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Medicare and Medicaid: The Next 50 Years

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WEDNESDAY, JANUARY 28, 2015


8:00 AM  Registration Opens 

9:00 AM  Interest Groups (Member-led, free and open to the public, register at links below)

12:00 PM  2015 Annual Membership Meeting & Luncheon (Active NASI members only)

2:30 PM  Pre-conference Roundtable Sessions (Free and open to the public, register at links below)

5:00 PM  Opening Reception

5:30 PM  Keynote 

  • Uwe Reinhardt, Professor of Economics and Public Affairs, Princeton University on Social Insurance, Health Policy and the Next 50 Years
     
THURSDAY, JANUARY 29, 2015

8:30 AM  Opening and Welcome: G. Lawrence Atkins, National Academy of Social Insurance

8:35 AM  Session I: Medicare’s First 50 Years
What was accomplished? What needs repair? What needs reform? This opening panel will provide an overview of Medicare’s accomplishments over the past 50 years. Panelists will outline future issues and present new research on policy options for the future, including analyses of benefit and provider payment redesign, fiscal stability, and long-term care. Panelists include:

  • Stuart Guterman, The Commonwealth Fund on An Overview of Medicare’s Accomplishments
  • Gerard Anderson, Johns Hopkins Bloomberg School of Public Health on Medicare Provider Payment Reform
  • Lauren Nicholas, Johns Hopkins Bloomberg School of Public Health on Improving Chronic Care and Long-Term Care in Medicare
  • Cathy Schoen, Commonwealth Fund Health Cost Initiative on Simplifying and Enhancing Access and Affordablity for Medicare's Low-Income Beneficiaries
  • Moderator: Karen Davis, Bloomberg School of Public Health

10:00 AM  Session II: The Changing Face of American Health and Health Care
The American population is changing, with growing diversity, an aging population, and increasing economic disparities. The work patterns and attitudes of today’s younger generations are different from those of the past. Health habits, attitudes about health care and about health coverage are all changing with new generations entering the workforce and entering retirement. With new information tools available, patients/consumers are becoming more engaged in health care decision-making. The health care workforce itself is changing to meet the needs of new models of health care delivery. What kinds of competencies will be needed and how might education/training need to evolve? How might these trends affect peoples’ needs and expectations for health care and the Medicare and Medicaid programs?

  • Jennifer Ortman, Population Projections Branch on Our Aging Nation
  • Marilyn Moon, Center on Aging Director, American Institutes for Research on Engaging Future Medicare and Medicaid Consumers
  • Jennie Chin Hansen, American Geriatrics Society on Changing Health Care Workforce
  • Moderator: Susan Dentzer, Robert Wood Johnson Foundation

11:50 AM  A Conversation with Dr. Patrick Conway, Centers for Medicare and Medicaid Services (CMS)

Supporting the process of innovation is key to ensuring quality of care and the sustainability of Medicare and Medicaid over the next 50 years. During this luncheon session, Sachin Jain will interview Dr. Patrick Conway about fostering innovation and adopting innovative ideas that result in better health for our communities. This conversation also serves to frame a new NASI project to gather innovative proposals from a variety of disciplines to help us identify and better serve the needs of working age persons with disabilities.

12:40 PM  Session III: The Coming Conflict Between Scientific Breakthroughs & Cost
What significant advances in science and technology could reshape health care and the Medicare and Medicaid programs in the coming years? What impact will they have on improved health status, longevity, and quality of life? How will this affect the overall cost of health care? How will our political and judicial systems resolve conflicts between individual interests and societal benefit?

  • Lewis G. Sandy, M.D., Clinical Advancement, UnitedHealth Group on We Can Afford to Innovate! The Role of Big Data
  • Richard J. Hodes, M.D., National Institute on Aging on The Impact of Alzheimer’s Disease
  • Michael K. Gusmano, The Hastings Center on Technology and Cost: The Ethics of Health Technology Assessment
  • Moderator: Julie Rovner, Kaiser Health News

1:45 PM  Session IV: Looking Behind Payment & Delivery Reform
The ACA is accelerating the pace of change in Medicare payment and the underlying health care delivery system. New payment and delivery models are emerging, with early versions being rolled out and tested. As these are implemented and evolve in the real world, how do they reshape the system of care and the benefits that are provided through Medicare and Medicaid?  How will innovation in physician, hospital, device, drug, and long-term care payment converge; and what will the reshaped health care system and the Medicare and Medicaid programs look like 50 years from now? What promises and challenges will reshaped programs hold for future Medicare beneficiaries and Medicaid participants?

  • Thomas Lee, M.D., Press-Ganey, A new Marketplace Emerges
  • Richard Baron, M.D. American Board of Internal Medicine and ABIM Foundation on Getting the Idea: Activating medical professionalism for high value care
  • Suzanne Delbanco, Catalyst for Payment Reform, Looking Beyond Professionalism for High Value Care
  • Moderator: Julian Harris, M.D., Office of Management and Budget

3:10 PM  Session V: Coverage Over the Life Span
In our health system, health care coverage is balkanized and individual relationships with providers and health care systems are disrupted by changes in coverage as people change their income levels, employment status, or employer over their life span.  Innovations in health coverage and delivery are advancing models (like ACOs, integrated health plans, Exchanges) that enable a person to remain with a health system or integrated plan as they change payers (from one employer to another or from an employer to government). The ACA also expanded Medicaid coverage, implemented now in only half the states. How will these changes affect coverage for today’s children?  What can to be done to address end-of-life medical and long-term care needs?  What are the advantages of provider and health system continuity in advancing quality of care and health outcomes? What policy options would enable seamless coverage and continuous health system attachment?  What are the benefits and risks of making Medicare a universal single payer, of expanding Exchange-based coverage broadly, or of an incremental approach to providing more seamless coverage?

  • Dean Baker, Center for Economic and Policy Research on Moving Towards Universal Medicare
  • Sherry Glied, Wagner School of Public Service, New York University on Fragmentation and Integration in U.S. Health Coverage Financing
  • Douglas Holtz-Eakin, American Action Forum on Improving Health Insurance Exchanges as a Choice to All
  • Moderator: Renée Landers, Suffolk University Law School

4:30 PM  Session VI: Medicare and Medicaid for the Next 50 Years: Insights from the Top
Susan Dentzer interviews CMS Administrators about the future of the Medicare and Medicaid programs. Interviewees include:

  • Leonard D. Schaeffer,  University of Southern California
  • Thomas A. Scully, Alston & Bird, LLP
  • Bruce C. Vladeck, Nexera Inc.
  • Gail Wilensky, Project HOPE

5:20 PM  Conference Adjournment

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