Webinar 1  |  December 3, 2020
Webinar 2  |  December 10, 2020
1:30 – 3:00 p.m., Pacific Time​
An LHPC members-only program

Registration is now closed.

Overview

The Medi-Cal managed care rate-setting process establishes the foundation on which local health plans provide services to 7.5 million Californians. How plans leverage this process can prove critical to their operational and financial success. 

Diving deeper into concepts introduced in the Medi-Cal Managed Care Finance 101 course, expert faculty will provide an in-depth look at the Medi-Cal managed care rate-setting process. Attendees will learn how rates are established, how the process is structured, the key components of the Rate Development Template (RDT) and implications for local plans’ day-to-day and strategic operations.

*Note: The course is not designed to be a training on how to complete the RDT. The intent is to provide a closer look at the fundamental elements and considerations that factor into the RDT and the
rate-setting process as a whole.

Who Should Attend:
Plan staff working in finance, planning, data analytics, provider network, medical management and information technology. To get the most benefit from the course, interested individuals should have some level of knowledge and/or experience in plan financing, or perform functions that are connected to or impacted by plan financing.

Webinar 1 Agenda

*May be subject to change

The Rate Development Black Box —​ Understanding the RDT
December 3, 2020 | 1:30 – 3:00 p.m.

• Review of the rate-setting process — purpose, key players and their roles
• Understanding the RDT — a walkthrough of key components, timelines
• Data used in the rate development process and how it’s collected
• Critical role of encounter data
• Supplemental data requests — what they are and why they’re important

Webinar 2 Agenda

*May be subject to change

Operational Implications & Maximizing Revenue​
December 10, 2020 | 1:30 – 3:00 p.m.

• Operational and financial processes for supporting RDT submissions
• Common issues with the RDT
• How the RDT may change in the future
• The RDT and implications for plan operations
• Role of the RDT in rate development discussions with the State

Faculty

Meredith Wurden
Principal
Wurden Consulting

Meredith Wurden most recently served as the Director of Policy and Fiscal Strategy at Partnership HealthPlan of California where she was responsible for fiscal policy development and communication. Prior to joining 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.

Keenan Freeman
Chief Financial Officer
Inland Empire Health Plan

Keenan Freeman joined Inland Empire Health Plan (IEHP) as Chief Financial Officer in 2016. With nearly 30 years of professional finance experience, Mr. Freeman is responsible for the overall financial management of IEHP, its financial reporting and transparency, and for multiple plan financial functions including accounting, purchasing, capitation, cost recovery, risk management, and the coordination of fiscal and other operational audits.

Registration

Registration is now closed.

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

Fees* (per connection)
Individual webinar                 $30
Full series                               $60
Plan series registration^       $160
*Special registration pricing will be offered while health plan staff work remotely. Standard pricing will resume once staff return to work
on-site.
^ Select this option if plan staff will view the webinars communally on-site. Plans with multiple sites must register each site separately and identify whom at each site should receive the webinar access information upon registering. When registering, please enter unique email addresses for each additional site as the system may not allow duplicate logins.​

Registration closes Nov. 30 at 5:00 p.m.

Registration Confirmation: Registrants will receive an email confirmation that will contain a link to the program participant information web page. The web page provides helpful instructions for accessing the program and any accompanying materials.

Participating in the Webinar: You will only need a computer with a web browser (Google Chrome, Microsoft Edge or Mozilla Firefox is recommended) and a telephone. Audio for the program will be available via toll-free number or by using your computer speakers. 

Cancellation 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 or participate in the event, and for which a cancellation notice is not received.