MEDICARE RISK-ADJUSTMENT SEMINAR
Developing the Strategies, Systems, Data and Partnerships to Effectively Optimize Your Plan for Medicare’s Risk-Adjusted Payment System
May 24nd, 2006, Minneapolis, MN
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An in-depth seminar designed for Medicare Advantage (MA) contractors, this program will help you successfully navigate the new risk-adjusted payment system. Seminar topics include:
  • Ins & outs of the risk-adjusted payment system for Medicare Advantage contractors
  • Optimizing the risk-adjusted payment system for your plan
  • Identifying and selecting for well-compensated disease states
  • Pricing & enrollment strategies to fulfill your objectives
  • Specific requirements for SNP contractors, potential benefits of offering an SNP, and associated risks
  • Implications of CMS’ "budget neutrality" rule on risk adjustment
  • Effectively caring for members with severe health problems
    • Assessing Special Needs Plans product offerings
    • Advances in predictive modeling
    • Effective disease management programs
  • Working with providers to ensure proper coding of “hierarchical coexisting conditions” (HCC)
  • Retrospective payment recoveries
  • And much more!
Seminar Leadership

John Gorman, President and CEO
GORMAN HEALTH GROUP, LLC

Rick Bowles, Senior Consultant
GORMAN HEALTH GROUP, LLC

Stephen Wood, Principal
REDEN & ANDERS, LTD.

Stephen Jackson, Managing Director
PLAN DATA MANAGEMENT, INC.

Diane Laurent, Senior Vice President
DXCG, INC.

Chris E. Stehno, MBA, Healthcare Management Consultant, Denver Health Practice
MILLIMAN, INC.

Who Will Attend?
Medicare Advantage plans and Part D providers, including:
  • CEOs
  • Chief Financial Officers
  • Chief Medical Director
  • Actuaries / Chief Health Actuaries
  • Director, Compliance
  • Director, Disease Management
  • Director, Finance
  • Director, Government Programs
  • Director, Healthcare Economics
  • Director, Medical Management
  • Director, Medicare
  • Director, Regulatory Affairs
  • Director, Risk Management
In addition, this seminar will be of interest to executives from predictive modeling firms, disease management firms, and pharmaceutical firms, along with healthcare industry attorneys and consultants.

Top Reasons to Attend
  • Move beyond buzz and guesswork to learn how to assess whether an SNP is right for your plan
  • Meet the changes to Medicare reimbursement head-on with strategies, plans and tactics straight from the experts
  • Learn how to use clinical information to better manage, finance and administer services
  • Explore the implications of CMS’ "budget neutrality" rule on risk adjustment
  • Garner management buy-in with hands-on tools that will actuarially predict the economic outlook for your plan
  • Discover how to recover lost payments retroactively
  • Get the full picture on the strategic importance of the new risk-adjusted system, and learn how to best help your firm act on this powerful information
  • Learn how predictive modeling allows payers to stratify their insured populations and identify plan members who will drive future medical costs
  • Discover advanced applications of various types of predictive models for case management, disease management, and pricing
  • Understand how accurately coding diagnoses can impact your bottom line while increasing opportunities to manage quality of care
  • Analyze how consumer datasets and new predictive modeling techniques are being implemented to fill the holes in current underwriting processes
  • And much more!

Don't miss out on registration: If you are not ready to register today and need a reminder at a later date, click here.

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MEDICARE OPERATIONS
Streamlining Your MAPD and PDP Programs for Success in this Competitive Marketplace
June 28th - 29th, 2006
Hyatt Regency, Bethesda, MD
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Why attend Medicare Operations

Learn how to better navigate the operations and compliance issues facing all Part D plans. Attendees will focus on:
  • Maintaining compliance with CMS
  • Financial reporting issues facing all PDPs
  • Getting beneficiaries into the plan system
  • Effectively managing a call center
  • Optimizing revenue recovery from Medicare
  • Meeting the goals and objectives of CMS
  • Coordination and communication with pharmacies
  • Working with your pharmacy benefit manager
  • Coordination of benefits
  • Serving the dual eligible population
  • Marketing after the enrollment period
Featuring: Chairperson, Stephen Wood, REDEN & ANDERS, LTD.

Hear from other key players in the industry!

Cynthia Tudor, CENTERS FOR MEDICARE AND MEDICAID SERVICES
Vikki Oates, M.A.S, CENTERS FOR MEDICARE AND MEDICAID SERVICES
Judith A. Geisler, R.Ph, CENTERS FOR MEDICARE AND MEDICAID SERVICES
Jason Israel, CHCS SERVICES, INC
Michele Vilaret, NATIONAL ASSOCIATION OF CHAIN DRUG STORES
Pritpal S. Virdee, EXPRESS SCRIPTS
Ed Fischer, MEDCO HEALTH SOLUTIONS, INC
Glenda S. Owens, R.Ph, M. HA, CDM, PACIFICARE SENIOR SOLUTIONS
Rick Bowles, GORMAN HEALTH GROUP,LLC
Bill Thompson, MILLIMAN, INC
Stephen Zeger, HERITAGE HEALTH PLANS
Michael Montijo, M.D., MPH, FACP, HEALTHWAYS
Stephen Jackson, PLAN DATA MANAGEMENT, INC
Robert J. Hill, REED SMITH, LLP
Rob McGinley, PLAN DATA MANAGEMENT, INC
Sandra Brownstein, PharmD, CGP, SENIORCARE STRATEGIES, LLC
Sherman Rogers, FINELIGHT
Mary Jo Carden, RPh, Esq., CARDEN ASSOCIATES
Cyndi Sparks, SCRIPTSAVE
Katherine K. Pokrzywa, CENTERS FOR MEDICARE AND MEDICAID SERVICES
Jill Spencer, HUMANARC
John A. Goodman, TARP

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WINNING STRATEGIES FOR DELIVERING A COMPETITIVE HSA PRODUCT
Innovations in Partnerships, Product Features, and Integration
July 17th, 2006
Hilton Back Bay, Boston, MA
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Leading players are developing capabilities and establishing strategic relationships to seize the HSA Opportunity. The time for making strategic choices is now!

Are you developing and implementing a focused strategy to exploit key trends and prepare for the next phase of growth?

Grown from the very popular FRA Annual Health Savings Account Summit we are very proud to offer our latest in Consumer Driven Health Care education:
Winning Strategies for Delivering a Competitive HSA Product.

This event is a unique opportunity to learn the strategies needed to make certain that your enterprise adapts to a rapidly evolving healthcare payment landscape while remaining compliant.

Join us in Boston to hear the latest innovations in product features, partnerships and integration from a top notch speaking faculty that includes the most successful financial institutions, health plans, payment processors and administrators around!

Learn From Leading Organizations On Delivering A Competitive HSA Product That Satisfies Consumers', Employers', and Providers' Demands:

Crafting and Executing The Right Partnership Strategy
         BLUE CROSS AND BLUE SHIELD ASSOCIATION (CHARTER A BLUES
         BRANDED BANK)
         EXANTE FINANCIAL SERVICES (UNITED HEALTHCARE GROUP’S
         SUBSIDIARY BANK)
         HSA BANK, A DIVISION OF WEBSTER BANK, N.A.
         DIAMONDCLUSTER INTERNATIONAL , INC

Remaining Compliant In a Shifting Regulatory Landscape
         AMERICAN BANKERS ASSOCIATION
         ALSTON & BIRD, LLP

Integrate Investment Options Into Your HSA Product: Expanding and Redefining Product Offerings
         FIDELITY
         CHARLES SCHWAB
         VANGUARD
         HEALTH SAVINGS ADMINISTRATORS
         FINANCIAL RESEARCH CORPORATION

How Mutual Funds Are Selected For an HSA Investment Option
         DISCOVERY BENEFITS, INC.
         US BANKCORP
         ALLIANCE BENEFIT GROUP
         DEVENIR

Evaluating The Evolution of the Consumers’ Payment Experience: Best Practices In Transaction Processing and Payment Integration
         MBI
         KAISER PERMANENTE
         DIAMONDCLUSTER INTERNATIONAL, INC

Marketing Strategies to Win and Keep the HSA Customer
         BANK OF AMERICA
         REDEN & ANDERS, LTD
         CONSUMER DRIVEN MARKET REPORT

Developing Efficient Business Operations between Payors and Financial Institutions: Hear From Leading Health Plans On What Makes a Good Partner
         HUMANA, INC
         AETNA, INC.
         HARVARD PILGRIM HEALTH CARE
         CIGNA
         MERCER HEALTH BENEFITS

You Will Learn How To:
  • Establish strategic partnerships
  • Structure the optimal business model
  • Manage claim and payment flow between payers, financial institutions, and providers
  • Overcome practical challenges to provide real-time adjudication of claims
  • Develop an interoperable payment and processing backbone
  • Remain compliant in an evolving regulatory landscape
  • Manage and increase investment options
  • Increase consumer access to information and decision making tools
  • Objectively evaluate your current HSA offering against consumer demands and competitive offerings
  • Marketing strategies to capture HSA assets, transaction and account management fees


This Conference is Designed For:

Financial institutions, banks, custodians, mutual funds, full service brokerages, credit unions, money management firms, TPAs, financial advisors, card issuers, payment processors, technology solution providers, consultants and health plans


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REACHING, RETAINING AND SERVING LOW INCOME BENEFICIARIES
July 31st - August 1st, 2006
Hyatt Regency, Bethesda, MD
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SPECIAL FOCUS:
Medicare SNPs for Dual Eligibles and Chronic Care!


Why Attend Reaching, Retaining and Serving Low Income Beneficiaries?


Reaching and serving the low-income and dual eligible market is a challenging task, yet many health plans and prescription drug plan contractors are seeking to penetrate this large and potentially profitable market. How can you boost your firm’s chances for success in this complex area?

Financial Research Associates' conference on Reaching, Retaining and Servicing Low Income Beneficiaries, slated for July 31-August 1 at the Hyatt Regency, Bethesda, will showcase experts in a variety of areas to show you:
  • Understand the characteristics of the low income population and how to tailor your marketing program to reach them
  • Demystify the special retention issues affecting this population...and what to do about them
  • Learn from the experiences of SNPs to date
  • Unravel the complex operational issues inherent in dealing with the low income beneficiary, including differences in serving the dual eligible, partial- dual eligible, and low income member.
  • Dissect the intricacies of the risk-adjusted payments system
  • Hear from four States about their efforts to integrate Medicare and Medicaid
  • Determine the risks and benefits of serving the neediest population
  • Prepare effectively for the next round of bidding
  • Determine the financial feasibility of establishing a chronic care SNP
  • Understand the unique issues in serving the low income institutional population
  • Determine the rules and expectations of the Low Income Subsidy
  • Clarify co-payment issues for different eligibility levels
  • Explore the issues inherent in the interaction between SNPs and long-term care pharmacies
Featured Speakers Include:


Jill Spencer, HumanArc Corp.
David A. Pizzi, BlueCross and BlueShield of Florida
Gary Jacobs, Universal American Financial Corp.
Gregory Scott, Deloitte Consulting
Debra Lipson, Mathetmatica Policy Research, Inc.
John Lovelace, UPMC
Mark R. Meiners, George Mason University
John K. Gorman, Gorman Health Group, LLC
Pamela Parker, Minnesota Department of Human Services
Pamela Coleman, Texas Health and Human Services Commission
Alice Lind, Washington State
Diane Flanders, Massachusetts Office of Long-Term Care
Stephen Wood, Reden & Anders, LTD
Jeannine Powell, Beverly Healthcare
Holly Michaels Fisher, Wellcare Health Plans, Inc.
Tom Coble, SelectCare of Oklahoma
James M. Verdier, Mathematica Policy Research, Inc.
Joel Hoffman, Reden & Anders, LTD

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