Oct. 18 Webinar Examines Recent Developments in CMS-State Dual-Eligible Initiatives

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Atlantic Information Services’s webinar will discuss the decisions made by CMS and states on new initiatives for Medicare-Medicaid dual eligibles.

Atlantic Information Services is pleased to announce its October 18 webinar,CMS-State Dual-Eligible Initiatives: What’s Ahead for Health Plans and Providers?, an examination of the most recent developments on state duals initiatives and what is likely to happen next at the federal and state levels.

What began in July 2011 as the first major program of the CMS Federal Coordinated Health Care Office is now a giant reality. That duals office has started approving state initiatives to furnish integrated care to Medicare-Medicaid dual eligibles as a way to improve outcomes and reduce costs, with the initial programs to begin next spring. But there are lots of strings attached to the approvals, and key information such as capitation rates is not yet known, as health plans and their partners gear up for this quantum change in how care is delivered to large numbers of the nation’s most vulnerable citizens.

On Oct. 18, Peter Harbage, California’s consultant for its dual-eligibles initiative, Gregory Scott, a principal in Deloitte Consulting’s Life Sciences & Health Care practice, and Valerie Wilbur, co-chair of the SNP Alliance and co-founder and vice president of the National Health Policy Group, will address the following questions about dual eligibles:

  • What do the duals office’s approvals on some state initiatives — and delays on others — mean in terms of what CMS is looking for in these programs?
  • To what extent will duals initiatives be delayed and/or scaled back compared with what the states have proposed?
  • By what processes are capitation rates being developed for the initiatives? Will they be adequate for all parties involved in the programs?
  • How secure is the funding at both the state and federal levels?
  • What will CMS and the states expect in terms of program results? By when?
  • What are the roles and opportunities for Medicare plans compared with Medicaid plans in the initiatives approved so far? Are subsequent approvals likely to follow the same patterns?
  • What major changes in their systems and processes do states and plans alike need to make now to achieve strong clinical and financial results in the initiatives?
  • What are the key considerations for effective integration of duals?

Visit http://aishealth.com/marketplace/c2a34_101812 for more details and registration information.

About AIS
Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 25 years. It develops highly targeted news, data and strategic information for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, websites, looseleafs, books, strategic reports, databases, webinars and conferences. Learn more at http://www.AISHealth.com.

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Shelly Beaird-Francois
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