Serving the Needs of the Medicaid Population in Disease Management Programs, a January 25, 2006 audio conference, on CD-ROM
examines what strategies are effective
in Medicaid disease management (DM) programs and the impact DM programs can have on improving the health status of
While serving the Medicaid population in DM programs presents its own unique set
of challenges to DM programs, the number of DM programs serving Medicaid populations
continues to rise as states look to programs to control Medicaid cost increases.
During this 90-minute audio conference on CD-ROM, your expert panel of speakers, Jerry Kiplinger, executive
director, APS Healthcare, and Herb Schultz, vice president, government account management, McKesson Health
Solutions, provide inside details on how their organizations address the needs of the Medicaid population.
You will get details on:
- Identifying eligible beneficiaries;
- Addressing interruptions in Medicaid eligibility;
- Engaging the Medicaid population in disease management programs;
- Treating comorbidities in the Medicaid population; and
- Measuring the impact of DM programs on the Medicaid population.
Here's what participants said about the live program:
"This program gave an excellent overview of how two organizations successfully implemented a disease management program among the Medicaid population," according to a nurse case manager with a regional health plan.
"The audio conference provided extremely important information to have when setting up a program," according to Julia Gaskins, a nurse with Virginia Premier Health Plan.
"The conference was very thorough and had well-planned, excellent information," said a case management executive with a Blues plan.
"The presenters actively shared 'secrets' of success," said a health plan participant.
"This program provided new ideas to focus on for disease management programs," said one participant from a health plan.
"This conference was excellent for understanding the disease management process, the ROI that disease management impact makes," according to Linda Cloud, branch manager with Department of Medicaid.
You can "attend" this program right in your office and enjoy significant savings Ė no travel time or hassle; no hotel
expenses. Itís so convenient! Invite your staff members to listen in.
WHO WILL BENEFIT FROM THIS AUDIO CONFERENCE?
CEOs, medical directors, disease management directors, managers and coordinators, health plan executives, care management nurses, business development and strategic planning directors.
ABOUT OUR PANELISTS:
Gerald Kiplinger is the executive director of the Wyoming Medicaid program for APS Healthcare.
The Wyoming program was selected by the Disease Management Association of America for the 2005 "Best Government Disease Management Program" in the nation. In addition, the Wyoming program was also selected by Health Industries Research Company and Disease Management Purchasing Consortium (DMPC) as "One of the seven most effective Medicaid Disease Management Programs," and was the first public health program to receive the DMPC "ROI Certification."
Prior to accepting his current position with APS Healthcare, Kiplinger worked as a director for a disease management company and was assigned to a healthcare system to implement disease management programs. While there he implemented standing orders, policies and protocols used to standardize the care of patients with diabetes mellitus and cardiovascular disease. Kiplinger was also the director for minority health initiatives and community outreach program.
Kiplinger is a retired Naval Medical Service Corps Officer where he worked as a healthcare administrator and held various positions that supported the Department of Defense healthcare system, active duty military, and their family members. He was selected in 1994 by the Naval Surgeon General and the American Hospital Association to be the American Hospital Association's Senior Fellow from 1995 to 1996. Kiplinger was responsible for the implementation of the TRICARE program for Illinois and Wisconsin that represented over 100,000 covered lives. During this time he implemented new policies and procedures designed to improve delivery of care, access to care and outcomes through prevention program.
He holds a Bachelor of Science in Business from the University of Southern Colorado and a Master's in Business Administration from Troy State University in Alabama.
Herb K. Schultz is the vice president of government programs at Mckesson Health Solutions.
In this role, Schultz leads, oversees, and provides leadership/strategic vision and management for all of McKesson Health Solutionsí (MHS) disease management and nurse advice government accounts -- specifically Medicaid, Medicare, federal employee, Veterans Administration and TRICARE programs. He maintains strong and on-going relationships with key decision makers and other major stakeholders at the federal, state, and local government level. In addition, Schultz develops, evaluates, and assists in implementing cutting-edge strategies and tactics to identify and successfully seize opportunities to increase existing and sell new government business.
Schultz has extensive experience working with federal, state and local government entities.
Prior to joining McKesson, Schultz was acting director of the California Employment Development Department (EDD) and the acting secretary and undersecretary for the California Labor and Workforce Development Agency. He was initially appointed by then-Governor Gray Davis to the undersecretary position, where he was responsible for the day-to-day operation of the stateís labor/employment agency and acting secretary of Labor and Workforce Development, a cabinet position.
Prior to his appointments at the Labor Agency, former Governor Davis appointed Schultz deputy director for External Affairs of the then newly created California Department of Managed Care. Schultz directed the departmentís legislative affairs effort, served as its liaison to the Governorís office, state Legislature, federal, state and local government agencies and other stakeholders; led some of its key regulatory activities, and served as director of the Advisory Committee on Managed Health Care.
Schultz came to the department from AIDS Project Los Angeles (APLA), where he served as government affairs director, advocating for reinvigorated HIV protection, better access to care and treatment for people living with HIV and Medicaid reform.
Prior to joining APLA, Schultz was the vice president of state affairs for the American Association of Health Plans (AAHP), the National Trade Association for the managed care industry. He directed legislative and regulatory activities in the 50 states and Washington, D.C. In addition, he played a leading role (at the National Association of Insurance Commissioners) in the development of an unprecedented national model for new and innovative financial solvency standards for HMOs. Further, Schultz also served as the chief liaison to the associationís federal government affairs team.
Schultz has a Masterís in Public Policy from Georgetown University in Washington, D.C., and a Bachelorís in Political Science and International Studies from The American University, Washington, D.C.