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Monday, October 2, 2017 • 5:30 p.m. – 7:30 p.m.

Navigating the Medicaid Landscape in Times of Change: Examining Potential Modifications that Impact States, Health Plans and MCOs

MCOs and state governments rely on certainty, but certainty in the healthcare industry is in short supply following the 2016 election. Now, with the recent stumble in Congress to repeal and replace the Affordable Care Act, many are trying to understand the future of our current healthcare landscape – specifically, the future of Medicaid. Will Congress and the new President take another shot at legislative changes? If legislative changes are off the table for the foreseeable future, what administrative changes by HHS and CMS can alter the future of Medicaid?

Much uncertainty continues to shroud the future of the Medicaid landscape. While no one has a crystal ball to know how everything will ultimately play out, fully understanding the potential modifications to Medicaid is critical for states, health plans and MCOs moving forward within the new Medicaid landscape. This workshop will provide attendees with:
• An overview of the current Medicaid landscape
• Insight into some of the more certain administrative changes that are expected for Medicaid from HHS and CMS
An understanding of some of the less certain legislative changes that might still come from Congress

Whether it’s navigating the more certain changes coming from HHS and CMS, or preparing for the less certain changes coming from Congress, MCOs and states will benefit from having a better understanding of the road ahead.

Jason Silva, JD, PMP is a Senior Consultant at Health Management Associates. Jason Silva has significant compliance expertise and experience with managed care and dual eligible populations. Prior to joining HMA, Jason was with Health Net, Inc., one of the managed care organizations (MCOs) selected by California to serve as a Medicare-Medicaid Plan (MMP) for the state’s dual eligible demonstration (known as Cal MediConnect) in both Los Angeles and San Diego counties. Jason served as Health Net’s MMP point person for the federal and state regulators. He primarily worked on Medicare and Medicaid compliance, specifically focusing on dual eligible demonstrations, Dual Eligible Special Needs Plans (D-SNPs), and Managed Long-term Services and Supports (MLTSS). He also served as the lead Health Net dual eligible compliance resource, and was involved with a diverse set of stakeholders, including advocates, regulators, and beneficiaries.

Jason’s background includes extensive work in the healthcare, insurance, and investment management industries. He is a Project Management Professional (PMP), and has managed manifold enterprise-wide IT projects. He received his bachelor’s degree from the University of California, San Diego and his JD from the University of Wisconsin Law School. Jason is admitted to the State Bar of Wisconsin.