ACAP CEO Summit 2019

June 20, 2019

ACAP 2019 CEO Summit

*invite only*
Fairmont Hotel | 2401 M St NW, Washington, DC 20037

Thursday, June 20

All meeting sessions will take place in the Grand ballroom

All meals will take place in the Colonnade Room

7:00 a.m. Organized ACAP Run/Walk Sponsored by ACAP Preferred Vendor Change HealthCare

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.

7:30 a.m. Breakfast

Colonnade Room

8:30 a.m. Welcoming Remarks by Chris Palmieri, ACAP Vice Chair, President & CEO, Commonwealth Care Alliance

Congressional Leadership Award Presented to Representative Joseph P. Kennedy III (D-MA)

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 2019, Representative Joseph P. Kennedy III (D-MA) will receive the ACAP 2019 Congressional Leadership Award.

9:00 a.m. Opening Remarks by Meg Murray, CEO of ACAP

Meg Murray will discuss the contributions of Safety Net Health Plans to Medicaid, Medicare and the Marketplace.

9:30 a.m. The Goals of the Center for Medicare & Medicaid Innovation

Adam Boehler will discuss the Center for Medicare & Medicaid Innovation’s efforts to address social determinants of health, value-based payment and price transparency.

·         Adam Boehler, Deputy Administrator, CMS and Director, Center for Medicare & Medicaid Innovation

Moderator: Chris Palmieri, President & CEO, Commonwealth Care Alliance

10:15 a.m. Networking and Vendor Exhibit Break
10:45 a.m. Creative Ways to Address Cost, Affordability and Access: It’s Not Just Medicare for All

Dan Mendelson and Michael Cannon will discuss their ideas on what the Congress and Administration can do to address costs, affordability and access to health care for low-income Americans.

·         Dan Mendelson, Founder, Avalere Health and Operating Partner, Welsh Carson

·         Michael Cannon, Director of Health Policy Studies, Cato Institute

Moderator: John Lovelace, President, UPMC for You

11:30 a.m. Social Determinants of Health: The Why and the What

Medicaid agencies and Medicaid health plans increasingly recognize the value of addressing the social determinants of health impacting beneficiaries. During this session, lead researchers from the Center for Health Care Strategies (CHCS) will present findings from a nationwide review conducted for ACAP of requirements and incentives in Medicaid managed care contracts and § 1115 demonstrations for health plans to address social determinants. This will be followed by an explanation of one plan’s extensive efforts to address the comprehensive health and wellness of Medicaid beneficiaries.

·         Tricia McGinnis, Senior Vice President, Center for Health Care Strategies

·         Diana Crumley, Program Officer, Center for Health Care Strategies

·         Alison Klurfeld, Director, Safety Net Programs & Partnerships, L.A. Care

Moderator: Michael Schrader, CEO, CalOptima

12:30 p.m. Lunch Sponsored by ACAP Preferred Vendor Express Scripts

Colonnade Room

1:30 p.m. Fourteenth 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.

This year’s award is being presented to Santa Barbara Neighborhood Clinics (SBNC). SBNC is a Federally Qualified Health Center, Level 3 Patient Centered Medical Home, and National Committee for Quality Assurance-recognized organization fully integrating quality medical, dental, and behavioral health.

Introduced by: Paul Jaconette, Chief Operating Officer, CenCal Health

Presented by: Mark Rakowski, Vice President, Children’s Community Health Plan and Chair, ACAP Quality and Operations Committee

Accepted by: Charles Fenzi, CEO and Chief Medical Officer, Santa Barbara Neighborhood Clinics

2:00 p.m. Health Plan Leadership: Navigating Uncalm Waters

To say that health policy’s only constant has been change was a cliché from the day it was first said. But the level of uncertainty against which health plans participating in publicly-sponsored coverage has been especially acute in the last couple of years, as major policy decisions have been made and unmade in 140 characters or less. Join three ACAP plan CEOs as they discuss their experiences and talk about how recent changes in the political and business climate have affected their decisions and decision-making process.

·         Karen Love, CEO, Cook Children’s Health Plan

·         Cain Hayes, President & CEO, Gateway Health Plan

·         Leanne Berge, CEO, Community Health Plan of Washington

Moderator: Marilyn Werber Serafini, Director of the Health Project, Bipartisan Policy Center

3:00 p.m. Networking and Vendor Exhibit Break
3:30 p.m. Legal Challenges to the ACA and Beyond

Challenges to the ACA have been front and center – both regulatory and legislative.  This session will explore ongoing lawsuits and their potential impact on both the politics and policy surrounding the ACA.

·         Katie Keith, Associate Research Professor and Adjunct Professor of Law, Georgetown University

Moderator: Catherine Mitchell, Interim CEO, Community Health Choice

4:15 p.m. Trends in Medicaid Drug Policy and Spending

Provision of and payment for prescription drugs in Medicaid are complex, and managing both has become a dominant part of the health policy discussion in 2019. This session’s speakers will explore what is behind drastic increases in Medicaid drug spending, and will efforts by Medicaid health plans and states to control Medicaid drug costs.

·         Amy Shin, CEO, Health Plan of San Joaquin

·         Alex Dworkowitz, Associate, Coalition of New York State Public Health Plans

Moderator: Kathy Pettway, Senior Director, Priority Partners

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

Colonnade Room

Friday, June 21

7:30 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 7:25 a.m.

8:30 a.m. Breakfast Sponsored by Preferred Vendor Superior Vision
9:30 a.m. Welcome and Individual Market Update

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. ACAP’s newest policy proposals for stabilizing the individual market will also be rolled out—including innovative new ideas.

9:45 a.m. Medicaid and Work: Supports versus Requirements

Work – or “community engagement” – requirements have become a hallmark of the Trump Administration’s approach to Medicaid coverage. The Centers for Medicare and Medicaid Services have approved demonstrations in ten states requiring low-income adults to engage in work, volunteer, or educational activities as a condition of eligibility. While controversy and court cases have captured the public’s attention, Medicaid health plans have long provided supportive services to Medicaid enrollees to promote educational attainment and employment advances. This session will feature a health plan executive describing her plan’s response to a community engagement requirement, and another’s approach to promoting sustainable employment.

·         Christina Turner, Chief Clinical Officer, CareSource

·         Doug Wirth, CEO, Amida Care

Moderator: Kathleen Oestreich, CEO, Banner University Health Plan

10:30 a.m. Networking and Vendor Exhibit Break
11:00 a.m. Improving Care for Dual-eligible Beneficiaries

Dual-eligible Special Needs Plans (D-SNPs) offer an opportunity to improve care for Medicare-Medicaid beneficiaries. During this session, Tim Engelhardt will discuss new state opportunities for the Financial Alignment Demonstration, D-SNP integration criteria and the new Direct Contracting opportunity for Medicaid Managed Care Plans to manage care for duals in Medicare fee-for-service.

·         Tim Engelhardt, Director, CMS Medicare-Medicaid Coordination Office

Moderator:  Hany Abdelaal, President, VNSNY CHOICE

12:00 p.m. Lunch
1:00 p.m. Medicaid Managed Care Strategies for Value-Based Payment (VBP)

Increasing VBP activity at the state and health plan level has and will continue to be a priority.  More states are requiring Medicaid MCOs to increasingly use Alternative Payment Models to motivate and support delivery system reform and reward higher-value providers. More Medicaid programs are implementing VBP targets for MCOs and/or requiring health plan participation in state-defined VBP models.  The vast majority of recent Medicaid managed care procurements include VBP components and more states are also linking MCO financial incentives to VBP targets and expecting use of higher level performance-based payments that include provider upside and downside risk arrangements.  During this session, ACAP member plans will share lessons learned for developing and operationalizing certain VBP strategies.

·         John Lovelace, President, UPMC for You

·         Kathleen Oestreich, CEO, Banner University Health Plan

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

2:00 p.m. Medical Transportation: The Original Social Determinant

Medical transportation, a required benefit in Medicaid, is considered by many to be key to ensuring access for Medicaid enrollees to necessary health care services. The Trump Administration is expected this year to issue guidance curtailing the transportation benefit. This session will explore the realities for Medicaid health plans of providing medical transportation, as well as the challenges associated with doing so.

·         Alicia Turner, COO, Virginia Premier

·         Sharron Mackey, CEO, Contra Costa Health Plan

Moderator: Jennifer Babcock, Vice President, Medicaid Policy & Director of Strategic Operations, ACAP

3:00 p.m. Adjourn