State Coverage Initiatives
An initiative of The Robert Wood Johnson Foundation



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Sponsored by
The Agency for Health Care Quality
The Robert Wood Johnson Foundation's State Coverage Initiatives program
The Commonwealth Fund
The Center for Health Care Strategies with funding from The Robert Wood Johnson Foundation
National Governors Association

Conducted by
AcademyHealth and The Rutgers Center for State Health Policy

Thursday, October 7, 2004

8:00—9:00 a.m. Registration and Continental Breakfast

9:00—9:15 a.m.

Introduction/ Opening Remarks

Presenters

Pamela S. Dickson, Interim Deputy Group Director, Health
The Robert Wood Johnson Foundation
Alice Burton, Director
State Coverage Initiatives

Joel C. Cantor, Director
Rutgers Center for State Health Policy

Alice Burton, Director
State Coverage Initiatives

9:15—10:15 a.m.

Medicare Part D - Prescription Drug Coverage - Key Decisions for States

Presenters

Joan Henneberry, Director
Policy Studies, Inc.
Chairman, SPAP Transition Commission
PowerPoint Slides | PDF Handout

Barbara Coulter Edwards, Director
Ohio Medicaid Program
Member, SPAP Transition Commission
PowerPoint Slides | PDF Handout

10:15–10:30 a.m.

Break

10:30—12:00 p.m.

Roundtable Discussion: SPAP's Experience Coordinating with Medicare Drug Discount Cards and Lessons for Part D

Moderator David Helms, President & CEO
AcademyHealth
Panelists

Kimberley Fox, Senior Policy Analyst
Rutgers Center for State Health Policy

Kathleen Mason, Assistant Commissioner
New Jersey Department of Health and Senior Services

Evelyn Dudley, Manager Pharmacy Programs
Connecticut Department of Social Services
PowerPoint Slides | PDF Handout

12:00—1:00 p.m. Lunch
1:00—2:15 p.m.

Assessing the Medicare Pharmacy Benefit's Impact on Medicaid

Moderator Alice Burton, Director
State Coverage Initiatives
Panelists

Vernon Smith, Principal
Health Management Associates, Inc.
PowerPoint Slides | PDF Handout

Kevin Concannon, Director
Iowa Department of Human Services

Jocelyn Guyer, Associate Director
Kaiser Commission on Medicaid and the Uninsured
PowerPoint Slides | PDF Handout

2:15—3:30 p.m.

Options for Supplementing Part D: State Initiatives

Moderator Kimberley Fox, Senior Policy Analyst
Rutgers Center for State Health Policy
Panelists

Jack Hoadley, Research Professor
Health Policy Institute, Georgetown University
PowerPoint Slides | PDF Handout

Cindy Parks Thomas, Senior Scientist
Schneider Institute for Health Policy
Brandeis University
PowerPoint Slides | PDF Handout

Tom Snedden, Director
PACE/ PACENet Programs, Pennsylvania
PowerPoint Slides | PDF Handout

Laurie Hines, Executive Director
Missouri Senior Rx Program

3:30—3:45 p.m. Break

3:45—4:45 p.m.

Impact on Existing Disease Management Programs and Managed Care Initiatives

Moderator Stephen A. Somers, President
Center for Health Care Strategies
Panelists

Anthony Rodgers, Director
Arizona Health Care Cost Containment System
PowerPoint Slides | PDF Handout

Roberta Kelley, Bureau Chief
Florida Medicaid Health Systems Development
PowerPoint Slides | PDF Handout

James Hardy, Project Manager
Pennsylvania Department of Public Welfare
PowerPoint Slides | PDF Handout

4:45—5:45 p.m.

Medicare Pharmacy Coverage and Implications for Long-Term Care

Moderator Alice Burton, Director
State Coverage Initiatives
Panelists

Jim Verdier, Senior Fellow
Mathematica Policy Research, Inc.
PowerPoint Slides | PDF Handout

Chuck Milligan, Executive Director
Center for Health Program Management and Development
University of Maryland Baltimore County
PowerPoint Slides | PDF Handout

 

6:00-7:00 p.m. Reception

Friday, October 8, 2004

7:00—8:00 a.m. Continental Breakfast

8:00—9:15 a.m.

Meeting the Challenge of Expanded State Eligibility
Determination Requirements

Moderator Barbara Cooper, Senior Program Officer
The Commonwealth Fund
Panelists

Anthony Culotta, Acting Director, Medicare Enrollment and Appeals Group
Center for Beneficiary Choices, CMS

Gale Arden, Director
Disabled Elderly Health Programs Group
Center for Medicaid and State Operations, CMS
PowerPoint Slides | PDF Handout

Laura Summer, Senior Researcher
Georgetown University
PowerPoint Slides | PDF Handout

Kenneth D. Nibali, Consultant on Social Security
Former Associate Commissioner for Disability with the Social Security Administration
PowerPoint Slides | PDF Handout

Beatrice Disman, Regional Commissioner
Social Security Administration - New York Region

9:15—10:15 a.m.

Part D Regulations and Issues of Concern for States:
One-on-One with the Center for Medicare and Medicaid Services

Moderator Susan C. Reinhard, Co-Director
Rutgers Center for State Health Policy
Panelists

Charlene Brown, Deputy Chief Operating Officer
CMS

Gale Arden, Director
Disabled Elderly Health Programs Group
Center for Medicaid and State Operations, CMS
PowerPoint Slides | PDF Handout

Anthony Culotta, Acting Director, Medicare Enrollment and Appeals Group
Center for Beneficiary Choices, CMS

10:15—10:30 a.m.

Break

10:30 a.m.—
12 p.m.

Formulary and Cost-Sharing Issues

Moderator Stephen Crystal, Research Professor & Associate Director for Research
Rutgers Center for State Health Policy
Panelists

Bruce Stuart, Professor and Director
The Peter Lamy Center on Drug Therapy and Aging
University of Maryland School of Pharmacy
PowerPoint Slides | PDF Handout

Haiden Huskamp, Associate Professor of Health Economics
Harvard Medical School
PowerPoint Slides | PDF Handout

Geoffrey Joyce, Economist
RAND
PowerPoint Slides | PDF Handout

12:00—1:00 p.m. Lunch
1:00—2:15 p.m.

State Drug Purchasing in a New World

Moderator Anne Gauthier, Vice President
AcademyHealth
Panelists

Steve Schondelmeyer, Director
PRIDE Institute, University of Minnesota
PowerPoint Slides | PDF Handout

Paul Reinhart, Director
Michigan Medicaid Program
PowerPoint Slides | PDF Handout

Mark Gibson, Deputy Director
Center for Evidenced Based Policy
Oregon Health Sciences University
PowerPoint Slides | PDF Handout

2:15—3:15 p.m.

Roundtable Discussion: Laying the Groundwork for Assessing Impact on States

Facilitator Joel C. Cantor, Director
Rutgers Center for State Health Policy
3:15—3:30 p.m. Closing Remarks & Next Steps

___________________________________________________________

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