Thursday evening, November 1 - Saturday, November 3, 2001
Westfields Marriott
Chantilly, Virginia

• Thursday Evening, November 1, 2001
• Friday, November 2, 2001
• Saturday, November 3, 2001
• Return to conference homepage

Registration and Reception

Welcome and Introductions
Gordon T. Moore, MD, MPH

Dinner

Opening Keynote: The Hidden Curriculum of Medicaid Managed Care: Past, Present and Future
Lewis Sandy, MD, Executive Vice President
The Robert Wood Johnson Foundation

Medicaid, and its evolution into Medicaid managed care, has both an overt and "hidden" curriculum that influences learners. Dr. Sandy describes that curriculum, and what policy, current practice, and future opportunities of Medicaid managed care say about vulnerable populations, teaching institutions, and critical aspects of care.

Breakfast and registration

Session 1: Medicaid Managed Care Overview and Context
Welcome and introductions
Moderator and Facilitator: Gregory Pawlson, MD, MPH, executive vice president, National Committee on Quality Assurance

Plenary address — Medicaid Managed Care: Expectations and Realities
Diane Rowland, ScD

What were the original expectations for Medicaid managed care and the experiences of states in implementing managed care for a Medicaid population? Dr. Rowland assesses the development and the various models of Medicaid managed care, as well as future challenges.

Concurrent workshops. Attendees select one workshop in Session 1.

• Medicaid and Practice within Clinical Systems: When Care Management Isn't Enough
  Michael R. Bleich, PhD, RN, MPH, associate dean of Nursing, University of Kansas Medical Center

• Michigan Managed Care Health Professions Initiative
  Denise Holmes, director of the Plan Administration Bureau for the Medical Services Administration, Michigan Department of Community Health

• Putting Together a Medicaid Managed Care Contract: Implications for Clinicians
  Sara Rosenbaum, JD, Hirsh Professor, George Washingon University,

• Negotiating Medical Necessity in Medicaid Managed Care Organizations
  Jacqueline Simmons, MD, MPH, chief medical officer, Passport Health Plan, Kentucky

• Role of Primary Care with the Seriously Disabled and Chronically Ill
  Carol Tobias, MMHS, Health and Disability Working Group

• Promises of and Barriers to Integrating Care in Medicaid Managed Care Program
  Marshall R. Thomas, MD, vice president and medical director for Behavioral Health, Colorado Access, University of Colorado Health Sciences Center

Break

Plenary address— Model Programs in the Delivery of Medicaid Managed Care: What Works Now, What Could Work Better?
Richard Baron, MD

Meaningful change requires an understanding of the barriers to achieving clinical improvement faced by Medicaid managed care plans, along with a structure for addressing those barriers. Dr. Baron will present his vision and models for organizational success in Medicaid managed care organizations.

Lunch

Session 2: Medicaid Managed Care Best Practices
Welcome and introductions
Moderator and Facilitator:
Colleen Conway-Welch, PhD, CNM, FAAN, professor and dean, Vanderbilt University School of Nursing

Plenary address—Meeting the Challenge of Medicaid Managed Care for Patients with Serious Illness and Disability
Robert Master, MD

Break

Concurrent workshops. Attendees select one workshop in Session 2.

• Innovative Disease Management Programs in Medicaid Managed Care
  John Beeson, MD, FAACP, vice president and corporate medical director, Schaller Anderson, Inc., Arizona

• Maximizing Health Outcomes for Vulnerable Populations: Lessons from Nurse-Managed Health Centers
  Tine Hansen-Turton, MGA, executive director, Regional Nursing Centers Consortium, Philadelphia, and
  Nancy Rothman, RN, EdD, director of Community-Based Practice and professor, Temple University

• Model Programs on Team-Based Care for Pediatric Asthma Patients
  Virginia Keane, MD, associate professor in Pediatrics, and
  Marla Oros, RN, associate dean, Clinical Practice and Services, University of Maryland School of Nursing,

• Health Literacy-What It Is and How It Can Help Low Literacy Patients
  Ruth Parker, MD, associate professor of Medicine, Emory University School of Medicine

• Improving Access to Care for Adolescents through School-Based Health Centers
  Renee B. Rulin, MD, medical director, Neighborhood Health Plan of Rhode Island

• Building Culturally Competent Individual and Community Partnership
  Ira Sengupta, MA, program manager, Cultural Competency Training, Cross Cultural Health Care, Seattle

Reflections on Day One and overview of Day Two
Gordon T. Moore, MD, MPH

Breakfast and registration

Session 3: Teaching and Research in Medicaid Managed Care.
Session 3 is sponsored by a grant from the Agency for Health Care Research and Quality
Welcome and introductions
Moderator and Facilitator: Helen Burstin, MD, MPH, director, Center for Primary Care Research (CPCR), Agency for Healthcare Research and Quality

Looking with a critical eye at past findings and methodologies, Dr. Hurley presents a guide to future of Medicaid managed care research. These include, among other areas, program evaluation, beneficiary cost, access, satisfaction, and quality.

Plenary address—Teaching and Learning while Caring for Vulnerable Populations
Dorothy L. Powell, EdD, RN, FAAN

To enhance care effectiveness in Medicaid managed care programs, providers must be well versed, sensitive, and appropriately functional in the care of clients engaging services. Dr. Powell presents strategies and models for integrating learning experiences relative to vulnerable populations into health professions' curriculum.

Break

Concurrent workshops. Attendees select one workshop in Session 3.

• Population-Based Care Improvement Programs for the Indigent—A Caring and Learning Model
  Alicia Fernandez, MD, director, In-Patient Service, Department of Medicine, San Francisco General Hospital

• Fostering Collaboration between Academic Research and Medicaid Managed Care
  Neil Goldfarb, program director for research, Office of Health Policy and Clinical Outcomes, Thomas Jefferson University

• New Mexico Case Example: Innovations in Education for the Medicaid and Uninsured Populations
  Arthur Kaufman, MD, chairman, department of Family and Community Medicine, University of New Mexico

• Clinical Teaching and Learning with Vulnerable Populations
  Sonda Oppewal, PhD, RN, associate dean, Office of Practice and Research, College of Nursing, East Tennessee State University College of Nursing

• Representation of Disadvantaged Populations in Health Care Research: How Can We Do Better and What Do We Learn When We Do?
  Dana Gelb Safran, ScD, director, The Health Institute at Tufts-New England Medical Center

• Results and Improvements in Process, Outcomes, Access, and Satisfaction in Medicaid Managed Care
  Wally R. Smith, MD, associate professor and chairman, Division of Quality Health Care, Virginia Commonwealth University

• Gaps in Teaching and Research in Medicaid Managed Care Quality
  Stephen Somers, PhD, Center for Health Care Strategies, Inc., New Jersey

Closing remarks and participant reflections:
Gordon T. Moore, MD, MPH

Box Lunch