Agenda
National Academy for State Health Policy 25th Annual State Health Policy Conference
Promoting Excellence Today and Tomorrow
October 15-17, 2012
Baltimore Waterfront Marriott Hotel
Baltimore, Maryland
Monday, October 15, 2012 Preconference
8:30 AM – 3:30 PM Improving Population Health Outcomes: Creating a Truly Comprehensive Health System
As states seek to reform delivery and payment systems to accomplish the Triple Aim, they are identifying opportunities to integrate clinical and population health approaches. The Affordable Care Act provides momentum for integrating preventive, primary, and hospital-based services through new care models, data integration, and innovative payment approaches. This preconference is designed to help state policymakers across agencies, programs, and branches of government take advantage of significant transitions in health delivery systems by strengthening partnerships and leveraging opportunities to improve population health and reduce more costly interventions.
- Moderator: Christopher Atchison, Clinical Professor, Department of Health Management & Policy; Associate Dean for Public Health Practice, University of Iowa; Director University of Iowa Hygienic Lab
- Mary McIntyre, Assistant State Health Officer, Disease Control and Prevention, Alabama Department of Public Health
- John Auerbach, Commissioner, Massachusetts Department of Public Health
- Anne Barry, Deputy Commissioner, Department of Human Services; Adjunct Assistant Professor, School of Public Health, University of Minnesota
- Abbey Cofsky, Program Officer, Public Health Team, Robert Wood Johnson Foundation
- Bruce Greenstein, Secretary, Louisiana Department of Health and Hospitals
- Paul Halverson, Director and State Health Officer, Arkansas Department of Health
- David Kindig, Professor Emeritus, Emeritus Vice-Chancellor for Population Health Sciences, University of Wisconsin School of Medicine and Public Health
- Robin Lunge, Director of Health Care Reform, State of Vermont, Agency of Administration
- Rebecca Pasternik-Ikard, Deputy State Medicaid Director, Oklahoma Health Care Authority
- Eduardo Sanchez, Vice President and Chief Medical Officer, Blue Cross and Blue Shield of Texas
- Joshua Sharfstein, Secretary, Maryland Department of Health and Mental Hygiene
- Susan Sherry, Deputy Director, Community Catalyst
- Jeanene Smith, Administrator, Office for Oregon Health Policy and Research, Oregon Health Authority
- Paul Wallace, Senior Vice President and Director, Center for Comparative Effectiveness and Research, The Lewin Group
9:00 AM – 3:30 PM State Approaches to Improve Care for Dual Eligibles
Individuals enrolled in both the Medicare and Medicaid programs—the dual eligibles—have the most complex needs of participants in both programs, yet often receive fragmented care. States and CMS are collaborating to develop new service delivery and financing systems to better coordinate the physical health, behavioral health and long term services and supports provided to dual eligibles and improve individual outcomes. This preconference will explore state implementation of several initiatives, most specifically the Demonstration to Integrate Care for Dual Eligible Individuals, as well as the Multi-payer Advanced Primary Care Practice Demonstration, and health homes.
- Tim Engelhardt, Director, Models, Demonstrations and Analytics, Centers for Medicare & Medicaid Services
- Diane Justice, Senior Program Director, National Academy for State Health Policy
- Alice Lind, Senior Clinical Officer, Center for Health Care Strategies
- Renee Markus Hodin, Director, Integrated Care Advocacy Project, Community Catalyst
- MaryAnne Lindeblad, Director, Washington State Health Care Authority
- Paul Saucier, Director, Integrated Care Systems, Truven Health Analytics
- Alan Weil, Executive Director, NASHP
9:30 AM – 3:30 PM Design Matters: A Closer Look at Benefit Design and Health Reform
The Affordable Care Act sets new guidelines for essential health benefits that health plans must provide, but states still face important related decisions in health insurance exchanges and Medicaid. Key questions we will address include: Where have states landed on benchmark plan decisions? What issues remain to be resolved in bringing qualified health plans to life? How can states weave value-based benefit design into their efforts? How might states approach sticky issues like access to oral health, mental health, and rehabilitative and habilitative services?
- Jane Beyer, Interim Assistant Secretary, Aging and Disabilities Services Administration, Washington State Department of Social and Health Services
- Mark Fendrick, Professor, Department of Internal Medicine Department of Health Management & Policy, and Director, Center for Value-Based Insurance Design, University of Michigan
- Robert Hall, Associate Director, Federal Affairs, American Academy of Pediatrics
- Molly Huffstetler, Deputy Director, Virginia Health Reform Initiative, Office of the Governor
- Christopher Koller, Health Insurance Commissioner, Stae of Rhode Island
- Kevin Lembo, State Comptroller, Connecticut Office of the State Comptroller
- Trish Riley, Adjunct Professor of Health Policy and Management, University of Southern Maine; Former NASHP Executive Director
- Nancy Smith-Leslie, Deputy Director, Medical Assistance Division, New Mexico Department of Human Services
- Colin Reusch, Policy Analyst, Children’s Dental Health Project
- Andrea Rosen, Interim Health Plan Management Director, California Health Benefit Exchange
Monday, October 15, 2012
4:00 PM – 5:00 PM Opening Keynote
- Dr. Freeman Hrabowski, President, The University of Maryland, Baltimore County
5:00 PM – 6:30 PM Opening Reception
Tuesday, October 16, 2012
8:30 AM– 9:45 AM Morning Plenary: State Leaders: Steering a Course Toward Tomorrow
- Moderator: Trish Riley, Adjunct Professor of Health Policy and Management, University of Southern Maine; Former NASHP Executive Director
- Bruce Greenstein, Secretary, Louisiana Department of Health and Hospitals
- Mary McIntyre, Assistant State Health Officer, Disease Control and Prevention, Alabama Department of Public Health
- Joshua Sharfstein, Secretary, Maryland Department of Health Mental Hygiene
- Anya Rader-Wallack, Chair, Green Mountain Care Board, State of Vermont
- Norman Thurston, Health Reform Implementation Coordinator, Utah Department of Health Care Finance
10:00 AM -11:30 AM Concurrent Sessions
A. Pay it Forward: Innovative State Payment Reforms
- Moderator/Presenter: Richard Gottfried, Chair, Committee on Health, New York State Assembly
- Anne Gauthier, Senior Program Director, National Academy for State Health Policy
- Sarah Iselin, President, Blue Cross Blue Shield of Massachusetts Foundation, Inc.
- Jeanene Smith, Administrator, Office for Oregon Health Policy and Research, Oregon Health Authority
- Joseph Thompson, Surgeon General, Arkansas Center for Health Improvement, State of Arkansas
B. Developing the Workforce to Support Advanced Primary Care
- Moderator: Paul Halverson, Director and State Health Officer, Arkansas Department of Health
- David Auerbach, Health Economist, RAND Corporation
- Marie Smith, Professor and Assistant Dean, University of Connecticut, School of Pharmacy
- Andrew Wapner, Chronic Disease Medical Director, Healthy Ohio, Ohio Department of Health
C. Straight from the Source: States Highlight their Exchange Progress
- Moderator: Tricia Leddy, Senior Health Policy Advisor, Rhode Island Department of Health
- Cynthia Crone, Director, Health Benefits Exchange Partnership, Arkansas Insurance Department
- Jon Hager, Executive Director, Silver State Health Insurance Exchange
- Rebecca Pearce, Executive Director, Maryland Health Benefits Exchange, Department of Health and Mental Hygiene
D. Policy Levers for Rebalancing Long Term Care
- Moderator: Marc Gold, Special Advisor, Policy and Promoting Independence, Texas Department of Aging and Disability Services
- Barbara Edwards, Director, Disabled and Elderly Health Programs Group, Center for Medicaid, CHIP, and Survey and Certification, Centers for Medicare & Medicaid Services
- Bruce Greenstein, Secretary, Louisiana Department of Health and Hospitals
- Lorrraine Nawara, Deputy Director for Community Integration Programs, Maryland Department of Health and Mental Hygiene
E. Children’s Coverage Now and in the Future: Challenges and Lessons for Reform
- Moderator: Charles Milligan, Deputy Secretary, Health Care Financing, Maryland Department of Health and Mental Hygiene
- Jennifer Ryan, Deputy Director for Policy, Children and Adults Health Programs Group Center for Medicaid and CHIP, Centers for Medicare & Medicaid Services
- Cathy Kaufmann, Administrator, Office of Oregon Healthy Kids, Oregon Health Authority
- Sylvia Lopez, Chief Medical Officer, Oklahoma Health Care Authority
11:45 AM – 1:30 PM Lunch Plenary: 25 Years of State Health Policy: Looking Back, Looking Forward
- Alan Weil, Executive Director, NASHP
1:30 PM – 3:00 PM Concurrent Sessions
A. Aligning State Initiatives to Promote Primary Care Transformation
- Moderator: Christine Collins, Deputy Director, North Carolina Office of Rural Health & Community Care, Department of Health and Human Services,
- Nancy Atkins, Commissioner, Bureau of Medical Services, West Virginia Department of Health and Human Resources
- Thomas Bacon, Executive Associate Dean, School of Medicine and Area Health Education Centers Program Director, University of North Carolina
- Ben Steffen, Acting Executive Director, Maryland Health Care Commission
B. Times are Changing: Evolving Roles in Medicaid Managed Care
- Moderator: Pamela Parker, Manager, Special Needs Purchasing, Minnesota Department of Human Services
- Leonard Finocchio, Associate Director, California Department of Health Care Services
- Mary Kennedy, Vice President for Medicare and Managed Long-Term Care Policy, Association for Community Affiliated Plans
- Patti Killingsworth, Assistant Commissioner, Chief of Long Term Services & Supports, TennCare
C. Finding the Connection: Health Information and Insurance Exchanges
- Moderator: Scott Leitz, Assistant Commissioner of Health Care, Minnesota Department of Human Services
- Hunt Blair, Deputy Commissioner & HIT Coordinator, Division of Health Reform, Vermont Department of Health Access
- William Hazel, Secretary of Health and Human Resources, Virginia
- Patricia MacTaggart, Lead Research Scientist/Lecturer, Department of Health Policy, School of Public Health and Health Services, George Washington University Medical Center
D. Beyond Pay and Chase: State Efforts to Reduce Medicaid Fraud
- Moderator: Joseph Flores, Legislative Fiscal Analyst, Senate Finance Committee, Education and Health Committee, Virginia State Senate
- Kavita Choudhry, Research Manager, States’ Health Care Spending Project, Pew Center on the States
- Louis Elie, Director, Program Integrity, Virginia Department of Medical Assistance Services
- Jennifer Johnson, Staff Director, Health and Human Services, Office of Program Policy Analysis and Government Accountability, Florida Legislature
- Angela Brice-Smith, Director, Medicaid Integrity Group, Center for Program Integrity, Centers for Medicare & Medicaid Services (CMS)
E. Transitions in Care for Children with Complex Health Care Needs: Effective State Approaches
- Moderator: Debra Waldron, Medical Director and Chief Medical Officer, Child Health Specialty Clinics, Health Promotion/Chronic Disease Prevention, Iowa Department of Public Health
- Meg Comeau, Director, The Catalyst Center, Boston University, School of Public Health
- Deb Golding, Adolescent Health Transition Coordinator, Community, Family Health & Equity, Rhode Island Department of Health
- Alfred Romeo, Care Coordinator Specialist, Family Health and Preparedness, Children with Special Health Care Needs, Utah Department of Health
3:30 PM – 5:00 PM Concurrent Sessions
A. Multi-Payer Medical Homes: State Updates and Lessons
- Moderator: Jeanene Smith, Administrator, Office for Oregon Health Policy and Research, Bureau of Oregon Health Authority
- Lisa Letourneau, Executive Director, Maine Quality Counts
- Amanda Roccabruna Eby, Project Administrator, Office of the Commissioner of Securities and Insurance, Montana State Auditor
- Chip Watkins, Medical Director, Community Care of North Carolina
B. Engaging Safety Net Providers in New Medicaid Delivery Models
- Moderator: Christopher Atchison, Clinical Professor, Department of Health Management & Policy; Associate Dean for Public Health Practice, University of Iowa; Director, University of Iowa Hygienic Lab
- Kate Berrien, Program Manager, Pregnancy Medical Home, Community Care of North Carolina
- Larry McReynolds, Executive Director of Lutheran Family Health Centers, Lutheran HealthCare
- Jennifer Vermeer, Medicaid Director, Medical Services, Medicaid, Iowa Department of Human Services
C. Market-Based Reforms that Support Consumer Choice
- Moderator/Presenter: Christopher Koller, Health Insurance Commissioner, State of Rhode Island
- Ron Fontanetta, Practice Leader, Health Group Benefits, Intellectual Capital, Towers Watson
- Norman Thurston, Health Reform Implementation Coordinator, Utah Department of Health Care Finance
- Seema Verma, State Lead for Health Care Reform, Indiana Governor’s Office
D. The Challenge of Churn: Ensuring Continuity in Plans and Providers across Medicaid and the Exchange
- Moderator: Jane Beyer, Interim Assistant Secretary, Aging and Disabilities Services Administration, Washington State Department of Social and Health Services
- Amy Andrade, Director of MassHealth Member and Provider Services, MassHealth, Executive Office of Health and Human Services, Massachusetts
- Stan Dorn, Senior Fellow, The Urban Institute
- Jon Hager, Executive Director, Silver State Health Insurance Exchange
- Brian Haile, Director, TennCare, Tennessee Insurance Exchange Initiative
E. Demonstrations to Integrate Care for Dual Eligibles: Comparison of State Approaches
- Moderator: Rebecca Pasternik-Ikard, Deputy State Medicaid Director, Oklahoma Health Care Authority
- Melanie Bella, Director, Federal Coordinated Health Care Office, Centers for Medicare & Medicaid Services
- MaryAnne Lindeblad, Director, Washington State Health Care Authority
6:00 – 8:00 PM Tuesday Evening Reception
Wednesday, October 17, 2012
7:30 AM – 8:30 AM Breakfast Roundtables
8:30 AM – 10:00 AM Concurrent Sessions
A. Promoting Healthy Child Development: Lessons from 12 Years of ABCD
- Moderator and Presenter: Glenace Edwall, Director, Children’s Mental Health Division, Minnesota Department of Human Services
- Melinda Abrams, Vice President, Patient-Centered Coordinated Care, The Commonwealth Fund
- Marian Earls, Lead Pediatric Consultant, Community Care of North Carolina
B. Medicaid Eligibility 2.0: Rebooting the System
- Moderator: Rebecca Pasternik-Ikard, Deputy State Medicaid Director, Oklahoma Health Care Authority
- Anne Marie Costello, Acting Director, Division of Eligibility, Enrollment and Outreach, Department of Health and Human Services, Centers for Medicare and Medicaid Services
- Casey Erickson, Associate Director of Operations, Utah Department of Workforce Services
- Amy Lapierre, Chief, Family Health Systems, Rhode Island Department of Human Services
C. What is your Benchmark? A Conversation with States about Essential Health Benefits
- Moderator: Christopher Koller, Health Insurance Commissioner, State of Rhode Island
- Heather Howard, Director, State Health Reform Assistance Network and Lecturer in Public Affairs, Princeton University
- Molly Huffstetler, Deputy Director, Virginia Health Reform Initiative, Office of the Governor
- Nancy Smith-Leslie, Deputy Director, Medical Assistance Division, New Mexico Department of Human Services
D. Integrating Behavioral Health and Long Term Services and Supports
- Moderator/Presenter: Catherine Ivy, Deputy Director, Aging and Special Populations, Division of Medicaid, Georgia Department of Community Health
- Marc Gold, Special Advisor, Policy and Promoting Independence, Texas Department of Aging and Disability Services
- David Hughes, Vice President, Human Services Research Institute
10:15 AM – 11:45 PM Concurrent Sessions
A. Using Accountable Care Models to Drive Payment and Delivery System Reform
- Moderator: Cheryl Roberts, Deputy Director for Programs, Health Services and Operations, Virginia Department of Medical Assistance Services
- Laurel Karabatsos, Deputy Medicaid Director, Colorado Department of Health Care Policy and Financing
- Scott Leitz, Assistant Commissioner of Health Care, Minnesota Department of Human Services
- Richard Slusky, Director, Payment Reform, Green Mountain Care Board, Vermont
B. Emerging Issues in Dental Workforce and Coverage Policy
- Moderator: Mary McIntyre, Assistant State Health Officer, Disease Control and Prevention, Alabama Department of Public Health
- Julie Marquardt, Deputy Director, Health Care Purchasing and Service Delivery, Minnesota Department of Human Services
- Colin Reusch, Policy Analyst, Children’s Dental Health Project
- Katherine Weno, Director, Bureau of Oral Health, Kansas Department of Health and Environment
C. A “Waive” of Innovation: Recent Medicaid 1115 Waivers
- Moderator and Presenter: Leonard Finocchio, Associate Director, California Department of Health Care Services
- Lisa Kirsch, Medicaid/CHIP Deputy Director for Healthcare Transformation Waiver Operations and Cost Containment, Texas Health and Human Services Commission
- Victoria Wachino, Director, Children and Adults Health Programs Group, Centers for Medicare and Medicaid Services
D. Community Integration of Individuals with Disabilities: State Responses to the Olmstead Decision
- Moderator and Presenter: Dawn Lambert, Project Director, Money Follows the Person, Division of Health Services, Connecticut Department of Social Services
- Alison Barkoff, Special Counsel for Olmstead Enforcement, Civil Rights Division, U.S. Department of Justice
- James Stewart, Commissioner, Virginia Department of Behavioral Health and Developmental Services
12:00 PM – 1:30 PM Luncheon: All Together Now: The Importance of Public/Private Collaboration
- Moderator: Alan Weil, Executive Director, NASHP
- Richard J. Gilfillan, M.D., Director of the Center for Medicare & Medicaid Innovation (Innovation Center), Centers for Medicare & Medicaid Services
- Andrew Webber, President and CEO, National Business Coalition on Health
1:45 pm – 5:00 pm Mini-conference: Multi-Sector Purchasing Partnerships Promoting Health System Performance (free to all conference participants)
- Moderator: Scott Leitz, Assistant Commissioner of Health Care, Minnesota Department of Human Services
- Douglas Carr, Medical Director, Education and Systems Initiatives, Billings Clinic
- Christine Ferguson, Executive Director, Rhode Island Health Benefits Exchange
- Elena Nicolella, Medicaid Director, Division of Health Care Quality, Rhode Island Department of Human Services
- Frank Johnson, Director of System and Payment Reform, Maine Health Management Coalition
- Christopher Koller, Health Insurance Commissioner, State of Rhode Island
- Harold Miller, President & CEO, Network for Regional Healthcare Improvement
- Lisa Dulsky Watkins, Associate Director, Vermont Blueprint for Health, Vermont Department of Health Access
