The National Voice for Special Needs and Medicare-Medicaid Plans

2017 Leadership Forum

13th Annual Leadership Forum

Integrating Policy into Practice

November 2-3, 2017 | Capital Hilton | Washington, DC

Web Resources and Presenter Slides

  

Thursday, November 2, 2017

 

9:00am – 9:45am          

Update from Key Congressional Committee Staff on SNP, MMP, Reauthorization and Related Issues in the 115th Congress

S870 Chronic Care Act. 2017: http://snpalliance.org/media/1076/s870chronic-care-act-2017.pdf

HR3168: http://snpalliance.orgmedia/1079/hr3168.pdf

Comparison of S870 and HR3186 SNP Authorization 7.21.17: http://snpalliance.org/media/1078/comparision-of-s870-and-hr-3168snp-reauthorization07212017.pdf

Legislative Priorities Oct 23, 2017: http://snpalliance.org/media/1077/2017-legislative-priorities_october23.pdf

 

9:45am – 10:30am        

The State of the States: Implications for SNPs and MMPs in Times of Change

Moderator

Pamela Parker, MPA, Medicare-Medicaid Consultant to SNP Alliance

Panelists

  • Damon Terzaghi, Senior Director Medicaid Policy and Planning, National Association of State Units on Aging and Disability (NASUAD)
  • Jack Rollins, Senior Policy Analyst, National Association of Medicaid Directors (NAMD)

NASUAD State Integration Tracker  September 2017

http://www.nasuad.org/sites/nasuad/files/State%20Medicaid%20Integration%20Tracker%20September%202017.pdf

 

NASUAD MLTSS State Map 2017

http://www.nasuad.org/initiatives/managed-long-term-services-and-supports/mltss-map

 

NASUAD ACA Repeal Replace Comment Letter

http://www.nasuad.org/sites/nasuad/files/09212017_NASUAD_Comment_Letter_ACA_Repeal_Replace_Senate_FINAL.pdf

 

NAMD Statement on Graham-Cassidy

http://medicaiddirectors.org/wp-content/uploads/2017/09/NAMD-Statement-on-Graham-Cassidy9_22_17.pdf

 

NAMD Statement on CHIP and D-SNP Reauthorization

http://medicaiddirectors.org/wp-content/uploads/2017/03/NAMD-Letter-CHIP-and-D-SNP-reauth-FINAL.pdf

 

Health Affairs Blog June 2017

http://healthaffairs.org/blog/2017/06/15/finding-common-ground-on-medicaid-reform-for-dual-eligibles/

 

10:45am – 11:45am      

KEYNOTE SESSION

Engaging Consumers: Addressing the Needs of Vulnerable and Complex Chronic Populations

Ann Hwang, MD, Director, Center for Consumer Engagement in Health Innovation – Community Catalyst

http://snpalliance.org/media/1072/a-hwang-key-note-addressing-the-needs-of-vulnerable-populations.pdf

SNP Alliance and Community Catalyst Report: Special Needs Plans: Focusing on Social Determinants of Health Among Duals, May 2017

http://www.snpalliance.org/media/1040/snp-alliancecommunitycatalyst-report-on-snpsduals_may2017.pdf

 

1:00pm – 2:00pm         

Conversation with CMS’ Medicare-Medicaid Coordination Office:  The Next Phase of Medicare-Medicaid Integration

Moderator

Richard Bringewatt, President and CEO, National Health Policy Group

Panelists

  • Tim Engelhardt, Director, Medicare-Medicaid Coordination Office, Centers for Medicare and Medicaid Services and other staff

 

 MMCO Fact Sheet August 2017

 https://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/Downloads/MMCO_Factsheet.pdf

 

CMS Responses to SNP Alliance Questions Related to Flexible Supplemental Benefits for Qualified D-SNPs – October 3, 2017  

/media/1073/cms-responses-to-snp-alliance-questions-related-to-flexible-supplemental.pdf

 

SNP Alliance Comments on Three-Year Network Adequacy Review for Medicare Advantage Organizations CMS-10636, OMB 0938-New - August 17, 2017 

http://snpalliance.org/media/1091/snp-alliance-comments-on-3-year-network-review-proposal.pdf

 

2:00pm – 2:45pm         

State of Integration: Next Phase and Opportunities for Working with States                   

Moderator

Pamela Parker, MPA, Medicare-Medicaid Consultant to SNP Alliance

Panelists

 

Integrated Care Resource Center News October2017

http://www.integratedcareresourcecenter.com/

 

ICRC Brief:  Coordination of Behavioral Health and Physical Health for Dually Eligible Beneficiaries

http://www.integratedcareresourcecenter.com/PDFs/ICRC_Intgrt_Bhvrl_Hlth_Dual_Benis.pdf

 

Brief: Key MA Dates and D-SNP Contracting Resources September 2017

http://www.integratedcareresourcecenter.com/PDFs/Key_MA_Dates_for_States_Contracting_with_D-       SNPs.pdf

 

ICRC Brief: SNP Entries and Departures September 2017

http://www.integratedcareresourcecenter.com/PDFs/ICRC_D-SNP_Entries_and_Departures_September_2017.pdf

 

Center for Health Care Strategies Reports

CHCS Brief: Design Considerations for Nursing Facility Quality Improvement Initiatives in Medicaid Managed Long-Term Services and Supports Program, August 2017

https://www.chcs.org/resource/design-considerations-nursing-facility-quality-improvement-initiatives-medicaid-managed-long-term-services-supports-programs/

 

CHCS State Update: MLTSS Fact Sheet

https://www.chcs.org/resource/medicaid-managed-long-term-services-supports-programs-state-update/

 

3:00pm – 4:00pm         

Interactive Learning Breakout Tracks (concurrent sessions)

 

Track A:  Caring for Complex Frail Elders: Exploring Models that Work

 


Track B: Potential for Partnerships with Housing/LTSS/and Health Plans for Low-income Adults

Moderator

Larry Atkins, Executive Director LTQA

Panelists

 

 

4:15pm – 5:15pm         

Track C: Aligning Services for Persons with Complex Medical and Behavioral Health Needs

                                   

Track D: Understanding the Role of Nursing Homes in Serving SNP

Enrollees

 

Friday, November 3, 2017

 

8:45am – 9:45am          

Panel: Improving Health Equity: Short- and Long-Term Solutions

Moderator

Deborah Paone, DrPH, MHSA, Policy Consultant and Performance Evaluation Lead to SNP Alliance

Panelists

  

http://snpalliance.org/media/1107/2017-snp-alliance-position-on-ma-stars_accounting-for-sdoh-and-dual-characteristics_october23.pdf

SNP Alliance Position Statement: Accounting for Beneficiary Characteristics (Social Determinants of Health, Disability Status, Functional Status) in MA Star Ratings, November 2017 

  

https://www.cms.gov/About-CMS/Agency-Information/OMH/OMH_Dwnld-CMS_EquityPlanforMedicare_090615.pdf

CMS Equity Plan for Improving Quality in Medicare. Centers for Medicare & Medicaid Services. Office of Minority Health September 2015

 

https://aspe.hhs.gov/system/files/pdf/253971/ASPESESRTCfull.pdf

Title: Report to Congress: Social Risk Factors and Performance Under Medicare’s Value-Based Purchasing Programs

Author: Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services

Date: December 21, 2016

 

http://www.nationalacademies.org/hmd/Reports/2017/accounting-for-social-risk-factors-in-medicare-payment-5.aspx

Title: Accounting for Social Risk Factors in Medicare Payment (Final of 5 Reports)

Author: Ad Hoc Committee on Accounting for Socio-Economic Status in Medicare Payment Programs, National Academies of Sciences, Engineering, and Medicine Date: January 10, 2017

 

http://www.qualityforum.org/Publications/2017/09/A_Roadmap_for_Promoting_Health_Equity_and_Eliminating_Disparities__The_Four_I_s_for_Health_Equity.aspx

A Roadmap for Promoting Health Equity and Eliminating Disparities: The Four I’s for Health Equity 

National Quality Forum, 2017

 

http://www.qualityforum.org/Disparities_Project.aspx

Disparities Guide, National Quality Forum, 2017

 

https://www.cms.gov/About-CMS/Agency-Information/OMH/Downloads/Health-Disparities-Racial-and-Ethnic-Disparities-by-Gender-National-Report.pdf

Racial and Ethnic Disparities by Gender in Health Care in Medicare Advantage, CMS, April 2017

 

9:45am – 10:45am      

Aligning LTSS and SNP/MMP Performance Measurement and Standards

Moderator

Deborah Paone, DrPH, MHSA, Policy Consultant and Performance

Evaluation Lead to SNP Alliance

http://snpalliance.org/media/1075/paone-improving-health-equity-panel-facilitation-nov-3.pptx

 

Panelists

 

 

http://www.qualityforum.org/Publications/2017/08/Promoting_Integrated_and_Coordinated_Care_that_Addresses_Social_Risk_for_the_Dual_Eligible_Beneficiary_Population,_2017.aspx

Title: Promoting Integrated and Coordinated Care that Addresses Social Risk for the Dual Eligible Beneficiary Population

National Quality Forum, Dual Eligible Beneficiaries Workgroup

Date of Publication: AUG 2017

 

http://www.qualityforum.org/Publications/2017/03/Maximizing_the_Value_of_Measurement__MAP_2017_Guidance.aspx

Maximizing the Value of Measurement: MAP 2017 Guidance

National Quality Forum, March 2017

 

https://www.qualityforum.org/Publications/2017/09/Medicaid_Innovation_Accelerator_Project_Final_Report.aspx

Title: Medicaid Innovation Accelerator Project: Final Report

Author: National Quality Forum, Medicaid Innovation Accelerator Project Coordinating Committee

Date: September, 2017

Organization/Publisher: National Quality Forum

 

http://www.qualityforum.org/Publications/2016/09/Quality_in_Home_and_Community-Based_Services_to_Support_Community_Living__Addressing_Gaps_in_Performance_Measurement.aspx

Title: Quality in Home and Community –Based Services to Support Community Living: Addressing Gaps in Performance Measurement

Author: National Quality Forum, Home and Community Based Services Committee

Date: September, 2016

 

https://www.chcs.org/resource/state-trends-delivery-medicaid-long-term-services-supports/

Title: State Trends in the Delivery of Medicaid Long-Term Services and Supports

Funder: The SCAN Foundation

Author: Brianna Ensslin and Alexandra Kruse, Center for Health Care Strategies

July 2016 | Brief

 

https://www.kff.org/medicaid/fact-sheet/measuring-long-term-services-and-supports-rebalancing/

Title: Measuring Long-Term Services and Supports Rebalancing

Date: Feb 02, 2015 

Author: MaryBeth Musumeci

Organization/Publisher: Kaiser Family Foundation

 

https://www.medicaid.gov/medicaid/section-1115-demo/downloads/evaluation-reports/eval-dsgn-mltss.pdf

Managed Long-term Services and Supports, Interim Outcomes Evaluation

Medicaid 1115 Demonstrations, Evaluation Design Plan

Libersky, J., Liu, S., Ruttner, L, Collins, A., Gellar, J., and Irvin, C.

Mathematica Policy Research, Inc. June 2017

 

https://www.mathematica-mpr.com

Medicaid Managed Long Term Services and Supports: Themes from Site Visits to Five States

Mathematica Working Paper#44, March 2016

 

https://www.medicaid.gov/medicaid-chip-program-information/by-topics/delivery-systems/downloads/mltss-summary-elements.pdf

Summary: Essential Elements of Managed Long Term Services and Supports Programs

CMS, 2013

 

https://www.kff.org/medicaid/report/medicaid-and-long-term-services-and-supports-a-primer/

Medicaid Long Term Services and Supports: A Primer

 Kaiser Family Foundation, 2017

 

11:00am –12:00pm        KEYNOTE CLOSING SESSION:

Using Quality Measurement to Drive Change

Shantanu Agrawal, MD, President & CEO, National Quality Forum

http://snpalliance.org/media/1105/snp-alliance-presentation-11-3-17_final.pptx