The National Voice for Special Needs and Medicare-Medicaid Plans

2014 Leadership Forum

10th Annual Leadership Forum

Click here to download the latest DRAFT agenda for the 10th Annual Leadership Forum.

 

                              Web Resources for 2014 SNP Leadership Forum 

                                                  Thursday, October 23

8:35 - 9:15am Keynote

Cavanaugh (PowerPoint) Keynote Presentation


9:15 – 10:00am   Congressional Update: Prospects for Permanent Statutory Authority and Improved Alignment of Payment and Performance Methods for SNPs

SNP Alliance Policy Priorities for 2014

SNP Alliance Policy Summary

SNP Alliance Position on Star Rating System

SNP Alliance Position on Removing Financial Barriers to Integration

SNP Alliance Position on Removing Barriers to Medicare/Medicaid Integration

SNP Alliance Issue Brief:  GAO Report on Medicare/Medicaid Integration

SNP Alliance Issue Brief:  Paying for Social Determinants of Health under Medicare

SNP Provisions included in S. 2110, ‘‘Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014.’’

October 14, 2014 Congressional letter to Secretary Burwell

 

10:15 – 11:15am   Progress Report on Financial Alignment and Alternative Demonstrations

Walsh (PowerPoint) Overview of State Demonstrations under the Financial Alignment Initiative

 

11:15am – 12:00pm    Point-Counter-Point Debate on Advancing Full Integration:  Federal vs. State Issues and Options

Refocusing Responsibility For Dual Eligibles: Why Medicare Should Take The Lead.  Judy Feder, Lisa Clemans-Cope, Teresa Coughlin, John Holahan, Timothy Waidmann.  Robert Wood Johnson and The Urban Institute, October 2011.

Advancing Medicare and Medicaid Integration: Improving the D-SNP Model for Dually Eligible Beneficiaries. NAMD Working Paper Series.  National Association of Medicaid Directors, September 2013.

NGA Health Care Sustainability Task Force Report. National Governors Association, February 2014.

Transforming Care for Medicare Beneficiaries with Chronic Conditions and Long-Term Care Needs: Coordinating Care Across All Services. Harriet L. Komisar and Judy Feder, Georgetown University, October 2011. 

NAMD Duals Integration resources

 

 

12:00 – 1:30pm   Consumer Perspectives on Progress toward Medicare/Medicaid Integration

Resource List for Community Catalyst

 

1:30 – 3:00pm    Financial Alignment Demonstrations and Alternative Integration Initiatives: Experience to Date

Highlights of Integration Initiatives in Arizona

•Highlights of Integration Initiatives in Massachusetts

Highlights of Integration Initiatives in New Jersey

Highlights of Integration Initiatives in New York

Highlights of Integration Initiatives in Virginia

 

                                                         Friday, October 24

8:45 – 10:15am   Research Update on Social Determinants of Health:  Implications for Plan Ratings, Quality Measures and Federal Policy Action

Burstin (PowerPoint) Risk Adjustment and Sociodemographic Factors

Tiegland (PowerPoint) Impact of Dual Eligible Population on CMS Five-Star Quality Measures

Bishop (PowerPoint) Research Update on Social Determinants of Health

•NQF Report: Risk Adjustment for Socioeconomic Status or Other Sociodemographic Factors. National Quality Forum, August 2014.

NQF Expert Panel Responses to Comments on the Draft ReportRisk Adjustment for Socioeconomic Status or Other Sociodemographic Factors.

Building a Framework for Paying for Social Determinants of Health in Medicare. Shawn Maree Bishop, SB Health Policy, November 2013.

SNP Alliance Issue Brief on Social Determinants of Health.

Medicare Advantage: Star System’s Disproportionate Impact on MA Plans Focusing on Low-Income Populations. Howard Weiss and Sara Pescatello. Health Affairs Blog, September 22, 2014.

Request for Information About the Impact of Dual Eligibles on Plan Performance


 

10:30am – 12:00pm  Improving Payment and Risk Adjustment Methods for Special Needs Beneficiaries: Perspectives from SNP Finance and Risk Adjustment Experts

SNP Alliance letter to Deputy Administrator Sean Cavanaugh

 

1:30 – 3:00pm   Performance Measurement for High-Risk/High-Need Beneficiaries

Cahow (PowerPoint) Improving Star Performance Measurement Methods and Ratings for High-Risk/High-Need Beneficiaries

Van Reenen (PowerPoint) Update: Initiative to Align Performance Measures with Characteristics and Needs of SNP Enrollees

SNP Alliance Issue Brief on Star Ratings System