraging Medicaid drug rebates, or by other means. Simultaneously, the White House and Department of Health and Human Services are developing proposals to lower the rising cost of drugs across all health care sectors. Our speakers will discuss the impact of some of these proposals on Medicaid and Medicaid health plans, as well as other government programs.

• Kyle Viator, Market President, AmeriHealth Caritas Louisiana
• Allan Coukell, Senior Director, Health Programs, The Pew Charitable Trusts

Moderator: Meg Murray, CEO, ACAP

The opioid epidemic is one of the most pressing issues of our time with hundreds of lives lost every day.  In this session, we will hear how two health plans are using specific interventions to address opioid overuse. Nancy Wexler from Banner University Health Plans will discuss the role of interdisciplinary care. Dr. John Johnson, CMO at Virginia Premier, will discuss how plans are working to expand access to high quality, medication assistance therapy (MAT).  The work at Virginia Premier is highlighted in a recent ACAP publication entitled “Strategies to Increase MAT Prescribing.”

·         Nancy Wexler, Director Innovation and Collaborative Care, Banner University Health Plans

·         Dr. John A. Johnson, Chief Medical Officer, Virginia Premier 

Moderator: Marc Engelhart, Senior Director, Finance, Priority Partners