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NATIONAL MEDICARE-MEDICAID PAYMENT SUMMIT:
PRECONFERENCE SYMPOSIUM
Wednesday, May 30, 2012

Note, all times listed are Eastern Standard Time
(Registration optional; separate registration required)
7:00 a.m. Registration Commences
PRECONFERENCE I: RECOVERY AUDIT CONTRACTING (Registration optional)
8:00 a.m. Part I -- Specific Case Studies of Coding and Clinical Documentation Issues and How to Prevent Them

Day Egusquiza
President, AR Systems, Inc., Twin Falls, ID (Co Chair)
Presentation Material (Acrobat)

Barbara Flynn
Vice President, Health Information and Denial Management Services, Florida Hospital Association Management Corporation, Inc., Orlando, FL
Presentation Material (Acrobat)
Handout Material (Acrobat)

Steven J. Meyerson, MD
Vice President, Accretive Physician Advisory Services®, Accretive Health, Inc., Chicago, IL
Presentation Material (Acrobat)
9:45 a.m. Break
10:00 a.m. Part II -- Specific Case Studies of Successful Discussion Period and Appeal Strategies

Andrew B. Wachler, Esq.
Principal, Wachler & Associates, PC, Royal Oak, MI

Denise Wilson
Director, Audit and Appeals Services, Intersect Healthcare, Inc., Lutherville, MD
Presentation Material (Acrobat)
11:45 a.m. Adjournment

PRECONFERENCE II: BEST PRACTICES IN PREVENTING UNNECESSARY READMISSIONS (Registration optional)
8:00 a.m. Preconference Welcome and Overview

Bruce Spurlock, MD
President and Chief Executive Officer, Convergence Health Consulting, Inc., Roseville, CA (Co Chair)
8:15 a.m. Communitywide Collaboration to Prevent Readmissions

Teresa Cutts, PhD
Program Director of Research and Innovative Practice, Methodist Le Bonheur Healthcare, Memphis, TN
Presentation Material (Acrobat)
8:45 a.m. Improving Health Literacy to Reduce Readmissions

Aracely Rosales
Chief Content Expert and Multilingual Director, Health Literacy Innovations, Philadelphia, PA
Presentation Material (Acrobat)
9:15 a.m. Pharmacist-Led Transitional Care Program

Joanne Heil, PharmD, RN, BCPS (AQ Cardiology)
Director, Advanced Practice Heart Failure/Transplant Pharmacy Department; Coordinator, Heart Failure Transition of Care Program, Thomas Jefferson University Hospital, Philadelphia, PA
Presentation Material (Acrobat)
9:45 a.m. Break
10:15 a.m. An Incentive-Based Approach to Reducing Rehospitalizations

The Honorable Mark Parkinson
President and CEO, American Health Care Association, Washington, DC
Presentation Material (Acrobat)
10:45 a.m. Safe Transitions from Hospital to Home -- the Axial Exchange Winning App in the ONC Developer Challenge Competition for Software Applications for "Ensuring Safe Transitions from Hospital to Home."

Joanne Rohde
Chief Executive Officer, Axial Exchange, Raleigh, NC
Presentation Material (Acrobat)
11:15 a.m. Wrap-Up and Final Q&A

Bruce Spurlock, MD
President and Chief Executive Officer, Convergence Health Consulting, Roseville, CA (Moderator)
11:45 a.m. Adjournment

NATIONAL MEDICARE-MEDICAID PAYMENT SUMMIT: DAY I
Wednesday, May 30, 2012

Note, all times listed are Eastern Standard Time
OPENING JOINT PLENARY SESSION WITH THE SEVENTH NATIONAL MEDICAID CONGRESS:
THE CURRENT MEDICARE AND MEDICAID LANDSCAPE
1:00 p.m. Welcome and Overview

Sara Rosenbaum, JD
MACPAC Commissioner; Chair of the Department of Health Policy and Harold and Jane Hirsh Professor of Health Law and Policy, George Washington University, Washington, DC (Co Chair)
1:15 p.m. The Medicare of Tomorrow -- a Value-Based Purchaser

Jonathan Blum, MPP
Deputy Administrator and Director of the Center for Medicare, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Washington, DC
2:00 p.m. New Opportunities for Coordinating Care for Dual Eligibles

Melanie Bella
Director, Federal Coordinated Health Care Office, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MD
Presentation Material (Acrobat)
2:45 p.m. New Tools for Medicaid Program Integrity

Angela Brice-Smith, MPA, RN
Director, Medicaid Integrity Group, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MD
Presentation Material (Acrobat)
3:15 p.m. Networking Break
3:45 p.m. Envisioning Medicaid in the "New Normal"

Sara Rosenbaum, JD
Chair of the Department of Health Policy and Harold and Jane Hirsh Professor of Health Law and Policy, George Washington University, Washington, DC
Presentation Material (Acrobat)
4:15 p.m. Medicare Policy Issues for the Future

Robert A. Berenson, MD, FACP
Institute Fellow at the Urban Institute, Washington, DC
Presentation Material (Acrobat)
4:45 p.m. The Supreme Court and the Future of Medicaid

Timothy S. Jost, JD
Robert L. Willet Family Professor of Law, Washington and Lee University School of Law, Lexington, VA
Presentation Material (Acrobat)
5:15 p.m. Medicaid 2014 -- Managing Expansion in Partnership with the States

Cindy Mann
Director, Center for Medicaid and State Operations (CMSO) Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MD
Presentation Material (Acrobat)
5:45 p.m. Adjournment and Joint Networking Reception




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