National Academy of Social Insurance
National Academy of Social Insurance
17th Annual Conference
January 27-28, 2005
National Press Club, Washington, DC
Medicare Modernization in a Polarized Environment: Facing the Challenges
Conference Co-Chairs
Linda E. Fishman, Hogan & Hartson, LLP
Michael Hash, Health Policy Alternatives, Inc.
John Iglehart, Health Affairs
Medicare Modernization in a Polarized Environment: Facing the Challenges will focus on key issues in the implementation of the Medicare Modernization Act (MMA), including the prescription drug benefit, the future of the Medicare Advantage program, the implications of the MMA for social insurance principles, the challenges of serving low-income beneficiaries, the impact of health savings accounts, payment incentives for quality care, and many others.
Agenda
DAY ONE: JANUARY 27, 2005
9:00am Plenary Session I – Goals of the MMA and Congressional Outlook in 2005
Newt Gingrich
Founder, Center for Health Transformation
Former Speaker (1994-1998), U.S. House of Representatives
Author, Winning the Future: A 21st Century Contract with America
10:45am Concurrent Session I – The Medicare Prescription Drug Benefit
Implementing the New Benefit. What are the issues? Who will participate? What is the view from Wall Street? How will employers respond?
Michael Hash (moderator)
Principal, Health Policy Alternatives, Inc.
Martha Priddy Patterson
Director, Employee Benefits Policy Analysis, Deloitte Consulting
Lois Quam
CEO, Ovations, A UnitedHealth Group Company
Ian Spatz
Vice President, Public Policy, Merck & Co., Inc.
The Law Meets the Real World. What will the formularies look like? What role will pharmacy benefit managers (PBMs) play? What cost containment strategies will be used?
Julie James (moderator)
Principal, Health Policy Alternatives, Inc.
Robert Atlas
Independent Consultant and Former President, The Lewin Group
Jack Hoadley
Research Professor, Health Policy Institute, Georgetown University
Barrett Toan
Chairman and CEO, Express Scripts
Drug Reimportation. What are the potential effects on price and supply? How will safety issues be addressed? Is it the long-term answer?
Julie Rovner (moderator)
Health Policy Correspondent, National Public Radio
Lester Crawford
Acting Commissioner, U.S. Food and Drug Administration
Wayne Critchley
Executive Director, Patented Medicine Prices Review Board (Canada)
Patricia Danzon
Celia Z. Moh Professor, The Wharton School, University of Pennsylvania
12:15pm Plenary Session II – New Survey Results on Beneficiaries’ Attitudes Toward Luncheon Medicare
Drew Altman
President and CEO, Henry J. Kaiser Family Foundation
1:45pm Concurrent Session II – Key Issues in the MMA
Challenges of Serving Low-Income Beneficiaries. What is the impact of the new drug benefit on dual eligibles? How will SSA/State Medicaid agencies work on enrollment?
Rose Crum-Johnson (moderator)
Administrator, Region IV, Centers for Medicare & Medicaid Services (CMS)
Kevin Conconnan
Director, Iowa Department of Human Services
Beatrice Disman
New York Regional Commission, Social Security Administration
Robert Hayes
President, The Medicare Rights Center
Cindy Parks Thomas
Senior Scientist, Schneider Institute for Health Policy, Brandeis University
Paying for Quality Care: A Debate. Is the intent to improve the performance of all providers, to bring up the bottom, or to reward those who are already doing well? Does paying for quality provide incentives to improve, or does it make poor performers worse? Does it work?
John Iglehart (moderator)
Founding Editor, Health Affairs
Tom Scully
Senior Counsel, Alston & Bird, LLP
Former Administrator (2001–2003), Centers for Medicare & Medicaid Services (CMS)
Bruce Vladeck
Principal, Ernst & Young, LLP
Former Administrator (1993–1997), Health Care Financing Administration (now CMS)
Health Savings Accounts (HSAs). What is the anticipated effect? How will they be implemented in FEHBP? Should HSAs get the discounts proposed for the uninsured?
Linda Fishman (moderator)
Senior Health Policy Advisor, Hogan and Hartson, LLP
Roy Ramthun
Senior Advisor for Health Initiatives, U.S. Department of the Treasury
Karen Davis
President, The Commonwealth Fund
Charles Klippel
Senior Vice President and Deputy General Counsel – Health, Aetna
JoAnn Volk
Legislative Representative, AFL-CIO
3:45pm Plenary Session III – The Future of Medicare Advantage
Will the plans participate? Will they stay only as long as the money is there? How do they perceive the regulatory environment? Will there be better quality or more benefits for the money?
Kathleen King (moderator)
Vice President for Health Policy, National Academy of Social Insurance
Jack Ebeler
President and CEO, Alliance of Community Health Plans
Marsha Gold
Senior Fellow, Mathematica Policy Research
5:00pm Reception
6:00pm Dinner and Heinz Dissertation Award Ceremony
Dinner Speaker: “Welfare Reform’s Lasting Effects”
Jason DeParle
Senior Writer, The New York Times
Author: American Dream: Three Women, Ten Kids, and a Nation's Drive to End Welfare
DAY TWO, JANUARY 28, 2005
8:00am NASI Annual Membership Meeting and Breakfast
9:00am Roundtable Discussion Sessions
• Medicare's Leading Role in Addressing Racial and Ethnic Health Disparities, June Eichner (National Academy of Social Insurance)
• Prescription Drug and Other Medical Cost Drivers: Lessons from Workers' Compensation, Barry Llewellyn (National Council on Compensation Insurance) and John Burton (Rutgers University)
• New Developments in the SSA Disability Determination Process, Patricia Owens (Independent Consultant) and Eileen Sweeney (Center on Budget and Policy Priorities)
• Retirement Security: Public Perceptions and Misperceptions, Anna Rappaport (Mercer Human Resources Consulting)
• Paying Benefits from Individual Accounts in Retirement Policy: Domestic and
International Insights, Virginia Reno (National Academy of Social Insurance)
• The Growing Inequality in Workers' Health Benefits, Cathy Schoen (The Commonwealth Fund)
10:15am Plenary Session IV - The Future of Medicare
What is the impact of the MMA? What is the outlook for social insurance programs? How will the prescription drug program affect Medicare’s standing as a social insurance program? What role should technology have in transforming Medicare?
Speaker TBA
11:30am Concurrent Session III – Medicare Issues
Next Generation of Cost Containment. Can market-based strategies deliver? What lessons can be learned from past Medicare competitive pricing demonstrations for health plans and durable medical equipment? What are the costs (political and administrative) of implementing competitive arrangements?
Nancy-Ann DeParle (moderator)
Senior Advisor, JPMorgan Partners, LLC
Former Administrator (1997–2000), Health Care Financing Administration (now CMS)
Joseph Antos
Wilson H. Taylor Scholar in Health Care and Retirement Policy, American Enterprise Institute
Bill Scanlon
Health Policy Consultant
Disease Management. How successful have disease management efforts been so far? What is their real potential? How do you move from a single disease focus to the reality of multiple chronic conditions? What is the role of vendors, physicians, others?
Victor Villagra, M.D. (moderator)
President, Health and Technology Vector, Inc.
Amber Barnato, M.D.
Assistant Professor, Medicine and Health Policy and Management, University of Pittsburgh
Christopher Coloian
Vice President, Disease Management, CIGNA
Sandra Foote
Director, Chronic Care Improvement Program, Centers for Medicare & Medicaid Services (CMS)
Educating Beneficiaries. What strategies really work? How do you deal with low health literacy? How do you explain the complexity of the program in a way that is understandable to beneficiaries? How do you overcome language barriers?
Carol Cronin (moderator)
Independent Consultant
Judith Hibbard
Professor, Department of Planning, Public Policy & Management, University of Oregon
Michael McMullan
Deputy Director, Center for Beneficiary Choices, Centers for Medicare & Medicaid Services (CMS)
Tricia Neuman
Vice President and Director, Medicare Policy Project, Henry J. Kaiser Family Foundation
1:00pm Plenary Session V – Reflections on Implementing the MMA
Luncheon
Mark McClellan, M.D.
Administrator, Centers for Medicare & Medicaid Services (CMS)
Conference Funders
Medicare Modernization in a Polarized Environment: Facing the Challenges is supported in part by AARP, California HealthCare Foundation, Health Affairs, Johnson and Johnson, and the Henry J. Kaiser Family Foundation.
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This new conference format includes concurrent sessions to explore multiple issues, plated lunches, and more networking opportunities. The National Academy of Social Insurance (NASI) is also pleased to announce collaboration on this conference with Health Affairs, a bimonthly, peer-reviewed journal that explores current health policy issues.
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