ACAP CEO Summit 2019

June 20, 2019



Fairmont Hotel | 2401 M St NW, Washington, DC 20037

*invite only*

All meeting sessions will take place in the Grand ballroom

All meals will take place in the Colonnade Room

Thursday, June 20

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.

8:00 a.m. Breakfast

Colonnade Room

8:30 a.m. Congressional Award Presented to Representative Joseph P. Kennedy, III  (MA-D)

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  (MA-D) will receive the ACAP 2019 Congressional Leadership Award.

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

Ken Janda, Chair of ACAP and President and CEO of Community Health Choice, and Meg Murray, CEO of ACAP, 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 Medicaid and Medicare Innovation

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

·         Adam Boehler, Deputy Administrator, CMS and Director, Center for Medicare and Medicaid Innovation (confirmed)

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

10:15 a.m. Creative Ways to address Cost, Affordability and Access: It’s Not Just Medicare for All

Dan Mendelson, Founder, Avalere Health and Operating Partner, Welsh Carson and Michael Cannon of the Cato Institute will present 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 (confirmed)

·         Michael Cannon, Director of Health Policy Studies, Cato Institute (confirmed)

Moderator: Ken Janda, President & CEO, Community Health Choice

11:00 a.m. Networking and Vendor Exhibit Break
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, a lead researcher 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 (confirmed)

·         Valerie Harr, CEO, Horizon NJ Health (invited)

Moderator: Michael Schrader, CEO, CalOptima

12:30 p.m. Lunch Sponsored

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.

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 (confirmed)

·         Cain Hayes, President & CEO, Gateway Health Plan (invited)

·         Chad Westover, CEO, University of Utah Health Plan (confirmed)

Moderator: Stephanie Armour, Health Care Policy Reporter, The Wall Street Journal (invited)

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 (confirmed)

Moderator: Ken Janda, President & 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 rife with complexity, 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 discuss proposed changes to federal Medicaid drug payment policy, as well as efforts by states to control Medicaid drug costs.

·         Amy Shin, CEO, Health Plan of San Joaquin (invited)

·         Dave Weader, Associate Chief Legal Officer and Regulatory Affairs Officer, Geisinger Health Plan (invited)

Moderator: Kathy Pettway, Senior Director, Priority Partners

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

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.

8:00 a.m. Breakfast Sponsored by Preferred Vendor Superior Vision
9:30 a.m. Welcome and Recaps

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. Medicaid and Work: Supports versus Requirements

“Community engagement” – work 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 CEO describing his plan’s response to a community engagement requirement, and another’s approach to promoting sustainable employment.

·         Erhardt Preitauer, CEO, CareSource (invited)

·         Doug Wirth, CEO, Amida Care (invited)

Moderator: Mark Carter, CEO, Passport 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 James Mathews, the Executive Director of the Medicare Payment Advisory Commission (MedPAC), will discuss the Commission’s work on dual-eligible beneficiaries and their ideas on how D-SNPs could further improve care for dual eligibles. An ACAP member will then discuss the innovative ways in which their plan is addressing their dual-eligible enrollees’ social determinants of health.

·         James Mathews, Executive Director, MedPAC (invited)

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 Alternatove Payment Mofdels 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 ths session, ACAP member plans will share lessons learned for developing and operationalizing certain VBP strategies.

·         John Lovelace, President, UPMC for You (confirmed)

Moderator: Mark Rakowski, Vice President, Children’s Community Health Plans

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.

·         Linda Hines, CEO, Virginia Premier (invited)

·         Sharron Mackey, CEO, Contra Costa Health Plan (invited)

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

3:00 p.m. Adjourn