Medicare Special Needs Plans Educational Conference

Managed by the National Committee for Quality Assurance  
CMS Contract No. HHSM-500-2006-00060C

Welcome & Opening Remarks

Margaret E. O’Kane, President, NCQA
Heidi Arndt, Director, Division of Special Programs, Medicare Drug and Health Plan Contract Administration Group, Center for Drug and Health Plan Choice, Centers for Medicare & Medicaid Services

Listen Here: Opening Remarks

Overview of SNP 2009 Performance Results

Phyllis Torda, Vice President, Strategy and Quality Solutions Group, NCQA

Session Objective:
• Overview of SNP 2009 performance on HEDIS® and SNP Structure & Process measures

Listen here: Part 1
Listen here: Part 2
Listen here: Part 3

Improving Quality and Safety Through Managing Care Transitions

Eric Coleman, MD MPH, Professor of Medicine within the Divisions of Health Care Policy and Research and Geriatric Medicine at the University of Colorado, Denver (recording and slides not available)
Moderator: Phyllis Torda, Vice President, Strategy and Quality Solutions Group, NCQA

Session Objective:
•     Review importance of managing care transitions

Best Practices Presentations - Care Transitions

Sarah Bellefleur, MSW, Corporate Development Analyst, SCAN Health Plan
Deborah Wheeler, Director of Quality Improvement, Health Plan of Nevada
Candace Ryan, BSN, CHPQ, Quality Improvement Program Manager, Health Net of California and Jenny Anderson, Health Net of California
Moderator: Cheryl Phillips, MD, CMD, Chief Medical Officer, On Lok

Session Objective
• Review best practice examples from plans

Focus on Institutional SNPs

Jean Foltin, RN, BSN, Vice President, Health Services, Fidelis SecureCare
Moderator: H. Scott Sarran, MD, Chief Medical Officer, Blue Cross Blue Shield of Illinois

Session objectives:
• Review a best practice example
• Discuss opportunities and importance of collaboration between institutional SNPs and facilities

Conference Slides
Listen here: Part 1
Listen here: Part 2

CMS Speakers

Danielle Moon, Acting Director, Medicare Drug and Health Plan Contract Administration Group, Centers for Medicare & Medicaid Services

Conference Slides
Listen here: Part 1
Listen here: Part 2

Integrating Medicare and Medicaid Benefits

Mary Kennedy, Director of Medicare, Association for Community-Affiliated Plans
Conference Slides

Pamela Parker, Manager of Special Needs Purchasing, Minnesota Department of Human Services
Conference Slides

Moderator: Heidi Arndt, Director, Division of Special Programs, Medicare Drug and Health Plan Contract Administration Group, Center for Drug and Health Plan Choice, Centers for Medicare & Medicaid Services

Session Objectives
• Discuss the goals of integrating Medicare and Medicaid benefits
• Discuss potential barriers and opportunities for overcoming barriers
• Review relationship to MIPPA requirements concerning integration 

Listen here: Part 1
Listen here: Part 2
Listen here: Part 3
Listen here: Part 4
Listen here: Part 5

Best Practices Presentations - Medicare/Medicaid Integration

Robert J. Master, MD, President & CEO, Commonwealth Care Alliance
Conference Slides
Listen here: Part 1
Listen here: Part 2

Ghita Worcester, Senior Vice President of Public Affairs and Marketing, UCare
Conference Slides

Listen here: Part 1
Listen here: Part 2

Carmen Alexander, Corporate Director of Medicare Operations and Government Contracts, Molina Healthcare (recording not available)
Conference Slides

Linda Iatrou, Director, Quality Management, VNS Choice
Conference Slides
Listen Here: Part 1
Listen Here: Part 2

Moderator: Joyce Dubow, Senior Advisor, Office of Policy and Strategy AARP

Session Objective
• Review best practice examples from plans

Methods for Improving Care for Vulnerable Elderly Patients

Neil Wenger, MD, Director, Assessing Care of Vulnerable Elders (ACOVE) project, RAND Corporation; Professor, Division of General Internal Medicine and Health Services Research, University of California, Los Angeles; Director, UCLA Healthcare Ethics Center (recording and slides not available)
David Martin, MD, National Medical Director, Evercare (recording and slides not available)
Moderator: H. Scott Sarran, MD, Chief Medical Officer, Blue Cross Blue Shield of Illinois

Session objectives:
• Discuss opportunities for improving the care of vulnerable elderly