National Medicaid Congress Addresses Key Medicaid Reform Models
  • Strategies for Navigating the New Medicaid
  • June 4 - 6, 2006
  • Omni Shoreham Hotel, Washington, DC
Phone: 800-684-4549

WASHINGTON DC USA -- HEALTHCARE UPDATE NEWS SERVICE(TM) -- FEBRUARY 23, 2006: The National Medicaid Congress,, June 4 - 6, 2006, in Washington, DC announced featured faculty and topics addressed. The Medicaid Congress is powered by Avalere Health and sponsored by Health Affairs, Harvard Health Policy Review, FDCReports, Inquiry, the Milbank Memorial Fund and Medical Education Collaborative.


State Medicaid programs are undergoing fundamental transition. States are reshaping their Medicaid programs and their entire health systems by developing new models of providing benefits. The federal government continues to place Medicaid reform at the top of its agenda as it seeks broader cost savings. With the advent of the new Medicare prescription drug benefit, states must maneuver real-time challenges in managing their beneficiaries' health, while adjusting to the benefit's new financial requirements for states. These changes affect all health care stakeholders who must develop new policy and commercial strategies in response to the new evolution in Medicaid. Join national thought leaders for an engaging three-day session that will address critical questions about emerging Medicaid reform models, the expanded role of Medicaid managed care, new federal and state strategies to manage costs, the impact of the Medicare prescription drug benefit, and the future of Medicaid long-term care.

Debbie Chang
Senior Vice President
and Executive Director
Nemours Division of Health and Prevention Services
Newark, DE
John Iglehart
Founding Editor, Health Affairs
National Correspondent, New England Journal of Medicine
Washington, DC
Dan Mendelson
President and Founder, Avalere Health
Former Associate Director for Health, Office of Management and Budget
Washington, DC
Thomas Scully
Senior Counsel, Alston & Bird
Senior Adviser, Welsh, Carson, Anderson and Stowe
Former Administrator, Centers for Medicare and Medicaid Services
Department of Health & Human Services
Washington, DC


Melanie Bella
Vice President for Policy
Center for Health Care Strategies
Princeton, NJ

Debbie I. Chang, MPH
Senior Vice President and Executive Director
Nemours Health and Prevention Services
Newark, DE

Chuck Clapton
Chief Counsel for Health
The Committee on Energy and Commerce
Washington, DC

Brian Coyne
Vice President, Federal Government Relations
Washington, DC

Barbara Edwards
Former Ohio Medicaid Director
Health Management Associates
Columbus, Ohio

Barbara Eyman, Esq.
Partner, well Goldstein, LLP
Washington, DC

Jim Frogue
Chief Liaison to State Policy Projects
Center for Health Transformation
Washington, DC

Mary Kennedy
Vice President, Business Development
Minnetonka, MN

Nancie McAnaugh
Deputy Director
Missouri Department of Health and Senior Services
Jefferson City, MO
Len Nichols
Director, Health Policy Program
New America Foundation
Washington, DC

Alan Rosenbloom
Alliance for Quality Nursing Home Care
Washington, DC

Diane Rowland Sc.D.
Executive Vice-President of the Henry J. Kaiser Family Foundation
Executive Director of the Kaiser Commission on Medicaid and the Uninsured
Washington, DC

Matt Salo
Director of Health and Human Services Committee
National Governors Association
Washington, DC

Sean Tunis
Medical Directory, Health Technology Center
Washington, DC

Michael Tutty, MHA
Senior Project Director, Center for Health Policy and Research
Instructor, Department of Family Medicine and Community Health
University of Massachusetts Medical School
Shrewsbury, MA

Jim Verdier
Director of State Health Policy
Washington, DC


  • Medicaid Prescription Drug Primer: How does Medicaid reimburse for prescription drugs work? Learn the basics of the Medicaid rebate program, 340b, federal upper payment limits, treatment of drugs by MCOs, and policy issues and implications.
  • Medicaid Reform Primer: How do the federal government and states modify state Medicaid programs? What is the role of Congress, CMS, state legislatures and state Medicaid agencies? What changes require a state plan amendment, a federal waiver, or a change in federal law? The session will use as examples previous Medicaid reform initiatives, such as Tennessee, Oregon, and Arizona's 1115 waivers.

  • New Directions in Medicaid and State Health Reform
  • Medicaid Cost Containment Strategies
  • Implementation of the Medicare Prescription Drug Benefit and the impact on states and dual eligible beneficiaries
  • Medicaid and Long-Term Care
  • New approaches to Medicaid managed care: The Florida and South Carolina Models
  • New approaches to pharmacy management and cost containment
  • Dual eligible and low-income beneficiaries experiences in the Medicare new prescription drug benefit to date
  • Effects of Medicare Part D on Dual Eligibles in Community and Facility LTC Settings
  • New Approaches to Medicaid: The Utah and Idaho Models
  • Evidence-based practices and new definitions of medical necessity
  • State Pharmaceutical Assistance Programs and other state strategies to supplement the new benefit
  • Innovations in Medicaid-Medicare Integration: Breakthroughs At Last?
  • New Approaches to Medicaid: Medicare and Medicaid Integration Models
  • New opportunities for disease management and care coordination programs in Medicare
  • Special Needs Plans and new innovations in designing prescription drug benefits for dual eligible beneficiaries
  • State Leadership in LTC Reform - A Case Study of Vermontās ¤1115 Medicaid Waiver Program
  • New Approaches to State Health Reform: Extending Coverage to the Uninsured and Reducing state health care costs
  • Medicaid Managed Care - opportunities and implications of state expansions
  • Future directions for the Part D benefit
  • LTC Industry Perspectives on Medicaid LTC Issues (including dual eligibles in LTC)
Powered by

Sponsored by


For sponsorship and exhibit information contact Joni Lipson, Exhibit Manager, 215-599-6626 phone, 215-545-8107 fax,


For further registration information, go to, call 800-684-4549, email or write:

    Medicaid Congress Office
    7790 Barberry Ave.
    Yucca Valley, CA USA 92284