President, AARP Arizona
Doctor, Acuity Vision Care
Administrator, Albany Medical Center
Director of Network Operations American Health
Chief Operating Officer, American Health Alliance
Director, Legal & Regulatory Affairs, American Psychological Association
Case Specialist, Amerigroup
Director of Hospital Contracting, Amerigroup
Utilization Manager, Amerigroup
Director, Asociacion De Maestros De Puerto Rico
Manejadora de Casos y Condiciones, Asociacion De Maestros De Puerto Rico
Practice Administrator, Associated Pathologists, P.A.
CFO, Bronx Lebanon Hospital Center
Executive Director, Public Affairs, CalOptima
Medical Director Care Integration, Carilion Clinic Medicare Resources
Chief Executive Officer, Capital Area Pediatrics
Chief Operating Officer, Capital Area Pediatrics
Director of Billing Services, Capital Area Pediatrics
Director Clinical Operations, Capital Area Pediatrics
Director of Finance, Cook Children's Health Plan
Senior Director of Finance, Cook Children's Health Plan
Financial Analysis and Reporting Section Chief, Commonwealth of PA Department of Public
Welfare
Director, Department of Medical Assistance Services, Commonwealth of Virginia
Chief Financial Officer, Community Care Behavioral Health of UPMC
Director, Accounting & Budget, Community Care Behavioral Health of UPMC
Director, Medicaid Finance, Community Care Behavioral Health of UPMC
Information Systems Coordinator , County of Los Angeles
EVP, Operations and Strategy, DC Healthcare Systems, Inc.
Government Programs Practice Leader, Dean Health Plan
Department of Health
Director of Quality Improvement and Accreditation, Denver Health Medical Plan
Administrator, Digestive Health Women Care
Chairwoman, Flushing Hospital Medical Center
Physician, Franklin Square Hospital Center
Vice President & Chief, Gateway Health Plan
Director Managed Care, HCR ManorCare
Senior Case Manager, HCR ManorCare
Senior Editor, Healthcare Finance News
Director of Provider Contracting, Health Services for Children With Special Needs (HSCSN, Inc)

Manager of Accounts/Project Manager, Health Services for Children With Special Needs
(HSCSN, Inc)
CFO, Hollywood Presbyterian Medical Center
Director Patient Access, Inova Alexandria
Administrative Fellow, Johns Hopkins Health System
Administrative Fellow, Johns Hopkins Health System
Administrative Fellow, Johns Hopkins Health System
Clinical Data Specialist, Kaiser Permanente
Manager Financial Planning & Analysis, Priority Partners MCO
Senior Analyst, Priority Partners MCO
Senior Director of Finance, Priority Partners MCO
Assistant Vice President Government Affairs, MedStar Health
Senior Health Services Scientist, MedStar Health
Vice President, Regulatory Compliance, MedStar Health
Manager Managed Care, Memorial Sloan-Kettering Cancer Center
CEO, Mid Coastal IPA
Compliance Director, Molina Healthcare
Senior Vice President, MunichRe
Bureau of Compliance, Office of Medicaid Inspector General, NY
Physician, Optum
RAC Coordinator, Corporate Responsibility, Providence Hospital
Director, Medical Economics, Network Health, Inc
Vice President Operations/CEO, Specialty Hospital of Washington- Hadley
VP Systems Management, Specialty Hospital of Washington
Director, Sunovion Pharmaceuticals
Deputy Director, Texas Association of Health Plans
CFO, Texas Children's Health Plan
Director of Clinical Operations, UnitedHealthcare Community Plan — RI
EVP & CFO, Universal American
VP and Controller, Universal American
Exec. Director, Medicare Special Needs Plans, UPMC Health Plan
Senior Information Security Analyst, VCU Medical Center
Director of Managed Care, Virginia Cancer Specialists
Associate Director of Financial Planning, Visiting Nurse Service of New York
V.P. Corporate Finance, Visiting Nurse Service of New York
Sr Account Executive , VSP
Administrator, Yalobusha General Hospital
Assistant Administrator, Yalobusha General Hospital

• Campaign environment:
• What happens if budget issues dominate?
• How do we move forward with mitigating against un-due risk?
• Balanced billing issues:
• Role of care coordination
• Role of quality

Speaker:
SVP, UNIVERSAL AMERICAN FINANCIAL CORP.

(in the Medicaid in Focus conference Ballroom)

• Getting serious about Medicaid fraud

Speaker:
Karen M. Dale, RN, MSN, Executive Vice President, DC HEALTHCARE SYSTEMS, INC.

• Learn how to leverage health plan analytics to improve provider performance
• Hear how a Massachusetts Medicaid health plan develops customized provider performance scorecards to achieve better health outcomes and improve finances
• Find out how to use scorecards to recognize medical expense cost drivers and clinical improvement opportunities
• Explore the valuable role scorecards have in engaging and supporting providers in value-based contracts
  

• Developing partnerships between plans and states to develop and maximize the effectiveness of PCMH models

Speakers:
KEYSTONE MERCEY HEALTH PLAN
AVP, KEYSTONE MERCEY HEALTH PLAN

Speakers:
Michael Fox, Government Programs Practice Leader, DEAN HEALTH PLAN, INC.

Speakers:
Health Systems Specialist 3, Bureau of Compliance, OFFICE OF MEDICAID INSPECTOR GENERAL, NEW YORK
Director, Compliance, MOLINA HEALTHCARE OF WASHINGTON, INC.

• Medicaid block grants
• Sustainability of programs
• Update on reform
• Coordinated care, new delivery models: Better care, better value
• Program integrity: State-of-the-art fraud and abuse detection
• Payment reform
• Administrative reforms: Exchanges, electronic records, going paper-less in claims, electronic eligibility

Speaker:
Director, Dept. of Medical Assistance Services, COMMONWEALTH OF VIRGINIA

• Improving cash flow
• Reducing operating costs
• Enhancing compliance
• Enhanced operational efficiencies and controls

Speaker:
President, MIB Healthcare Consultants, Formerly of HOLLYWOOD PRESBYTERIAN MEDICAL CENTER

• Planning for long-term care integration, specifically in time of budget uncertainty
• Involving community stake holders up front, and through-out the process
• Taking an incremental approach: Always a sound policy