ms KATHRYN KUHMERKER APPEL

50th Anniversary of Medicaid; Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Capped Medicaid Funding Proposals; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; CHIP funding extension; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; Fraud, waste, and abuse issues for Medicare and Medicaid; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 2505, Medicare Advantage Coverage Transparency Act of 2015; H.R. 2506, Seniors' Health Care Plan Protection Act of 2015; H.R. 2507, Increasing Regulatory Fairness Act of 2015; H.R. 2579, Securing Care for Seniors Act of 2015; H.R. 546 and S. 298, The Advancing Care for Exceptional (ACE) Kids Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid eligibility programs including TMA and QI; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care best practices; Medicaid managed care regulations; Medicaid PCP rate increase; Medicaid quality measurement and improvement; Medical loss ratio for Medicaid managed care plans; Mental Health Parity; Network adequacy; Protecting Medicaid from reductions made during budget reconciliation; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs

50th Anniversary of Medicaid; Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Capped Medicaid Funding Proposals; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; CHIP funding extension; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; Fraud, waste, and abuse issues for Medicare and Medicaid; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 2505, Medicare Advantage Coverage Transparency Act of 2015; H.R. 2506, Seniors' Health Care Plan Protection Act of 2015; H.R. 2507, Increasing Regulatory Fairness Act of 2015; H.R. 2579, Securing Care for Seniors Act of 2015; H.R. 546 and S. 298, The Advancing Care for Exceptional (ACE) Kids Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid eligibility programs including TMA and QI; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care best practices; Medicaid managed care regulations; Medicaid PCP rate increase; Medicaid quality measurement and improvement; Medical loss ratio for Medicaid managed care plans; Mental Health Parity; Network adequacy; Protecting Medicaid from reductions made during budget reconciliation; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs

50th Anniversary of Medicaid; Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Capped Medicaid Funding Proposals; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; CHIP funding extension; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; Fraud, waste, and abuse issues for Medicare and Medicaid; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 2505, Medicare Advantage Coverage Transparency Act of 2015; H.R. 2506, Seniors' Health Care Plan Protection Act of 2015; H.R. 2507, Increasing Regulatory Fairness Act of 2015; H.R. 2579, Securing Care for Seniors Act of 2015; H.R. 546 and S. 298, The Advancing Care for Exceptional (ACE) Kids Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid eligibility programs including TMA and QI; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care best practices; Medicaid managed care regulations; Medicaid PCP rate increase; Medicaid quality measurement and improvement; Medical loss ratio for Medicaid managed care plans; Mental Health Parity; Network adequacy; Protecting Medicaid from reductions made during budget reconciliation; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs

50th Anniversary of Medicaid; Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Capped Medicaid Funding Proposals; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; CHIP funding extension; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; Fraud, waste, and abuse issues for Medicare and Medicaid; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 2505, Medicare Advantage Coverage Transparency Act of 2015; H.R. 2506, Seniors' Health Care Plan Protection Act of 2015; H.R. 2507, Increasing Regulatory Fairness Act of 2015; H.R. 2579, Securing Care for Seniors Act of 2015; H.R. 546 and S. 298, The Advancing Care for Exceptional (ACE) Kids Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid eligibility programs including TMA and QI; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care best practices; Medicaid managed care regulations; Medicaid PCP rate increase; Medicaid quality measurement and improvement; Medical loss ratio for Medicaid managed care plans; Mental Health Parity; Network adequacy; Protecting Medicaid from reductions made during budget reconciliation; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs

Actuarial soundness; Amendment to S.Con.Res.11 regarding continuous enrollment in Medicaid; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; CHIP funding extension; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Marketing rule consistency across Medicaid and the Exchange; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care regulations; Medicaid PCP rate increase; Medicaid quality measurement and improvement; Medical loss ratio for Medicaid managed care plans; Network adequacy; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 428, Stabilize Medicaid and CHIP Coverage Act; S. 737, Ensuring Access to Primary Care for Women & Children Act; SNP reauthorization

50th Anniversary of Medicaid; Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Capped Medicaid Funding Proposals; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; CHIP funding extension; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; Fraud, waste, and abuse issues for Medicare and Medicaid; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 2505, Medicare Advantage Coverage Transparency Act of 2015; H.R. 2506, Seniors' Health Care Plan Protection Act of 2015; H.R. 2507, Increasing Regulatory Fairness Act of 2015; H.R. 2579, Securing Care for Seniors Act of 2015; H.R. 546 and S. 298, The Advancing Care for Exceptional (ACE) Kids Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid eligibility programs including TMA and QI; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care best practices; Medicaid managed care regulations; Medicaid PCP rate increase; Medicaid quality measurement and improvement; Medical loss ratio for Medicaid managed care plans; Mental Health Parity; Network adequacy; Protecting Medicaid from reductions made during budget reconciliation; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs

50th Anniversary of Medicaid; Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Capped Medicaid Funding Proposals; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; CHIP funding extension; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; Fraud, waste, and abuse issues for Medicare and Medicaid; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 2505, Medicare Advantage Coverage Transparency Act of 2015; H.R. 2506, Seniors' Health Care Plan Protection Act of 2015; H.R. 2507, Increasing Regulatory Fairness Act of 2015; H.R. 2579, Securing Care for Seniors Act of 2015; H.R. 546 and S. 298, The Advancing Care for Exceptional (ACE) Kids Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid eligibility programs including TMA and QI; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care best practices; Medicaid managed care regulations; Medicaid PCP rate increase; Medicaid quality measurement and improvement; Medical loss ratio for Medicaid managed care plans; Mental Health Parity; Network adequacy; Protecting Medicaid from reductions made during budget reconciliation; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs

Actuarial soundness; Amendment to S.Con.Res.11 regarding continuous enrollment in Medicaid; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; CHIP funding extension; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Marketing rule consistency across Medicaid and the Exchange; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care regulations; Medicaid PCP rate increase; Medicaid quality measurement and improvement; Medical loss ratio for Medicaid managed care plans; Network adequacy; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 428, Stabilize Medicaid and CHIP Coverage Act; S. 737, Ensuring Access to Primary Care for Women & Children Act; SNP reauthorization

Actuarial soundness; Amendment to S.Con.Res.11 regarding continuous enrollment in Medicaid; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; CHIP funding extension; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Marketing rule consistency across Medicaid and the Exchange; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care regulations; Medicaid PCP rate increase; Medicaid quality measurement and improvement; Medical loss ratio for Medicaid managed care plans; Network adequacy; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 428, Stabilize Medicaid and CHIP Coverage Act; S. 737, Ensuring Access to Primary Care for Women & Children Act; SNP reauthorization

Actuarial soundness; Amendment to S.Con.Res.11 regarding continuous enrollment in Medicaid; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; CHIP funding extension; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Marketing rule consistency across Medicaid and the Exchange; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care regulations; Medicaid PCP rate increase; Medicaid quality measurement and improvement; Medical loss ratio for Medicaid managed care plans; Network adequacy; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 428, Stabilize Medicaid and CHIP Coverage Act; S. 737, Ensuring Access to Primary Care for Women & Children Act; SNP reauthorization

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; Regulatory and systematic impact of Medicaid continuous coverage; H.R. 1698; S. 1980; Expanding Medicaid managed care for duals; Coordinated Care Alternatives for dual eligibles; Appropriate payment including changes to risk adjustment for MA/SNPs; SNP reauthorization; Integrated care options for dual eligibles;Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Education on dual eligible demonstration projects; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program; roll-out issues of duals demo and MMP plans ; Home and Community Based Services; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; Actuarial soundness; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Significant budget cuts in Medicaid; Medical loss ratio for Medicaid managed care plans; Enhanced state flexibility in managing Medicaid programs; PCP payment increase; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; EQR standards; Risk adjustment; "State of Medicaid" Congressional briefing and related advocacy and policy documents; TMA program and continuous enrollment; CHIP Reauthorization; H.R. 4484; Medicaid Quality Measurement; Updated Medicaid Managed Care Regulations; Medicaid eligibility and enrollment issues; High cost specialty medications

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; H.R. 1698; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Expanding Medicaid managed care for duals; Significant budget cuts in Medicaid; Coordinated Care Alternatives for dual eligibles; Medical loss ratio for Medicaid managed care plans; Appropriate payment including changes to risk adjustment for MA/SNPsRegulatory and systematic impact of Medicaid continuous coverage; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Actuarial soundness; Education on dual eligible demonstration projects; PCP payment increase; Risk adjustment; "State of Medicaid" Congressional briefing and related advocacy and policy documents; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; TMA program and continuous enrollment; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program; roll-out issues of duals demo and MMP plans; S. 1980; Medicaid extender provisions in Medicare Sustainable Growth Reform legislation; Home and Community Based Services; CHIP Reauthorization

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; Regulatory and systematic impact of Medicaid continuous coverage; H.R. 1698; S. 1980; H.R. 4484; S. 2491; Medicaid Quality Measurement and Improvement; Updated Medicaid Managed Care Regulations; Medicaid eligibility and enrollment issues; Expanding Medicaid managed care for duals; Coordinated Care Alternatives for dual eligibles; Appropriate payment including changes to risk adjustment for MA/SNPs; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Education on dual eligible demonstration projects; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program; roll-out issues of duals demo and MMP plans ; Home and Community Based Services; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; Actuarial soundness; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Significant budget cuts in Medicaid; Medical loss ratio for Medicaid managed care plans; Enhanced state flexibility in managing Medicaid programs; PCP payment increase; High cost specialty medications; Medicaid health plans serving as qualified health plans in the exchange; Risk adjustment; CHIP Reauthorization

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; H.R. 1698; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Expanding Medicaid managed care for duals; Significant budget cuts in Medicaid; Coordinated Care Alternatives for dual eligibles; Medical loss ratio for Medicaid managed care plans; Appropriate payment including changes to risk adjustment for MA/SNPsRegulatory and systematic impact of Medicaid continuous coverage; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Actuarial soundness; Education on dual eligible demonstration projects; PCP payment increase; Risk adjustment; "State of Medicaid" Congressional briefing and related advocacy and policy documents; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; TMA program and continuous enrollment; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program; roll-out issues of duals demo and MMP plans; S. 1980; Medicaid extender provisions in Medicare Sustainable Growth Reform legislation; Home and Community Based Services; CHIP Reauthorization

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; Regulatory and systematic impact of Medicaid continuous coverage; H.R. 1698; S. 1980; H.R. 4484; Medicaid Quality Measurement and Improvement; Updated Medicaid Managed Care Regulations; Medicaid eligibility and enrollment issues; Expanding Medicaid managed care for duals; Coordinated Care Alternatives for dual eligibles; Appropriate payment including changes to risk adjustment for MA/SNPs; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects ; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Education on dual eligible demonstration projects; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program, roll-out issues of duals demo and MMP plans; Home and Community Based Services; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; Actuarial soundness; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Significant budget cuts in Medicaid; Medical loss ratio for Medicaid managed care plans; Enhanced state flexibility in managing Medicaid programs; PCP payment increase; High cost specialty medications; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; Risk adjustment; CHIP Reauthorization; Medicaid managed care best practices; Network adequacy

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; Regulatory and systematic impact of Medicaid continuous coverage; H.R. 1698; S. 1980; H.R. 4484; S. 2491; Medicaid Quality Measurement and Improvement; Updated Medicaid Managed Care Regulations; Medicaid eligibility and enrollment issues; Expanding Medicaid managed care for duals; Coordinated Care Alternatives for dual eligibles; Appropriate payment including changes to risk adjustment for MA/SNPs; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Education on dual eligible demonstration projects; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program; roll-out issues of duals demo and MMP plans ; Home and Community Based Services; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; Actuarial soundness; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Significant budget cuts in Medicaid; Medical loss ratio for Medicaid managed care plans; Enhanced state flexibility in managing Medicaid programs; PCP payment increase; High cost specialty medications; Medicaid health plans serving as qualified health plans in the exchange; Risk adjustment; CHIP Reauthorization

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; Regulatory and systematic impact of Medicaid continuous coverage; H.R. 1698; S. 1980; H.R. 4484; Medicaid Quality Measurement and Improvement; Updated Medicaid Managed Care Regulations; Medicaid eligibility and enrollment issues; Expanding Medicaid managed care for duals; Coordinated Care Alternatives for dual eligibles; Appropriate payment including changes to risk adjustment for MA/SNPs; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects ; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Education on dual eligible demonstration projects; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program, roll-out issues of duals demo and MMP plans; Home and Community Based Services; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; Actuarial soundness; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Significant budget cuts in Medicaid; Medical loss ratio for Medicaid managed care plans; Enhanced state flexibility in managing Medicaid programs; PCP payment increase; High cost specialty medications; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; Risk adjustment; CHIP Reauthorization; Medicaid managed care best practices; Network adequacy

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; Regulatory and systematic impact of Medicaid continuous coverage; H.R. 1698; S. 1980; Expanding Medicaid managed care for duals; Coordinated Care Alternatives for dual eligibles; Appropriate payment including changes to risk adjustment for MA/SNPs; SNP reauthorization; Integrated care options for dual eligibles;Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Education on dual eligible demonstration projects; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program; roll-out issues of duals demo and MMP plans ; Home and Community Based Services; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; Actuarial soundness; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Significant budget cuts in Medicaid; Medical loss ratio for Medicaid managed care plans; Enhanced state flexibility in managing Medicaid programs; PCP payment increase; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; EQR standards; Risk adjustment; "State of Medicaid" Congressional briefing and related advocacy and policy documents; TMA program and continuous enrollment; CHIP Reauthorization; H.R. 4484; Medicaid Quality Measurement; Updated Medicaid Managed Care Regulations; Medicaid eligibility and enrollment issues; High cost specialty medications

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; Regulatory and systematic impact of Medicaid continuous coverage; H.R. 1698; S. 1980; H.R. 4484; Medicaid Quality Measurement and Improvement; Updated Medicaid Managed Care Regulations; Medicaid eligibility and enrollment issues; Expanding Medicaid managed care for duals; Coordinated Care Alternatives for dual eligibles; Appropriate payment including changes to risk adjustment for MA/SNPs; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects ; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Education on dual eligible demonstration projects; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program, roll-out issues of duals demo and MMP plans; Home and Community Based Services; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; Actuarial soundness; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Significant budget cuts in Medicaid; Medical loss ratio for Medicaid managed care plans; Enhanced state flexibility in managing Medicaid programs; PCP payment increase; High cost specialty medications; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; Risk adjustment; CHIP Reauthorization; Medicaid managed care best practices; Network adequacy

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; H.R. 1698; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Expanding Medicaid managed care for duals; Significant budget cuts in Medicaid; Coordinated Care Alternatives for dual eligibles; Medical loss ratio for Medicaid managed care plans; Appropriate payment including changes to risk adjustment for MA/SNPsRegulatory and systematic impact of Medicaid continuous coverage; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Actuarial soundness; Education on dual eligible demonstration projects; PCP payment increase; Risk adjustment; "State of Medicaid" Congressional briefing and related advocacy and policy documents; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; TMA program and continuous enrollment; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program; roll-out issues of duals demo and MMP plans; S. 1980; Medicaid extender provisions in Medicare Sustainable Growth Reform legislation; Home and Community Based Services; CHIP Reauthorization

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; Regulatory and systematic impact of Medicaid continuous coverage; H.R. 1698; S. 1980; Expanding Medicaid managed care for duals; Coordinated Care Alternatives for dual eligibles; Appropriate payment including changes to risk adjustment for MA/SNPs; SNP reauthorization; Integrated care options for dual eligibles;Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Education on dual eligible demonstration projects; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program; roll-out issues of duals demo and MMP plans ; Home and Community Based Services; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; Actuarial soundness; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Significant budget cuts in Medicaid; Medical loss ratio for Medicaid managed care plans; Enhanced state flexibility in managing Medicaid programs; PCP payment increase; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; EQR standards; Risk adjustment; "State of Medicaid" Congressional briefing and related advocacy and policy documents; TMA program and continuous enrollment; CHIP Reauthorization; H.R. 4484; Medicaid Quality Measurement; Updated Medicaid Managed Care Regulations; Medicaid eligibility and enrollment issues; High cost specialty medications

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; Regulatory and systematic impact of Medicaid continuous coverage; H.R. 1698; S. 1980; H.R. 4484; S. 2491; Medicaid Quality Measurement and Improvement; Updated Medicaid Managed Care Regulations; Medicaid eligibility and enrollment issues; Expanding Medicaid managed care for duals; Coordinated Care Alternatives for dual eligibles; Appropriate payment including changes to risk adjustment for MA/SNPs; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Education on dual eligible demonstration projects; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program; roll-out issues of duals demo and MMP plans ; Home and Community Based Services; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; Actuarial soundness; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Significant budget cuts in Medicaid; Medical loss ratio for Medicaid managed care plans; Enhanced state flexibility in managing Medicaid programs; PCP payment increase; High cost specialty medications; Medicaid health plans serving as qualified health plans in the exchange; Risk adjustment; CHIP Reauthorization

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; H.R. 1698; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Expanding Medicaid managed care for duals; Significant budget cuts in Medicaid; Coordinated Care Alternatives for dual eligibles; Medical loss ratio for Medicaid managed care plans; Appropriate payment including changes to risk adjustment for MA/SNPsRegulatory and systematic impact of Medicaid continuous coverage; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Actuarial soundness; Education on dual eligible demonstration projects; PCP payment increase; Risk adjustment; "State of Medicaid" Congressional briefing and related advocacy and policy documents; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; TMA program and continuous enrollment; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program; roll-out issues of duals demo and MMP plans; S. 1980; Medicaid extender provisions in Medicare Sustainable Growth Reform legislation; Home and Community Based Services; CHIP Reauthorization

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; Regulatory and systematic impact of Medicaid continuous coverage; H.R. 1698; S. 1980; H.R. 4484; S. 2491; Medicaid Quality Measurement and Improvement; Updated Medicaid Managed Care Regulations; Medicaid eligibility and enrollment issues; Expanding Medicaid managed care for duals; Coordinated Care Alternatives for dual eligibles; Appropriate payment including changes to risk adjustment for MA/SNPs; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Education on dual eligible demonstration projects; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program; roll-out issues of duals demo and MMP plans ; Home and Community Based Services; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; Actuarial soundness; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Significant budget cuts in Medicaid; Medical loss ratio for Medicaid managed care plans; Enhanced state flexibility in managing Medicaid programs; PCP payment increase; High cost specialty medications; Medicaid health plans serving as qualified health plans in the exchange; Risk adjustment; CHIP Reauthorization

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; H.R. 1698; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Expanding Medicaid managed care for duals; Significant budget cuts in Medicaid; Coordinated Care Alternatives for dual eligibles; Medical loss ratio for Medicaid managed care plans; Appropriate payment including changes to risk adjustment for MA/SNPs;Regulatory and systematic impact of Medicaid continuous coverage; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Actuarial soundness; Education on dual eligible demonstration projects; PCP payment increase; Safety net health plan loan guarantee - reserve and solvency; Risk adjustment; "State of Medicaid" Congressional briefing and related advocacy and policy documents; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; TMA program and continuous enrollment

Support for legislative solution to address "churning" in Medicaid/CHIP eligibility and to improve quality measurement in both programs; Promote HR 1698; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expanding Medicaid Managed Care for Duals; Opposition to significant budget cuts in Medicaid; Consideration of coordinated care for Dual eligibles; Comments on legislation regarding generics medication in Medicaid;Modification of payment systems for MA/SNPs; Requested the regulatory and systematic impact of Medicaid continuous coverage; Promoted marketing rule consistency across Medicaid and the Exchange; Promoting counter-cyclical federal financing of Medicaid in economic downturns; Medicaid health plans serving as Qualified Health Plans in the Exchange; SNP reauthorization; Promoted integrated care options for dual eligibles; Advocated for Medicaid reforms related to dual eligibles and other populations to MACPAC and MedPAC; Actuarial Soundness; Promoting education on dual eligible demonstration projects; PCP payment increase; Advocated for appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects

Support for legislative solution to address "churning" in Medicaid/CHIP eligibility and to improve quality measurement in both programs, Promote HR 1698, Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts, Promoting Expanding Medicaid Managed care for Duals, Opposition to significant budget cuts in Medicaid, Consideration of Coordinated Care Alternatives for Dual eligibles, Legislation establishing MLR for Medicaid Managed Care Plans,Modification of payment systems for MA/SNPs, Requested the regulatory and systematic impact of Medicaid continuous coverage, Promoted marketing rule consistency across Medicaid and the Exchange, Promoting counter-cyclical federal financing of Medicaid in economic downturns, Medicaid Health Plans serving as qualified Health plans in the Exchange, SNP Reauthorization, Promoted integrated care options for dual eligibles, Advocated for appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects, Advocated for Medicaid reforms related to dual eligibles and other populations to MACPAC and MedPAC, Actuarial Soundness, Promoting education on dual eligible demonstration projects, PCP Payment Increase, Advocated for best practices to support mental and behavioral health treatment in Medicaid and Medicare, Promoted SNHP Loan Guarantee- Reserve and Solvency, Risk Adjustment, Consulted with members of congress concerning Federalization for Dual eligibles, Provided advice on Medicaid eligibility for newborns, "State of Medicaid" Congressional Briefing and related advocacy and policy documents

Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of Medicaid managed care for dually eligible populations; Opposition to significant budget cuts in Medicaid; Consideration of coordinated care alterantives for dual eligibles; Legislation Establishing Medical Loss Ratios for Medicaid Managed Care Plans; Enhanced state flexibility in managing Medicaid programs; Comments on legislation promoting the use of generic medications in Medicaid; Modification of payment systems for Medicare Advantage Special Needs Plans; Promoting counter-cyclical federal financing of Medicaid in economic downturns; Reauthorization of the Medicare Advantage Special Needs Plans program; HR 669- The Ensuring Continuous Medicaid Coverage for Children Act of 2011; HR 671- The Ensuring Continuous Coverage under SCHIP Act of 2011; Health Homes; Medicaid Health Plans serving as qualified Health plans in the Exchange; actuarial soundess; Consulted with member of congress concerning medicaid state plan amendment authority for integrated care options for dual eligibles. Advocated for Medicaid reforms related to dual eligibles and other populations to MacPAC (note: agency is not available in drop-down list under section 17).

Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of Medicaid managed care for dually eligible populations; Opposition to significant budget cuts in Medicaid; Consideration of coordinated care alterantives for dual eligibles; Legislation Establishing Medical Loss Ratios for Medicaid Managed Care Plans; Enhanced state flexibility in managing Medicaid programs; Opposition to Medicaid block grants to states; Modification of payment systems for Medicare Advantage Special Needs Plans; Promoting counter-cyclical federal financing of Medicaid in economic downturns; Medicaid Health Plans serving as qualified Health plans in the Exchange; Reauthorization of the Medicare Advantage Special Needs Plans program; Promoted Support of HR 669- The Ensuring Continuous Medicaid Coverage for Children Act of 2011 and HR 671- The Ensuring Continuous Coverage under SCHIP Act of 2011; Health Homes; actuarial soundess; Consulted with members of congress concerning per capita cap bill in Medicaid program; PCP Payment Increase; Promoted Safety Net Health Plan Loan Guarantee; Risk Adjustment; Consulted concerning integrated care options for dual eligibles; "State of Medicaid" Congressional Briefing and related advocacy and policy document.

Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of Medicaid managed care for dually eligible populations; Opposition to significant budget cuts in Medicaid; Consideration of coordinated care alterantives for dual eligibles; Legislation Establishing Medical Loss Ratios for Medicaid Managed Care Plans; Enhanced state flexibility in managing Medicaid programs; Opposition to Medicaid block grants to states; Modification of payment systems for Medicare Advantage Special Needs Plans; Promoting counter-cyclical federal financing of Medicaid in economic downturns; Medicaid Health Plans serving as qualified Health plans in the Exchange; Reauthorization of the Medicare Advantage Special Needs Plans program; Promoted Support of HR 669- The Ensuring Continuous Medicaid Coverage for Children Act of 2011 and HR 671- The Ensuring Continuous Coverage under SCHIP Act of 2011; Health Homes; actuarial soundess; Consulted with members of congress concerning per capita cap bill in Medicaid program; EQR Standards; Provided advice on Medicaid eligibility for newborns; PCP Payment Increase; Promoted Safety Net Health Plan Loan Guarantee; Risk Adjustment; Provided recommendations on Waste, Fraud, Abuse issues for Medicare and Medicaid; Consulted concerning integrated care options for dual eligibles.

Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of Medicaid managed care for dually eligible populations; Opposition to significant budget cuts in Medicaid; Consideration of coordinated care alterantives for dual eligibles; Legislation Establishing Medical Loss Ratios for Medicaid Managed Care Plans; Enhanced state flexibility in managing Medicaid programs; Opposition to Medicaid block grants to states; Modification of payment systems for Medicare Advantage Special Needs Plans; Promoting counter-cyclical federal financing of Medicaid in economic downturns; Medicaid Health Plans serving as qualified Health plans in the Exchange; Reauthorization of the Medicare Advantage Special Needs Plans program; Promoted Support of HR 669- The Ensuring Continuous Medicaid Coverage for Children Act of 2011 and HR 671- The Ensuring Continuous Coverage under SCHIP Act of 2011; Health Homes; actuarial soundess; Consulted with members of congress concerning per capita cap bill in Medicaid program; PCP Payment Increase; Promoted Safety Net Health Plan Loan Guarantee; Risk Adjustment; Consulted concerning integrated care options for dual eligibles; "State of Medicaid" Congressional Briefing and related advocacy and policy document.

Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of Medicaid managed care for dually eligible populations; Opposition to significant budget cuts in Medicaid; Consideration of coordinated care alterantives for dual eligibles; Legislation Establishing Medical Loss Ratios for Medicaid Managed Care Plans; Enhanced state flexibility in managing Medicaid programs; Opposition to Medicaid block grants to states; Modification of payment systems for Medicare Advantage Special Needs Plans; Promoting counter-cyclical federal financing of Medicaid in economic downturns; Medicaid Health Plans serving as qualified Health plans in the Exchange; Reauthorization of the Medicare Advantage Special Needs Plans program; Promoted Support of HR 669- The Ensuring Continuous Medicaid Coverage for Children Act of 2011 and HR 671- The Ensuring Continuous Coverage under SCHIP Act of 2011; Health Homes; actuarial soundess; Consulted with members of congress concerning per capita cap bill in Medicaid program; EQR Standards; Provided advice on Medicaid eligibility for newborns; PCP Payment Increase; Promoted Safety Net Health Plan Loan Guarantee; Risk Adjustment; Provided recommendations on Waste, Fraud, Abuse issues for Medicare and Medicaid; Consulted concerning integrated care options for dual eligibles.

Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of Medicaid managed care for dually eligible populations; Opposition to significant budget cuts in Medicaid; Consideration of coordinated care alterantives for dual eligibles; Legislation Establishing Medical Loss Ratios for Medicaid Managed Care Plans; Enhanced state flexibility in managing Medicaid programs; Comments on legislation promoting the use of generic medications in Medicaid; Modification of payment systems for Medicare Advantage Special Needs Plans; Promoting counter-cyclical federal financing of Medicaid in economic downturns; Reauthorization of the Medicare Advantage Special Needs Plans program; HR 669- The Ensuring Continuous Medicaid Coverage for Children Act of 2011; HR 671- The Ensuring Continuous Coverage under SCHIP Act of 2011; Health Homes; Medicaid Health Plans serving as qualified Health plans in the Exchange; actuarial soundess; Consulted with member of congress concerning medicaid state plan amendment authority for integrated care options for dual eligibles. Advocated for Medicaid reforms related to dual eligibles and other populations to MacPAC (note: agency is not available in drop-down list under section 17).