2010 Medicare Advantage Congress

About the Conference

2010 Medicare Advantage Congress
Implementing Successful Strategies for 2011 that Focus on Healthcare Reform, Member Enrollment, Revenue Enhancement, Medical Management, Compliance and Operations!
October 18-19, 2010 • Omni Shoreham Hotel • Washington, DC

Medicare Advantage is currently facing unprecedented challenges. The Obama administration has implemented, as well as further proposed, significant changes. Consequently, the way we do business in Medicare Advantage has been, and will be affected. It has become pertinent, now more than ever, to take action and implement strategies that focus on building a compliant Medicare Advantage Plan; incorporating cost-effective, quality-driven medical management programs; and increasing profitability via innovative programs that focus on member acquisition and retention.

The 2010 Medicare Advantage Congress promises to set standards within the industry, and will prove to be a game changer for leaders, experts, as well as policymakers involved within Medicare Advantage. In addition to having a strong focus on the larger issues facing Medicare Advantage – such as healthcare reform, profitability enhancement, compliance, etc. – the congress will feature specialized tracks focused on Product Development & Sales/Marketing, Medical/Care Management, Operations & Financial Management, and Special Needs Plans/Dual Eligibles.

In this unique event, we bring together leaders and innovators to share their insights and offer solutions on the abundant challenges facing Medicare Advantage. By attending The 2010 Medicare Advantage Congress, you will learn what others in your industry are doing to be better prepared for the challenges that lie ahead in 2011.

Register today to reserve your seat at the conference and take advantage of early bird discounts. To register or ask questions, please register online or call 1-800-646-9581.

Sincerely,

2010 Medicare Advantage Congress Team

Who Should Attend

From Health Plans & Managed Care Organizations:

Chief Executive Officers, Chief Operating Officers, Chief Financial Officers, Chief Marketing Officers, Chief Medical Officers, Chief Strategy Officers, Chief Pharmacy Officers and Chief Information Officers

Also, Presidents, Vice Presidents, Directors and Managers of:

• Medicare

• Medicare Advantage

• Senior Products

• Government Programs

• Marketing

• Sales

• Compliance

• Medical

• Care Management

• Product Development

• Operations

• Finance

• Strategy

• Quality

• Business Development

• Pharmacy

• Regulatory Affairs

• Disease Management

• Risk Management

• Community Health

• Utilization Management

• Network Management

• Business Development

• Pharmacy

This program is also geared towards Hospitals & Health Centers, Vendors, Healthcare Consultants, Solution Providers, Pharmacy Benefit Managers, Disease Management Organizations, Third Party Administrators, Pharmaceutical & Medical Device Companies, IT & Business Process Outsourcing Companies and Enrollment Brokers.

Conference Workshop Sessions

WORKSHOP A:
Monday, October 18, 2010 • 5:30 p.m. – 7:30 p.m.

How to Achieve a Compliant Medicare Advantage Plan for 2011

About the Workshop Leader: Steve Arbaugh is Principal of ATTAC Consulting Group. Steve is acg's managing principal and is Practice Director of acg's Health Plan Management and Government Program Groups. The Government Programs practice encompasses acg's Medicare Advantage and Medicare Part D practices. Steve previously served as CEO and COO of various insurance and managed care organizations, including being called upon numerous times to step in as CEO for health plans during distressed turn-around situations; leading strategy and reorganization. Prior to joining acg as a founding member, Steve held positions with organizations such as United Health Care, First Care and with Care Choices Health Plans as well as serving as Executive Vice President of Gorman Health Group and with the consulting team of The Pace Group.

WORKSHOP B:
Tuesday, October 19, 2010 • 1:00 p.m. – 3:00 p.m.

Successful Sales & Marketing Strategies via Brand Equity and Management for Medicare Advantage

About the Workshop Leader: Richard Hamer is the Managing Principal of Deft Research, founded in 2005. Since then, Deft has become a highly regarded market insights firm, noted for its understanding of the health care industry and the needs of its executives. From 1992 to 2004 Mr. Hamer was the Executive Director of InterStudy.

Rich has focused Deft on developing insights out of the attitudes and behavior of health consumers. Deft is well known for its research on consumer loyalty and brand value, as well as information produced to guide product development and market strategy.

Throughout his career, developing insight that reduces uncertainty and financial risk for clients has been Rich’s mission. He has done this in many areas including information technology, managed care finance, the indemnity health insurance market, the self-insured employer health plan market, and PPO operations. He is a secondary author of a major publication (book), Managed Care and the Treatment of Chronic Illness, (Sage Publications), and of several articles appearing in peer reviewed journals.

Conference Day One

Day One
Monday, October 18, 2010

7:15	Conference Registration & Morning Breakfast
8:00	Chairperson’s Opening Remarks
8:15	The Impact of Healthcare Reform on Medicare – Assessing the Challenges, Solutions and Opportunities for Medicare Advantage in 2011 Tricia Neuman, Sc.D. Vice President & Director, Medicare Policy Project Kaiser Family Project
9:00	Medicare Leaders Panel: The Future of Medicare and Its Impact on Your Medicare Advantage Strategy Gary Jacobs Senior Vice President, Corporate Development Universal American Financial Corporation Robb Cohen Chief Government Affairs Officer XLHealth Marsha Gold Senior Fellow Mathematica Policy Research David Pizzi Director, Healthcare Policy, Governmental & Legislative Relations and Public Policy Blue Cross and Blue Shield of Florida
9:45	Networking Break and Refreshments
10:15	Moving Towards an Accountable Care Structure – Accountable Care Organizations (ACOs) and their Effect on Medicare Advantage Randall Krakauer, MD, FACP, FACR National Medical Director, Consumer Segment Aetna
11:00	What Medicare Advantage Plans Should Do to Achieve and Maximize Profitability in a Changing Market Michael O'Neil Senior Vice President, Strategy & Development HealthSpring, Inc.
11:45	Wall Street Perspective on Medicare Investing Thomas Carroll Managing Director Stifel Financial Corporation
12:30	Luncheon for Speakers and Delegates
	Section A: Medical/Care Management
1:30	Using Risk Adjustment to Support Care Management Mark Dambro, MD Chief Medical Officer Leprechaun, LLC
2:15	Integrating Revenue and Medical Management Initiatives to Improve Member Care Tom Brodmerkel Executive Vice President Matrix Medical Network
3:00	Networking Break and Refreshments
	Section B: Product Development & Sales/Marketing
3:30	Developing a Medicare Advantage Product and Strategy with a Focus on Quality and Cost of Care for Institutionalized Patients Karen Amstutz, MD, MBA Vice President & Medical Director, Senior & State Sponsored Business WellPoint
4:15	Effectively Marketing Medicare Advantage and Part D to Employers and Groups Joseph Altman, FSA Chief Actuary, Retiree Solutions UnitedHealthcare
5:00	End of Day One

Conference Day Two

Day Two
Tuesday, October 19, 2010

7:15	Morning Breakfast
8:00	Recap of Day One
8:15	Engaging Physicians to Drive the Quality and Cost of Care for Medicare Advantage Richard Jones President Lumeris
	Section A: Compliance & Financial Management
9:00	Developing Effective and Compliant Models of Care within a Medicare Advantage Plan Rus Billimoria, MBBS, MPH, CPHQ Senior Director, Medical Management L.A. Care Health Plan
9:45	Surviving CMS RADV Audits and Restructuring Your Risk Adjustment Programs to Avoid Future Audits Mital Panara Vice President, Medicare Revenue Management Freedom Health Plan
10:30	Networking Break and Refreshments
	Section B: Special Needs Plans/Dual Eligibles
11:00	The Future of Special Needs Plans John Lovelace President UPMC Health Plan
11:45	Implementing Effective Long Term Care Management Strategies for Dual Eligibles Peggy Haines National Vice President, Quality Management Health Net, Inc.
12:30	Conference Concludes

Speaking Faculty

John Lovelace President UPMC Health Plan	Randall Krakauer, MD, FACP, FACR National Medical Director, Consumer Segment Aetna
Robb Cohen Chief Government Affairs Officer XLHealth	Gary Jacobs Senior Vice President, Corporate Development Universal American Financial Corporation
Joseph Altman, FSA Chief Actuary, Retiree Solutions UnitedHealthcare	Michael O'Neil Senior Vice President, Strategy & Development HealthSpring, Inc.
Marsha Gold Senior Fellow Mathematica Policy Research	Peggy Haines National Vice President, Quality Management Health Net, Inc.

David Pizzi Director, Healthcare Policy, Governmental & Legislative Relations and Public Policy Blue Cross and Blue Shield of Florida	Tom Brodmerkel Executive Vice President Matrix Medical Network

Mital Panara Vice President, Medicare Revenue Management Freedom Health Plan	Mark Dambro, MD Chief Medical Officer Leprechaun, LLC

Thomas Carroll Managing Director Stifel Financial Corporation	Richard Jones President Lumeris

Rus Billimoria, MBBS, MPH, CPHQ Senior Director, Medical Management L.A. Care Health Plan	Richard Hamer Managing Principal Deft Research

Steve Arbaugh Principal ATTAC Consulting Group	Karen Amstutz, MD, MBA Vice President & Medical Director, Senior and State Sponsored Business WellPoint

Tricia Neuman, Sc.D. Vice President & Director, Medicare Policy Project Kaiser Family Foundation

Venue and Pricing

Health Plans	Register by September 17, 2010	Register by October 18, 2010
Conference Only	$995	$1295
Conference & 1 Workshop	$1195	$1495
Conference & 2 Workshops	$1395	$1695

Standard Rate	Register by September 17, 2010	Register by October 18, 2010
Conference Only	$1195	$1495
Conference & 1 Workshop	$1395	$1695
Conference & 2 Workshops	$1595	$1895

Government Rate	Register by Setember 17, 2010	Register by October 18, 2010
Conference Only	$495	$695
Conference & 1 Workshop	$595	$795
Conference & 2 Workshops	$695	$895

Venue:

Omni Shoreham Hotel
2500 Calvert Street NW (at Connecticut Ave.)
Washington, District of Columbia 20008
Phone: (202) 234-0700

*Mention priority code '2010 Medicare Advantage Congress' to secure special hotel rate of $239/night.

You can also use the following link to make your hotel reservations:

http://www.omnihotels.com/FindAHotel/WashingtonDCShoreham/MeetingFacilities/2010MedicareAdvantageCongress10.aspx

Sponsors & Exhibitors

Silver Sponsors

Since 2005, Leprechaun has been a pioneer in HCC Management, innovating and leading the industry in providing the most complete product portfolio in the market. Our broad product line includes Retrospective, Prospective, RADV Audit and Undiscovered HCCs. One key differentiator for Leprechaun is our uncompromising focus on quality, workflow practices and accuracy of our coding practices, which is greater than 95%. As a full-service business process outsource provider, Leprechaun can be a single source for all your HCC Management needs.

Founded in 2001, Matrix Medical Network offers a suite of targeted healthcare services including prospective reviews, end-of-life care, and high-risk member management. With operations nationwide, Matrix partners with health plans to develop programs that deliver proven clinical outcomes and a strong return on investment. Matrix’s distinctive staffing model uses employed physicians, nurse practitioners, and registered nurses who are highly trained in the specialized services we provide, ensuring quality care for the patients we serve. For additional information, call 866-662-4560 or visit our website at www.matrixhealth.net

Lumeris offers provider performance management solutions to health plans and other health care delivery organizations. Through a unique combination of technology, content and services, Lumeris helps its clients to identify and solve care and utilization problems by engaging their contracted providers with actionable information and decision support proven to positively influence behavior, lower costs and improve outcomes. To learn more about Lumeris, call 1.888.LUMERIS (1.888.586.3747) or visit www.lumeris.com.

Exhibitor

VARIS provides nationwide overpayment identification services that recover up to 3% of claim dollars. VARIS, experienced in identifying hundreds of millions of overpaid dollars from over 4200 hospitals, employs only validation specialists certified by the American Health Information Management Association. Recover your lost dollars now. www.varis1.com.

For sponsorship opportunities please contact Justin Sanders at 800-646-9581 or email him at jsanders@globalmediadynamics.com

Media Partners

To become to a supporting partner, please contact Jack Parrish at 800-646-9581 or email him at jparrish@globalmediadynamics.com