With the passage of the Patient Protection and Affordable Care Act last spring, the federal government and state agencies have been moving quickly to ramp up the new legislation by issuing dozens and dozens of new regulations. Reading the newspapers and watching the cable news networks can be overwhelming in terms of trying to understand the implications of healthcare reform. This presentation provides a balanced and insightful look at:

• How the November elections have shifted the focus
• The emerging power structure between the federal government and the states
• How the new state-based Exchanges will impact patient choice and access
• What will the next generation of health plans look like? (both grandfathered and non-grandfathered)
• How healthcare reform will impact the role of medical management functions, including:
  • Case management
  • Utilization management
  • Disease management
  • Independent/external review
  • Prevention and wellness
• How the delivery models will change?
• What will be the future role of brokers, agents, case managers and navigators
• The court challenges to the new federal law are proceeding
• What elements of the new law might be repealed and what will be likely implemented
• What are the real costs to fund healthcare reform?

The speakers are national experts, who are recognized for their bi-partisan and objective analysis. Learn the inside scope on really what is going to happen and how case managers and other healthcare professionals will need to be prepared as healthcare reform activities continue to change the existing medical and payer landscape.

Learning Objectives:

• How will the healthcare reform expand case management programs?
• Will chronic disease management interventions differ for different populations?
• What is the new role of a "navigator" and the ongoing roles of broker/agents and licensed/certified case managers?
• How will the changing healthcare landscape impact the structure of health plans, provider reimbursement levels, and other key elements?
• How will the federal government share the regulation of insurance with state agencies going forward?

Target Audience:

• CEOs
• CFOs
• Case Management Directors and Managers 
• Risk managers 
• Social Workers and Social Service Directors
• Human resource professionals
• Information technology officers
• Medical directors
• Compliance officers
• Providers
• Physicians 
• Consultants 
• Attorneys

Meet Your Experts:

Moderator:

Garry Carneal, JD, MA is a leading expert in healthcare. He has researched, written, and published extensively on quality, medical management, and regulatory trends. Mr. Carneal now serves as President & CEO of Schooner Healthcare Services, LLC, which he co-founded in the summer of 2007 with several healthcare industry leaders. Among a number of volunteer efforts, Mr. Carneal is a Board member of the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP), and serves on several committees for the Case Management Society of America (CMSA). Mr. Carneal received his college degree from Washington & Lee University; a Master's degree from Yale University; and a law degree from the University of Virginia, JD.

Panelists:

Cheri Lattimer, RN, BSN, is the Executive Director of CMSA and President and CEO of CMI, an association and conference management company. She is the Project Director for the National Transitions of Care Coalition and participates on advisory panels for the Society of Hospital Medicine. Ms. Lattimer sits of the URAC Board and is a member of DMAA and ACHE. She is a frequent lecturer on topics such as management of chronic and high risk conditions, the role of case management, medication adherence, medical and behavioral care management programs, information systems, transitions of care, and performance and outcome studies.

Claire Levitt serves as both president of Alicare Medical Management (AMM) and as executive vice president of Amalgamated Life. Ms. Levitt has led the expansion of AMM into a multi-faceted health care call center with four URAC accredited lines of business and extensive product offerings. She also continues to serve concurrently as a executive vice president at Amalgamated Life, where her responsibilities include oversight of the Pennsylvania Service Center, managed care product development, corporate strategic planning and oversight of the company’s customer service initiatives. Ms. Levitt graduated from Binghamton University and holds a Masters of Science in health services management from New York University.

Michael Gomes is the Executive Vice President of Market Operations and is responsible for BenefitMall’s sales and marketing organization, the national management of its Carrier partnerships, customer support and service and all new business operations. A veteran of the insurance industry, Michael brings to BenefitMall more than 30 years of experience in planning, developing and executing national sales and operation initiatives. Mr. Gomes graduated from Rutgers University with a B.A. degree in economics, and earned a Masters degree in quantitative analysis and econometrics from Fairleigh Dickinson University.

Sponsor:

The sponsor of this educational activity is AHC Media.

The information provided in AHC Media audio conferences does not, and is not intended to constitute medical diagnoses or legal advice. Individual tracer methodology outcomes cannot be guaranteed. Opinions, references and links provided by our speakers are provided for your convenience and do not represent our endorsement of such opinions, products or services.

Refund Policy:

If you are not able to attend for any reason, please notify us as soon as possible. Conference cancellations received prior to the start time of the audio conference are fully refundable. If you prefer, you may substitute an upcoming audio conference for the one you originally registered for.

Recorded: February 10, 2011