2026 New Jersey Medicare & Managed Care Summit
Date: May 6, 2026
Registration Opens: 8:30 a.m. | Program Begins: 9:00 a.m.
Event: 9:00 a.m. - 3:30 p.m.
Location: NJHA Conference & Event Center | 760 Alexander Road, Princeton, N.J. 08543
Fee: NJHA Members $129 | Non-Members $199
Registration Deadline: April 28, 2026
The New Jersey Hospital Association is pleased to announce the New Jersey Medicare and Managed Care Summit: presenting a fresh approach to providing clearer insights into the rapidly shifting terrains of Medicare and Managed Care and their impacts on providers.
This innovative program is bringing together an exceptional gathering of leaders in their respective fields of finance, case management, hospitals and much more, providing an extraordinary networking opportunity like no other.
Attendees will have the unique opportunity to ask the experts from the CMS Regional Office and Managed Medicare (Medicare Advantage) their own questions when we open the floor for a special Q&A session.
In fields like Medicare and Managed Care where knowledge and adaptation are especially crucial, this is the event you need to attend if you are an executive or leader in:
- Managed Care & Payer Relations
- Finance & Revenue Cycle
- Case Management & Care Coordination
- Discharge Planning & Social Work
- Hospitals, Home Health, Long-Term Care or Assisted Living
- Behavioral Health & Community-Based Services
WHY ATTEND?
✔ Hear directly from the CMS Regional Office on current Medicare priorities, compliance expectations, and emerging federal initiatives affecting hospitals.
✔ Gain insight from Medicare Advantage plan leaders on contracting, prior authorization, reimbursement trends, and operational expectations impacting providers.
✔ Learn about discharge planning, post-acute coordination, audit activity, and quality requirements that are driving increased scrutiny across Medicare and Managed Medicare.
✔ Participate in a first-of-its-kind forum in New Jersey designed to foster open dialogue between hospitals, federal regulators, and managed care plans.
✔ Hear directly from Genzeon, the CMS WISeR program vendor, on operational expectations, workflows, and what providers should know as the program continues to be implemented.
WHO’S THIS FOR?
Executive Staff and Leaders In:
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Managed Care & Payer Relations
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Finance & Revenue Cycle
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Case Management & Care Coordination
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Discharge Planners & Social Workers
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Hospitals, Home Health, Long-Term Care (LTC) & Assisted Living
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Behavioral Health & Community-Based Services
KNOWLEDGE YOU CAN USE!
By the end of this program, participants should be able to:
- Identify updates on emerging Medicare policies, innovation models, and regulatory changes that may impact hospital operations, contracting strategy, and patient throughput.
- Apply practical guidance on CMS expectations for discharge planning, post-acute coordination, audits, and compliance to help avoid delays, denials, and survey findings.
- Discuss real-world insight into Medicare Advantage plan requirements, including prior authorization, reimbursement rules, turnaround times, and documentation expectations.
- Describe emerging Medicare Innovation Center models, including a presentation from Genzeon on WISeR, and their potential impact.
SCHEDULE
Coffee and light refreshments will be available during the morning session, and lunch will be provided for attendees.
Morning Sessions (9:00 am to 12:00 pm)
9:00 am: Opening Remarks
- Jason Friedman, VP Managed Care & Healthcare Financing, NJHA
9:05 am: Opening Remarks by CMS Regional Administrator
- Jennifer Syria, Regional Administrator, CMS Boston & New York
9:10 am -10: 15 am: OPOLE Overview (including regional structure and priorities), DHPO Overview and Trends, Hospital Price Transparency
- Thomas Bane, PhD, LMSW, Special Assistant to the Regional Administrator
- Jennifer Syria, Regional Administrator, CMS Boston & New York
- Denise Molloy, Division Director, Division of Price Transparency Compliance
10:15 am - 10:30 am: Break
10:30 am - 12:00 pm: Quality Standards, Care Coordination, QIN-QIO (IPRO) Overview
- Tanya Pagan Raggio-Ashley, MD, MPH, FAAPS; CMS, Regional Chief Medical Officer
- Yvette Banks, DNP, RN, NHA, CPHQ; CMS, Center for Clinical Standards and Quality Survey and Operations Group, Northeast Division
- Sara Butterfield, RN, BSN, CPHQ; Assistant Vice President, Healthcare Quality Improvement Department | IPRO
Networking Lunch (12:00 pm - 1:00 pm)
Afternoon Sessions (1:00 pm - 3:30 pm)
1:00 pm - 2:00 pm: Genzeon Presentation on NJ WISeR & NJ Trends
- Harsh Singh, GM, Healthcare
- Shivali Desai, AVP, Operations, WISeR
2:00 pm - 2:15 pm: Break
2:15 pm -3:15 pm: Medicare MCO Panel Discussion
- Dr. Shelly Gupta, Chief Medical Officer, Clover Health
- Cassandra Helle, Senior Director of Strategic Initiatives for the Northeast, Fidelis Health
3:15 pm - 3:30 pm: Closing Remarks
ACCESSIBILITY AND ACCOMMODATION
We are committed to making our event accessible to all attendees. If you have any specific accessibility needs or require accommodations to fully participate, including dietary restrictions, please contact us at NJHAEducation@NJHA.com.
TRANSFERRING OR CANCELLING YOUR REGISTRATION
A participant may transfer or cancel their registration for this live (in-person) course by emailing NJHAEducation@NJHA.com no later than April 29, 2026. There is no charge for transfers. For cancellations, a refund will be issued to the original payor minus a $20 administration fee per participant. Requests received on or after April 30, 2026, will not be processed and refunds will not be issued.
CONTACT
REGISTRATION
Don’t miss New Jersey’s first-of-its-kind Medicare & Managed Care event! Register now—see you there!
REGISTER NOW
