Medicaid 101: A Primer on the Medicaid Landscape
Sunday, Sept. 301:00 pm to 5:00 pm
Medicaid is an incredibly complex program, with wide state variation in structure, benefits, payments, and policies. Even experts lack a complete understanding of how the program works in each of the 50 states and Washington, DC.
That’s why HMA is offering a special Pre-Conference Workshop Medicaid 101: A Primer on the Medicaid Landscape. During this interactive workshop, HMA consultants will provide attendees with an understanding of the basic building blocks of Medicaid and an update on the changing landscape for Medicaid programs and policies.
The workshop will help lay the groundwork for the more intense discussions to follow at the broader HMA Conference on Oct. 1-2.
A Primer on the Medicaid Landscape will cover the basics on
Medicaid waivers and State Plan Amendments, including Section 1115 Demonstration Waivers, 1915(c) Home and Community Based Services Waivers, 1332 State Innovation Waivers, and more.
Medicaid managed care, including an understanding of the procurement process, rate setting, penetration of managed care versus fee-for-service, optional versus mandatory services, and the growing role of health plans in covering vulnerable populations.
Delivery system reform and practice transformation initiatives, including the basics on Delivery System Reform Payment (DSRIP) Program, Accountable Care Organizations, behavioral health integration, telemedicine, medical homes, social determinants of health, and person-centered care.
Payment and funding models, including the basics on existing Medicaid models, value-based payments, risk-sharing, per-capita caps, block grants, and more.
Other topics to include updates on the Affordable Care Act, Medicaid expansion, Medicaid work requirements, rebalancing, dual eligibles, and managing risk.
Who Should Attend?
Individuals with a basic or general understanding of Medicaid and Medicaid managed care and who are interested in filling in gaps and strengthening their understanding of the current Medicaid landscape.