event

Thursday, June 20

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

In gratitude for his strong support of America’s health care safety net throughout 2019, Representative Joseph P. Kennedy III (D-MA) received the ACAP 2019 Congressional Leadership Award.

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

Adam Boehler discussed 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

A discussion 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

During this session, lead researchers from the Center for Health Care Strategies (CHCS) presented 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 was 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

This year’s award was 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

Three ACAP plan CEOs discussed their experiences and 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

Challenges to the ACA have been front and center – both regulatory and legislative.  This session explored 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

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

Friday, June 21

Meg Murray, CEO of ACAP, welcomed attendees to the second day of the ACAP CEO Summit and provided a recap of yesterday’s sessions. ACAP’s newest policy proposals for stabilizing the individual market were rolled out—including innovative new ideas.

This session featured 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

During this session, Tim Engelhardt discussed 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

During this session, ACAP member plans shared 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

This session explored 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