Webinar 1  |  July 9, 2020 
Webinar 2  |  July 16, 2020 
Webinar 3  |  July 23, 2020
11:00 a.m. – Noon, Pacific Time 

Registration is now closed.

Overview

How is the Medi-Cal program funded?
How does DHCS determine the rates it pays to managed care plans?
How does the State oversee plan finances?

Medi-Cal Managed Care financing is nothing short of complex. Join us for this introductory webinar series and get answers to these questions and more. Expert faculty will discuss:

• Key concepts in federal and state financing of Medi-Cal Managed Care
• Rate development process
• How non-finance departments can support the rate development process
• Regulatory oversight of plan finances

Who should participate:
Local health plan staff interested in learning the basics of Medi-Cal Managed Care financing. The series may be most valuable and informative for non-finance staff and staff who are new to managed care finance.

Webinar 1

Key Concepts in Federal & State Financing of Medi-Cal
Managed Care
July 9, 2020
11:00 a.m. – Noon

Agenda

• What is Medicaid and how is it funded?
• Medi-Cal enrollment trends
• How the Medi-Cal program is paid for
• Gubernatorial and legislative impact on managed care
• Factors that influence the California budget process
• Sources of Medi-Cal funding

Webinar 2

How California Pays Medi-Cal Plans: The Rate Development Process
July 16, 2020
11:00 a.m. – Noon

Agenda

• Key components of the rate development process
• What data is used for rate setting
• Tools impacting plan payment — base data, efficiency and risk adjustments and more
• Best practices to ensure reasonable payment
• New developments impacting plan payment
• Challenges in and proposals to improve Medi-Cal rate setting

Webinar 3

Rate Development Support & State Oversight of Plan Finances
July 23, 2020
11:00 a.m. – Noon

Agenda

• How non-finance departments can support the rate development process
• DHCS and DMHC roles in financial oversight of managed care plans
• Key concepts in oversight — net income, tangible net equity, medical loss ratio, et. al
• What regulators look for in overseeing plan finances
• Plan reporting requirements
• Ask the Experts

Faculty

Jonathan Freedman
Vice President
Health Management Associates

Jonathan Freedman works with plans, providers, associations, and governmental and non-governmental entities in the areas of public health, safety net health care, and public policy. His work focuses on strategic planning, public health improvement and transformation, and the health care safety net. Prior to joining HMA, Mr. Freedman held a variety of management and leadership roles at L.A. Care Health Plan and with the County of Los Angeles, and led a number of high-profile health- and health care-related initiatives.

Meredith Wurden
Consultant and Former Director, Policy and Fiscal Strategy for Partnership HealthPlan of California

Meredith Wurden most recently served as the Director of Policy and Fiscal Strategy at Partnership HealthPlan of California (PHC) where she was responsible for fiscal policy development and communication. Prior to PHC, Meredith worked for the state of California for nearly ten years. She also previously served as Assistant Deputy Director of Health Care Financing at the California Department of Health Care Services and with the California State Legislature covering health issues, including as a principal fiscal and policy analyst for the non-partisan California Legislative Analyst’s Office and as Deputy Director at the California Senate Office of Research. Meredith also worked at the federal Government Accountability Office.

Gil Riojas
Chief Financial Officer
Alameda Alliance for Health

Gil Riojas is Chief Financial Officer at Alameda Alliance for Health (Alliance) with responsibility for the overall financial management of the organization. This includes oversight of financial budgeting and forecasting, accounting, financial reporting and other related activities. Prior to joining the Alliance, Gil worked for more than 15 years at the California Department of Managed Health Care where he oversaw the Financial Review Office and was responsible for monitoring the financial solvency and compliance of more than 124 managed care plans statewide.

Registration

NOTE: Health plan staff interested in participating should adhere to their respective plan’s process for LHPC Institute event registration where applicable.

Registration Fees: $30 per webinar
*Special pricing is offered while health plan staff are working remotely. Standard pricing will resume when staff return to work on-site.

Registration Deadline: Registration for each individual webinar will close at 5:00 p.m. the day prior to the program.

Registration Confirmation: Registrants will receive an email notification confirming their registration.

Cancellation and No-Show Policy: Cancellation notification must be submitted in writing to institute@lhpc.org seven or more days prior to the course date. Refunds will not be given after that date. Substitutions are encouraged. Payment will be due for registered individuals that do not attend the event and for which a cancellation notice is not received.