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Conferences

2025 Medicare, Medicaid, Duals & Commercial Markets Forum

Dates:
Mar 25 - 27, 2025
Location:
Baltimore, MD

Registration is now closed - The 2025 Medicare, Medicaid, Duals & Commercial Markets Forum focuses on the most pressing policy priorities, emerging issues and regulatory updates for Medicare, Medicaid, Duals, and the commercial market.

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Sessions

, Continental Breakfast

, General Sessions

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    Implications of Recent Supreme Court Decisions on Health Care Regulations

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    In this session, legal experts will discuss the implications of recent U.S. Supreme Court decisions on health care regulations.

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    Fireside Chat with Peter Nelson, CMS Deputy Administrator & Director, CCIIO

    • Learn more about Peter Nelson
      Peter Nelson
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      Deputy Administrator & Director, Center for Consumer Information and Insurance Oversight (CCIIO)
      , Centers for Medicare & Medicaid Services (CMS)
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    Improving Care for Complex and At-Risk Populations

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    Health plan leaders will discuss strategies and solutions to bridge gaps in coverage and care for patients with chronic conditions or facing other health challenges.

, Concurrent Sessions

  • SERIES 7

    • Medicare Advantage & Part D

      Current Legal Issues in MA and Part D

      Speakers
      Details

      Legal experts will review the current landscape of legal issues affecting the policy and regulatory agenda for Medicare Advantage and Part D plans.

    • Closing Gaps in Coverage & Care

      Place-Based Care: Novel Approaches to Increase Access and Improve Outcomes

      Speakers
      Details

      This session will explore innovative place-based approaches to health care delivery that enhance access and health outcomes for vulnerable populations.

    • Care Delivery Innovation

      Preventing and Treating Chronic Conditions in Children and Adolescents

      Speakers
      Details

      As many as 20 million American children suffer from chronic conditions, including asthma, obesity, epilepsy, and behavioral health conditions, among others. These conditions require ongoing medical attention and may limit activities of daily living, posing significant challenges for young people and their families as well as costs to the nation. Learn about how we can address root causes of these conditions and ensure that those who need help managing their conditions receive it.

  • SERIES 8

    • Medicare Advantage & Part D

      Value of Medicare Advantage: Latest Evidence that Makes the Case

      Speakers
      Details

      In this session, speakers will showcase the latest evidence that demonstrate that Medicare Advantage delivers better services, better access to care, and better value.

    • Care Delivery Innovation

      Achieve Quality Improvement Through Effective Pharmacy Care Management Programs

      Speaker
      Details

      High performing quality performance can be difficult to achieve in Medicaid managed care. This session will showcase how one Medicaid managed care plan was able to achieve top in state quality scores on the asthma medication ratio (AMR) measure. The speaker will highlight the use of telehealth and telephonic interventions along with community partnerships to discuss disease and medication education. Explore how various digital tools can be leveraged for effective pharmacy care management outreach programs.

    • Commercial Market & Employer-Provided Coverage

      ACA Innovation Waivers

      Speakers
      • Daniel Meuse, Princeton School of Public and International Affairs
      • Randy Pate, Centers for Medicare & Medicaid Services (CMS)
      Details

      The ACA established flexibilities for states to establish programs that address the unique needs of their markets or experiment with alternate models of providing health insurance coverage to their residents. This session will examine opportunities and considerations for applications of Section 1332 State Innovation Waivers and Section 1333 Health Care Choice Compacts as states seek to improve access to affordable coverage in the individual market.

, General Luncheon Sessions

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    Key Strategies for Payer-Provider Partnerships in Chronic Care Management

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    Speakers in this session will illustrate how payer-provider partnerships and effective value-based care can meaningfully impact chronic disease management. See how an integrated team model paired with community outreach can improve outcomes for the most complex Medicaid members.

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    Congressional Policy Priorities in 2025 and Beyond

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    A panel of D.C. insiders will offer insights on priorities for the 119th Congress.