Please note you must add a minimum of one webcast during the session selection to participate.
The 2020 Health Meeting Webcast Series features ten days of ten Health tracks, allowing attendees to create their own Health Meeting experience by mixing and matching which days and webcasts fit their professional development needs.
Choose from up to three webcasts starting at $144 per webcast with discounts for each additionally purchased webcast.* Buy all three and the third webcast is free! (*Please note discounts are only by webcast purchase within the designated day. No discounts are applied for purchase of multiple dates).
Discounts will be applied at the end of your checkout.
Register for Day 6: Medicaid
Professionalism for the Medicaid Actuary
11:00 am – 12:15 pm ET
Moderator: Stephanie Williams, FSA, MAAA
Presenters: Mark Blessinger, FSA, MAAA, Christina Mytelka, FSA, MAAA, Sudha Shenoy, FSA, MAAA, CERA, Stephanie Williams, FSA, MAAA
As Medicaid actuaries (consulting, MCO or state) we can experience daily challenges that test our professionalism and ethics. This session will present real-life situations in which Medicaid actuaries can find themselves and through online polling, allow the audience to help determine how to handle the situation and still obey the AAA Code of Professional Conduct. Panelists will also discuss each situation and provide their thoughts on appropriate professional behavior in each case.
Medicaid - Oregon’s CCO 2.0
1:00 pm – 2:15 pm ET
Presenters: Will Clark-Shim, FSA, MAAA, EA, Jessica Grado, Marilyn McGaffin, ASA, MAAA
The Oregon Health Plan (Oregon's Medicaid Program) is being widely reformed in a process the state calls “CCO 2.0,” which is the second round of contracts for coordinated care organizations (CCOs), which deliver care to the vast majority of the state’s Medicaid members. In this session, the changes being made to rating structure, financial regulation regarding value-based care, social determinants of health and health-related services will be described. Many of these changes are way ahead of other states. The goals that Oregon is hoping to achieve will be described, along with how program changes will be implemented and tracked, and how these changes fit in with federal goals being set for Medicaid. How these changes are being delivered and received by the CCOs will be represented by three actuarial perspectives: the state, the consulting actuary for the state and an in-house CCO actuary.
Impact of Behavioral Health Long Acting Injectables (LAIs) on Medicaid Member Cost
3:00 pm – 4:15 pm ET
Presenters: Rylan Austin, FSA, MAAA, Carole Maytas, VP, SMI Operations
A multi-year study on how Behavioral Health Long Acting Injectables (LAIs) impact cost for adult Medicaid Members in multiple states. This session will discuss the changes in cost and utilization between Pharmacy, Medical and Behavioral Health services. Additionally, clinical benefits of LAIs and real life stories of how LAIs impact members will be discussed.
At the conclusion of the session, attendees will be able to describe what a Long Acting Injectable (LAI) is, explain its intended use, evaluate potential cost and utilization impacts for adult Medicaid Members utilizing LAIs and describe member benefits when utilizing LAIs.