Medicare Financing and Product Development Congress

Venue: Loews L\'Enfant Plaza

Location: Washington DC, United States

Event Date/Time: Dec 08, 2003 End Date/Time: Dec 10, 2003
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IIR is proud to present our Medicare Financing and Product Development Congress for Health Plans and Insurance Carriers. The conference is developed specifically for Medicare contractors looking to ensure financial solvency through innovative product development, improved operations, and strategic positioning in an era of reform. Through in-depth analysis of the reform efforts of the Administration and Congress this event provides a foundation for Medicare professionals to overcome operational challenges and leverage the opportunities that arise in the coming year.

The pre-conference workshop on "Conducting a Financial and Operational Feasibility Study to Ensure the Success of your Medicare Program" opens the event. This workshop provides health plans the tools to evaluate the potential of non-HMO alternatives in Medicare+Choice and determine the financial viability of these products in their own market. This is followed by an afternoon pre-conference workshop on " Medicare Pharmacy Management: Formularies, Savings, and Improved Clinical Outcomes". This interactive workshop offers strategies to better manage pharmacy benefits for your elderly populations.

Day One of the Congress, Tuesday, December 9, 2003, begins with opening remarks from our conference chairperson D r. Murray Ross, Director of Health Policy Analysis and Research at Kaiser Permanente Institute for Health Policy. This is followed by a special keynote presentation from an invited representative from the office of the Administrator at CMS titled "Medicare 2004 – Modeling, Reforming, and Restructuring Medicare to Preserve the Financial Well Being of America’s Elderly". This is followed by a series of presentations looking at the impact of a Medicare prescription drug benefit on Medicare Managed Care. This features a stakeholder debate and a presentation on the emerging role of Pharmacy Benefit Managers in Medicare Managed Care. In the afternoon the focus moves to product development strategies to help you determine exactly which health insurance product – or portfolio of products – to offer seniors. The day closes with an interactive panel discussion on CMS demonstration projects, exploring the successes and challenges of different health care delivery models including Medicare+Choice Plans, Social HMOs, PACE, and Evercare.

Day Two, Wednesday, December 10, 2003 opens with a featured presentation from Richard Bringewatt, President & CEO of the National Chronic Care Consortium and Chairman of the Medicare Payment Coalition. Mr. Bringewatt addresses strategies to advance effective approaches to chronic illness in Medicare.

Following this presentation is a special session focusing on preventing non-compliance with pharmaceutical care in the elderly. Our next featured presenter Dr. Joseph Newhouse, the John D. MacArthur Professor of Health Policy and Management at Harvard University provides a special session titled "How Should Medicare Pay for Drugs?". Dr. Newhouse is a renowned health policy expert and is currently a member of MedPAC. His presentation is followed by a series of case studies that aim to help improve your Medicare business’s bottom line. Eric Estes, Vice President of Sales and Product Development with Aetna presents Business Strategies for Managing Rising Prescription Drug Costs and Dr. Cynthia Tudor, Director, Program Analysis and Performance Measurement, CMS presents on Ensuring Accurate Reimbursement Under Medicare+Choice Risk Adjustment. This is followed by a two-part discussion of identification and reimbursement for frail elderly populations in Medicare. The conference closes with a final session on implementing and managing Medicare-Based rates for risk and commercial products.

Health Insurers and Pharmacy Benefit Managers alike must act now to position themselves for a significant change in Medicare operations. Don’t miss this exceptional opportunity to learn from a truly distinguished faculty and network with colleagues.