mhPA PROGRAM BOOK 2009 Annual Meeting “Advancing Health Reform through Medicaid Innovation” November 16-17, 2009 The Fairmont Hotel Washington, DC Medicaid Managed Care and the 2008 Elections Medicaid Health Plans of M America TABLE OF CONTENTS | Table of Contents Welcome Letter ...............................................................................................................5 Agenda ........................................................................................................................ 7-11 Speaker Bios ............................................................................................................13-29 Keynoters ................................................................................................................ 13 Presenters ............................................................................................................... 17 Sponsors ...................................................................................................................31-33 Major Sponsors ..................................................................................................... 31 Partners ................................................................................................................... 31 Annual Meeting Sponsors ................................................................................ 32 Exhibitors ..................................................................................................................34-36 Exhibitor Booth List .............................................................................................. 34 Floor Plans .............................................................................................................. 35 Registrant List .................................................................................................37-53 Note Pages .......................................................................................................55-58 WELCOME | Welcome Letter FROM THE MHPA EXECUTIVE DIREctOR WELCOME Welcome to the Medicaid Health Plans of America’s 2009 Annual Meeting! This year’s meeting — focused on innovations in Medicaid in this era of change and health reform — features many nationally recognized speakers who will share with us their expertise in health care and politics. This year’s conference sets the tone for the new frontier in Medicaid managed care. We are proud to present such nationally well-known speakers, including John Gorman, President and CEO of the Gorman Health Group, and traditionally one of our most popular speakers annually; David Plouffe, the campaign manager for President Barack Obama’s 2008 presidential campaign, and in the President’s own words, the “unsung hero” of the campaign; Mark Shields, a nationally known columnist and commentator; nationally-known Medicaid expert Vernon Smith, a principal of Health Management Associates; former HHS Secretary and Governor Tommy Thompson; and former U.S. Congresswoman Heather Wilson, who served as a Congressional leader on Medicaid issues. We hope you enjoy your time with your peers, learn about innovations in the industry, and enjoy the conference! We thank you for being a part of our continued growth and success. Thomas L. Johnson Executive Director Medicaid Health Plans of America AGENDA | Agenda MONDAY, NOVEMBER 16 7:00-8:00am Continental Breakfast Ballroom Prefunction SPONSORED BY: OPTIMETRA & HEALTH PARTNERS OF PHILADELPHIA 8:00am Welcome and Opening Remarks Grand Ballroom Daniel J. Hilferty, President & CEO, The AmeriHealth Mercy Family of Companies, and AGENDA Chair, MHPA Board of Directors 8:10am Vice Chair Remarks Grand Ballroom Karen Clark, President & COO, Horizon NJ Health, and Vice Chair, MHPA Board of Directors 8:30-9:15am Keynote: “Prevention is the Solution to the Grand Ballroom Health Care Crisis in America” Tommy G. Thompson, former HHS Secretary and Wisconsin Governor Vision to Lead SPONSORED BY: US PREVENTIVE MEDICINE Mission to Care 9:15-10:00am Keynote: “The Wit and Wisdom of Mark Shields” Grand Ballroom Mark Shields, Political Analyst, Commentator and The AmeriHealth Mercy Family of Companies serves more than Columnist 6.5 million members nationwide. We offer high quality services and products for health plans, states and programs that manage care 10:00-10:15am Break for low-income populations covered by publicly funded programs. Ballroom Prefunction SPONSORED BY: SELECT HEALTH OF SOUTH CAROLINA Our product lines include: t Full risk health plans 10:15-11:00am Keynote: “2010 and Beyond: An Electoral Grand Ballroom Outlook” t Management and administrative services David Plouffe, Chief Campaign Manager, Barack t pharmacy benefit management Obama’s 2008 Presidential Campaign t ® intensive care management 11:00-11:45am Presentation: “Using a Collaborative Platform t behavioral health care services Grand Ballroom to Fuel an Effective Physician Quality Recognition Program” Cynthia Burghard, Senior Vice President, Market Intelligence, ikaSystems Ruth Atkins, Executive Director, Passport Health Plan www.amerihealthmercy.com | for more information, please call 215.863.6762 | 2009 MHPA ANNUAL MEETING AGENDA | 11:45am-1:00pm Lunch 2:00-3:00pm TWO concurrent sessions: The Colonnade Executive Forum Clinical Best Practices – Pharmacy 11:45am-12:45pm Luncheon Keynote: “Be Heard on the Hill: ` SPONSORED BY: NAVINET The Colonnade Positioning Medicaid Health Plans to Succeed in MODERATOR: Dr. Jeremy Nobel, co-Founder, Congress” NaviNet The Hon. Heather Wilson, former member, U.S. “Advanced Pharmacy Care for Diabetes” Congress (R-NM); former member, U.S. House Merri Pendergrass, MD, PhD, National Energy and Commerce Committee Practice Leader, Diabetes, Medco SPONSORED BY: HEALTH MANAGEMENT SYSTEMS “Benchmarking Generic Utilization in a Medicaid AGENDA 1:00-2:00pm two concurrent sessions: Environment - Issues and Solution” Mesfin Tegenu, President, Perform Rx Grand Ballroom Trends in Mediciad and Women and Children’s Coverage Issues AGENDA SPONSORED BY: COMMUNITY CARE BEHAVIORAL HEALTH Grand Ballroom Clinical Best Practices ORGANIZATION SPONSORED BY: WELLPOINT MODERATOR: Licy Do Canto, Principal, The Raben MODERATOR: Kevin Hayden, President, State Group Sponsored Business, Wellpoint Robert Hall, Assistant Director, American “Quality End-of-Life Care: Payer Perspective” Academy of Pediatrics Dr. Barry Kinzbrunner, MD, Chief Medical Catherine Hess, Senior Program Director, National Officer, Vitas Healthcare Academy of State Health Policy “Childhood Obesity” Lee Partridge, Senior Health Policy Advisor, Harvinder Sareen, PhD, Director, Clinical National Partnership for Women and Families Programs, State Sponsored Business, Wellpoint Executive Forum Developments in Health Information “How to Effectively Deal with State Mandates for Technology Treatment of Special Populations (Autism, ABD, SPONSORED BY: DC CHARTERED HEALTH PLAN CSN, Children in Foster Care)” MODERATOR: Karen M. Dale, RN, MSN, Executive Tim Murphy, President, Beacon Health Vice President, Operations and Strategy, Strategies DC Healthcare Systems, Inc. 3:00-3:15pm Break “How the Wireless Industry Can Transform Communicating with Enrollees” Ballroom Prefunction SPONSORED BY: MILLIMAN Dr. Anand Iyer, President & CEO, WellDoc Communications “Using Persuasive Technologies for Chronic Disease Management - Clinical Benefits ” Arthur Henderson, President, Affinity Networks 10 | 2009 MHPA ANNUAL MEETING AGENDA | 11 3:15-4:15pm two concurrent sessions: TUESDAY, NOVEMBER 1 Grand Ballroom Operations – Best Practices 7:30-8:15am THREE concurrent breakfast sessions: MODERATOR: Lourdes Rivas, Vice President of Client Services - Managed Care, DentaQuest Roosevelt Room The Use of Array CGH in the Clinical Diagnosis of Genetic Disease “Where Are We And Where Are We Going” Daniel Tillotson, CEO, The Prevention Plan SPONSORED BY: SIGNATURE GENOMIC LABORATORIES, LLC Bassem A. Bejjani, MD, FACMG, Chief Medical “Actuarial Soundness and Recent State Budget Officer, Signature Genomic Laboratories, LLC Challenges: Lessons Learned from Recent Rate- Setting Cycles and Implications for the Future” Grand Ballroom Continuity of Therapy: Janssen Long-Acting John Kaelin, Senior Vice President, Therapy Update AGENDA AmeriChoice SPONSORED BY: SPONSORED BY ORTHO-MCNEIL Georgia L. Stevens, PhD, PMHCNS, BC, “Best Practices in Pharmacy Care Management” Aftercare Coordinator, Maryland State Mental Bob Tanner, Director of Operations, Hygiene Administration and Baltimore Mental AGENDA PharmaStar Health Systems Executive Forum Best Practices – Program Integrity & Diabetes Potomac Suite Update: Dental Care and Medicaid MODERATOR: Robert McDaniel, National Accounts, SPONSORED BY: SPONSORED BY AVESIS AND KOOL SMILES Roche Diagnostics Meg Booth, Deputy Executive Director, Children’s “Best Practices in Program Integrity for Dental Health Project Government-Sponsored Health Plans” Dr. Fred Sharpe, DDS, Avesis Carrie Cunningham, Vice President, Business Development, Health Management Systems 8:30-9:30am Keynote: “Outlook for Special Needs Plans David Sand, MD, Chief Medical Officer, Grand Ballroom in 2010” Health Management Systems John K. Gorman, CEO, Gorman Health Group “Self-Measurement of Blood Glucose in Type II 9:30-10:30am Keynote: “Medicaid Trends and Policy Diabetics: Benefits and Practical Application - Grand Ballroom Direction in 2009 and the Outlook for 2010” Is It More than Just a Number?” Vernon K. Smith, PhD, Principal, Health Andreas Stuhr, MD, MBA, Medical Director, Management Associates