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Session 1  |  July 22, 2024
Session 2  |  July 24, 2024
1:30 – 3:00 p.m., Pacific Time​
An LHPC members-only program

Overview

The Medi-Cal managed care rate-setting process establishes the foundation on which local health plans provide services to more than 9 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 more.

*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 
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.

Session 1 Agenda

The Rate Development Black Box —​ Understanding the RDT
July 22, 2024 | 1:30 – 3:00 p.m.

• 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

Session 2 Agenda

Operational Implications for the RDT
July 24, 2024 | 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

Kyle Edrington
Principal (Actuarial)
Health Management Associates

Keenan Freeman
Chief Financial Officer
Inland Empire Health Plan

Registration

This is an LHPC members-only program.

Fees* (per connection)
Individual session                     $50
Full series                                 $100
Plan series registration^          $200
*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 July 17 at 5:00 p.m.

Register for Session 1 only
Register for Session 2 only
Register for the Full Series

Registration Confirmation: Registrants will receive two emails — a registration confirmation email and a separate email that contains access information for the webinar. 

Participating in the Webinar: You will only need a computer with an updated web browser (Google Chrome, Microsoft Edge, Mozilla Firefox or Safari are recommended). Participants may opt to listen to the webinar via telephone or device. 

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.