2009 in Long Beach: All Aboard! Destination: Health Reform


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Oct 6, 2009, 10:00am – 11:30am

Expanding Newborn Screening: Issues That Influence State Decisions
As the list of nationally recommended newborn screenings continues to grow, health departments are called to do more with increased costs. How do states make decisions about what they will cover? What are the ethical, scientific, and legal issues they consider? Where will states find funding for testing as well as support for treating identified conditions? Will state advisory group recommendations be included, and how do these recommendations shape state benefit packages?

Speakers: Carrie Bridges
Jane Getchell
R. Rodney Howell
Sylvia Mann Au

Coordinating Community Care and Navigating Passages between Home and Hospitals
Increasing attention is being placed on coordinating care for persons with multiple chronic and long term care needs. Medicare chronic care demonstrations have highlighted challenges to successfully coordinating community care and decreasing hospitalizations. However, evaluations of these efforts have also identified key elements that produced positive outcomes. These will be presented along with the experiences of two states that have strengthened their case management systems to improve coordination of long term supports and reduce use of hospital and nursing facility care.
Speakers: Dann Milne
PDF-icon Catherine Ivy
PDF-icon Alan Stevens
PDF-icon Deborah Peikes
Improving Managed Care Quality and Accountability Using State Regulatory Strategies
Most states now contract with managed care plans to provide Medicaid services for many Medicaid beneficiaries. How can state regulatory agencies and Medicaid agencies work together to get the most from their health care dollars? What tools can regulators employ to help states monitor the activities of managed care plans? We will look at regulatory strategies that states can use to improve quality, coordinate care, and improve health outcomes.
Speakers:PDF-icon Cheryl Roberts
Amal Abu-Rahma
PDF-icon Bruce Johnson
PDF-icon Stacy Mitchell
Partnering with the Private Sector in State Medical Homes Initiatives
Successful state medical home initiatives have all involved public-private partnerships in order to change behavior and practices at the consumer, provider, and payer level. This session will look at different state models that explore how partnerships formed and the critical factors for success including how to use payment incentives to drive change. Examples from states will include Oklahoma, which through extensive provider outreach and input has developed medical home criteria that they hope will inform private sector participation; Rhode Island, which through partnerships with health plans and physicians is seeking to change provider behavior; and Pennsylvania, which through partnerships with commercial payers is seeking to penetrate the entire state to spur access to high functioning medical home practices.
Speakers: Ann Torregrossa
PDF-icon Christopher Koller
Rebecca Pasternik-Ikard
PDF-icon Lynn Mitchell
Autism Screening and Coverage: A Wave of New State Initiatives
Over the past several years, coverage and treatment of autism has been a
hotly debated. This session will begin by highlighting the challenges
inherent in timely screening and treatment of Autism Spectrum Disorders
(ASD) and an overview of how states are covering and providing services
to the ASD population. The session will also highlight Pennsylvania’s
1915 (c) waiver program for adults with autism, as well as Wisconsin’s
and Florida’s experience with costs and coverage issues related to state
insurance mandates for autism treatment and the impact on state
Medicaid programs.
Speakers:PDF-icon Beth Wroblewski
Ellen Blackwell
PDF-icon Paul Shattuck
Phyllis Sloyer
PDF-icon Pia Newman

Oct 6, 2009, 1:30pm – 3:00pm

All Over the Map: A Variety of State Approaches to Coverage
Over the years, states have used many different approaches to increase coverage. Some states have expanded coverage through Medicaid Section 1115 waivers, and others have relied entirely on state funds to finance expansions. Some expansions use the Medicaid delivery system while others rely on employer-sponsored insurance and use a premium assistance model. This session will examine some recent state efforts to expand coverage, as well as check-in with older efforts to see how they are faring. Have these approaches been successful? What is the impact of potential federal health care reforms on state efforts to cover the uninsured?
Speakers:PDF-icon Jane Beyer
PDF-icon Jeanene Smith
PDF-icon Rebecca Pasternik-Ikard
PDF-icon Stephani Ryan
Non-Profit Hospitals: Earning their Tax-Exempt Status
The session addressed the growing scrutiny on the behavior of non-profit hospitals to deliver indigent (charity) care in order to retain tax-exempt status under state law. In this challenging fiscal environment, more states are questioning whether non-profit hospitals are meeting their obligations to indigent and uninsured patients in order to justify the substantial state and local taxes that are exempted from collection. Many states now are moving to legislate standards on hospitals’ financial assistance (charity care) policies, credit and collections policies, and attaching statutory and regulatory conditions on state and local tax-exempt status. This session will address a range of policy implications, including the relationship between indigent care and Medicaid coverage expansions; trends in state legislation; new state and federal financial reporting requirements to ensure that non-profit hospitals are meeting their obligations to indigent patients; and it will take an in-depth look at how states are overseeing hospital charity care requirements.
Speakers: Carrie Bridges
PDF-icon Charles Milligan
Donna Folkemer
Keith Hearle
Supporting Complex and Long Term Care Needs in the Medical Home Model
Originally designed as a way to organize primary care, current policy discussions are examining ways medical homes can be a vehicle for improving care for persons with complex and/or long term health care needs. This session will examine what adaptations need to be made to the original medical home model to best meet the needs of persons with complex or long term health care needs, as well as how medical homes addressing chronic care can coordinate with case managers and long term services and supports.
Speakers:PDF-icon Jeff Hanson
PDF-icon Jeff Schiff
PDF-icon Monica Deignan
PDF-icon Susan Besio
The Role of Public Health in an Evolving Health Care System
As the nation focuses on health care reform at both state and national levels, there is a window of opportunity for states to consider how public health agencies can restructure their missions. States will be able to re-examine their operations to both contribute to and take advantage of efforts to improve health system strategies to address disease prevention and health outcomes improvement. During this session, public health experts from several states will describe how they are creating an interface between the public health and health delivery system to include population based health strategies.
Speakers:PDF-icon Christopher Atchison
Mark Horton
Paul Jarris
PDF-icon Tom Newton

Oct 6, 2009, 3:30pm – 5:00pm

Integrating Health and Long Term Care Services with Special Needs Plans
Special Needs Plans can help states integrate the delivery of health and long term care services to persons eligible for both Medicare and Medicaid. This session will present findings from a forthcoming study conducted by AARP on the role Special Needs Plans can play in coordinating services for dually eligible individuals. In addition, two states leading innovations in managed long term care will discuss their approaches.
Speakers:PDF-icon Susan C. Reinhard
PDF-icon Barbara Edwards
PDF-icon Pamela Parker
Tricia Leddy
PDF-icon Carolyn Ingram
A Tornado, a Flood and an Epidemic Walk into a Bar: Coordinated Multi-Agency Disaster Planning
In light of recent state emergencies (i.e., the North Dakota floods, salmonella, pandemic flu), this session will focus on how states reach across jurisdictional boundaries to plan for effective multi-agency disaster response. Speakers will share lessons learned from 1997’s floods, Minnesota’s meningitis outbreak, and other disasters that informed interagency planning and preparation and were applied to improved response to the 2009 floods. Examples will include Minnesota and North Dakota’s collaborations among health and public health agencies, emergency management, social services and planning across state and tribal boundaries, as well as how lessons from 2009 will improve future planning.
PDF-icon David Sprynczynatyk
Judy Lee
PDF-icon Vicki Kunerth
Increasing Access to Dental Care for Children
Speakers:PDF-icon Joseph Flores
PDF-icon Mark W. Casey
PDF-icon Michael Scandrett
Pilot Boats: Massachusetts, Maine, and Vermont Leading the Way to Health Reform
Speakers:PDF-icon Sarah Iselin
PDF-icon Scott Leitz
Trish Riley
Susan Besio

Oct 7, 2009, 8:30am – 10:00am

Using Information Technology to Improve Care Coordination for Children
Speakers: Angela Dombrowicki
Ed Schor
Katherine Bradley
PDF-icon William Hollinshead
Models of Primary Care and Behavioral Health Integration in Community Health Systems
Speakers: Angela Herman
PDF-icon Christi Granstaff
PDF-icon Donald L. Weaver
PDF-icon Dorn Schuffman
Harvey Licht
Virginia Trotter Betts
Using Wellness Programs to Contain Costs and Improve Health Outcomes
Speakers:PDF-icon Joan Kapowich
PDF-icon Mikel Gray
PDF-icon William Ashmore
Long Term Care and Chronic Care Issues in Federal Health Care Reform
Speakers:PDF-icon Donna McDowell
PDF-icon Kathy Leitch
Anne Montgomery
PDF-icon Bruce Allen Chernof
PDF-icon JoAnn Lamphere

Oct 7, 2009, 10:30am – 12:00pm

Tying the Knot between States and Special Needs Plans
Speakers: Brian Burwell
PDF-icon Pamela Parker Alan Schafer
Heidi Arndt
PDF-icon Paul J. Saucier
CHIPRA Implementation: A Review of New Provisions and a Status Report by States
Speakers: Anita Smith
PDF-icon Cathy Caldwell
Lesley Cummings
Russell Frank
PDF-icon Sarah deLone
Making Mental Health Evidence Based Practices Work for Medicaid Beneficiaries
Speakers: MaryAnne Lindeblad
PDF-icon Danna Mauch
PDF-icon Marie Di Bianco
Steve Reeder
Engaging Consumers in Health Care Decisions

Speakers: Richard Figueroa

Leah Hole-Curry
PDF-icon Marilyn Schlein Kramer
Marsha Regenstein