2018 CEO Summit


 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

7:00 a.m. Organized ACAP Run/Walk, Sponsored by ACAP Preferred Vendor Cognizant

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.

8:00 a.m. Breakfast
Sponsored by ACAP Preferred Vendor Cognizant
8:30 a.m. Congressional Award

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: Joe Manger, Director, Regulatory Affairs Government Programs, Horizon NJ Health

9:00 a.m. Opening Remarks and Welcome by John Lovelace, Chair of ACAP, and Meg Murray, CEO of ACAP

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.

9:30 a.m. The Future of Medicaid Managed Care

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 (confirmed)

10:15 a.m. Where Does the Individual Market Go from Here?

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 (confirmed)

11:00 a.m. Networking and Vendor Exhibit Break Sponsored by ACAP Preferred Vendor Cognizant
11:30 a.m. The Future of the Affordable Care Act

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 (confirmed)

12:30 p.m. Lunch Sponsored by ACAP Preferred Vendor Cognizant
1:30 p.m. Thirteenth Annual Supporting the Safety Net Award and Address

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.

2:00 p.m. Leadership in a Time of (Business) Climate Change

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.

·         Laura Esslinger, Chief Executive Officer, AlohaCare (invited)

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

·         David Weader, Associate Chief Legal Officer, Geisinger Health Plan (invited)

Moderator: Rachana Pradhan, Health Care Reporter, POLITICO (confirmed)

3:00 p.m. Networking and Vendor Exhibit Break Sponsored by ACAP Preferred Vendor Cognizant
3:30 p.m. Plans’ Involvement in The New World of Work Requirements

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, and Arkansas have received approval to implement work requirements from CMS. While work requirements in other federal means-tested programs such as SNAP and TANF have challenges for states and 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 two ACAP plan executives.

·         Mark Carter, CEO, Passport Health Plan (confirmed)

·         Kathy Oestreich, CEO, Banner University Health Plan (confirmed)

4:15 p.m. Safety Net Health Plan Innovations in Addressing Housing Issues

 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, Chief Operating Officer, Cardinal Innovations Healthcare (confirmed)

·         Erhardt Preitauer, CEO, CareSource (invited)

5:00 p.m. Adjourn
5:15 p.m. to 7:15 p.m. Reception Sponsored by ACAP Preferred Vendor PerformRx

North Gate Grill

Friday, June 29

7:00 a.m. Organized ACAP Run/Walk

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.

8:00 a.m. Breakfast

Sponsored by an ACAP Preferred Vendor 

9:00 a.m. Welcome and Recap

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.

9:45 a.m. Safety Net Health Plans as a “Public Option”

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) (confirmed)

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

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

10:30 a.m. Networking and Vendor Exhibit Break Sponsored by ACAP Preferred Vendor XX
11:00 a.m. What’s Next for Duals Integration?

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 (confirmed)

·         Maya Altman, President, Health Plan of San Mateo (confirmed)

12:00 p.m. Lunch
1:00 p.m. The State of States on RX Costs

State Medicaid budgets are buckling under the rapidly increasing cost of providing pharmacy benefits to enrollees. ACAP recently released 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. The speakers will outline the efforts underfoot in their states.

·         David Segal, CEO, Neighborhood Health Plan (confirmed)

·         Kyle Viator, Market President, AmeriHealth Caritas Louisiana (confirmed)

2:00 p.m. Addressing the Opioid Epidemic

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 (confirmed)

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

3:00 p.m. Adjourn