2023 Agenda

Speaker Presentation
Day One
Monday, February 6, 2023

Continental Breakfast

Sponsored by:


Chairperson’s Welcome

Clay Farris,Founder and Practice Lead, Client Solutions,Mostly Medicaid


Five Reasons Why 2023 is the Most Important Fork in the Road for the Future of Medicaid Managed Care

Clay Farris,Founder and Practice Lead, Client Solutions,Mostly Medicaid


Addressing Administrative Barriers to Coverage: Streamlining Redetermination and Eligibility Processes to Support Continuity of Care After the End of Continuous Enrollment

Errol Pierre,Senior Vice President of State Programs, Healthfirst, Inc.


Leveraging Policies in Medicaid to Increase Access to Health Coverage and Critical Services and Benefits, and to Move the Needle on Health Outcomes

  • Assessing the policy landscape for innovations in both eligibility and clinical policy
  • Pulling the right levers to drive changes in Medicaid
  • Engaging stakeholders and communities resulting in human programs and processes

Jessica Diaz,Section Manager, Strategic Design and Program Oversight, Washington State Health Care Authority

Amy Dobbins,Section Manager, Medicaid Eligibility Policy, Washington State Health Care Authority


Have Less.  Do More.  Be More:  Strategies to Optimize Programs with Little Resources and Big Ideas

  • Capitalizing on aptitudes and navigating attitudes.  Strategies for identifying strengths in your staff to make thoughtful resource allocations. 
  • Perception eventually becomes reality - at various levels of an organization, you have the ability to impact reality by focusing on managing perception to not only improve employee morale but performance. 
  • Navigating the internal rat race and coming out on top.  Learn from Idaho’s experience in taking a Big Idea and seeing it through despite internal and external barriers. 

Alexandra Fernandez,Bureau Chief, Bureau of Long Term Care, State of Idaho, Department of Health and Welfare

Chris Barrott,Program Manager, Bureau of Long Term Care, Idaho Department of Health and Welfare


Leveraging a Multifaceted, High-Touch Strategy to Connect with and Authentically Engage Medicaid Enrollees:Focusing SDoH Outreach on Needs and Preferences

Edith Calamia, DO, MPH, CMD, CHCQM,Vice President and Chief Medical Officer, Aetna Medicaid


Morning Refreshment Break

Sponsored by:


Panel Discussion: Accelerating Investments in SDoH to Close Gaps: Leveraging Community- Based Programs and Resources that Drive Improvement in Population Health Outcomes


Tiffany Stone, Deputy Director, Medicaid Policy,Michigan Association of Health Plans


Tim Conroy, National Vice President, Government and Healthcare Partnerships,Mom’s Meals

Mindi Knebel,Founder & CEO, Kaizen Health

Gabriel Uribe, Director, Community Health,Inland Empire Health Plan

Mike Rhoades, CEO,Alera Health

Chris Esguerra, MD, Chief Medical Officer,Health Plan of San Mateo


The Power of Technology to Deliver Equitable Health Experiences Among Medicaid Populations

Reva Sheehan, Director of Customer Insights,mPulse Mobile

Sammi Turner M.B.A., D.H.A,,Quality HEDIS Manager, Maryland Physicians Care


Connecting Kentucky Technology Systems to Address Social Determinants of Health

The Commonwealth of Kentucky leveraged Medicaid funds to connect two state-wide technology systems enabling information flow bidirectionally to help citizens of the Commonwealth overcome social barriers impeding their health. This presentation will discuss the deployment of a resource engine utilized to help citizens gain access to needed social services, the use of a state-based health information exchange to aid healthcare delivery, and how a technology connection between the two allows data to flow bidirectionally. Case studies will showcase the opportunities for utilization, statistics on current usage and advances made in helping serve Kentucky citizens.

  • Describe Kentucky’s unique approach in using technology to provide services to underserved populations
  • Incorporate the model used to identify collaborative opportunities among disparate technology systems
  • Articulate successes achieved which enabled individuals to overcome barriers to health
  • Cultivate a sense of how technology can be used to bridge-the-gap for access to services

Andrew C. Bledsoe,Deputy Executive Director, Office of the Inspector General, Kentucky Health Information Exchange




Panel Discussion: Addressing Health Equity and Social Needs within Your Quality Strategy


Kalin Scott, Senior Advisor,Helgerson Solutions Group


Angela Lynn, RN, MSN, BSN, CCM,Director of Care Management,Blue Cross and Blue Shield of North Carolina

Kodi Reel, PharmD,Clinical Program Director, Evernorth

Doug Golub,President,MediSked, LLC

Jim Egan,Vice President, Sales,WEX

Lindsay Cogan, PhD, MS,Deputy Director, Office of Quality and Patient Safety,New York State Department of Health


Improving Data Sharing While Advancing Health Equity

Anne Santifer,Executive Director,Arkansas Office of Health Information Technology

Justin Villines,Health Information Technology Policy Director, Arkansas Office of Health Information Technology


Collecting and Documenting SDoH Data to Inform Interventions: Leveraging Health Risk Assessments and Screening Tools to Identify Risk Factors and Unmet Needs


  • Explore methods to support wrap around care through interdepartmental engagement
  • Review clinical documentation system functions to support risk stratification to meet member needs
  • Examine referral search engine capabilities to develop comprehensive social care plans

Chantel Neece, DNP, MBA, APRN, FNP-BC, GERO-BC, CPHQ, SSBBP,Director- SDoH, Member Outreach & Community Development,Virginia Premier


Afternoon Refreshment Break

Sponsored by:


Panel Discussion: Innovative Virtual Care Initiatives: Leveraging Telehealth, Remote Care Delivery, and Hybrid In-Person Care Models to Improve Access, Outcomes, and Affordability


Adimika Arthur,Executive Director, HT4M


Sharon Colaizzi, RN BSN/BS, MPPM, CPHM,Corporate Director, Population Health Program Management, AmeriHealth Caritas

Dorthy K. Young, Ph.D., MHSA, Chief Health Data, Operations and Research Officer,Mississippi State Department of Health

Sebastian Seiguer, JD, MBA, Co-Founder and Chief Executive Officer,Scene Health

Jacki Porter,Associate Director, Clinical Operations,United Healthcare Community and State

Cathy Kuhn, PharmD, BCACP, FAPhA, Vice President of Clinical Offerings, Custom Health


Provider Integrity in Medicaid Home Personal Health Services

  • Present our work in the area of Fraud, Waste Abuse in the Home Personal Care Services
  • Provide our vision for application of Analytics for Program Integrity in Home Personal Care Services.

Kevin O’Donnell, Director of the Division of Program Integrity, D.C. Department of Health Care Finance

Kirit Pandit, VP, Data and Analytics, Sandata


New Trends in Medicaid Fitness Products

Vince Pozinski, Head of Government Product, Optum Health Solutions

Dr. Gloria Winters, Chief Medical Officer, YMCA Managed Service Organization and Consultant to YMCA of the USA


Leveraging Community Health Workers Beyond the Pandemic: Assisting Low Income Individuals Facing Barriers in Finding the Care They Need

James Milanowski, CEO, Genesee Health Plan


  New Frontiers in Medicaid Virtual Health Engagement that Deliver Sustainable ROI

Shameet Luhar, CEO, Vheda Health


   Cocktail Reception

Sponsored by:

Day Two, Tuesday,
February 7, 2023

Continental Breakfast

Sponsored by:


Chairperson’s Recap

Clay Farris,Founder and Practice Lead, Client Solutions,Mostly Medicaid


Panel Discussion: Taking A Whole Person Approach to Care Management: Leveraging Integrated and Patient-Centered Care Models That Address Physical, Behavioral and Social Health to Improve Outcomes


Wendy Milligan,Vice President, Strategic Sales and Enablement,ProgenyHealth


Mikayla Davidson, Program Manager, Reema

Alyssa Dietz, PhD, Head of Thought Leadership, Twill

Kelsey McNamara, MPH, Director of Research, Papa

Savanna Lyles, Clinical Project Manager Home Care Delivered

Katrina Cope, Senior Vice President of Strategic Initiatives & ImplementationsMonogram Health


Transitioning from Institutional Care and Maintaining Community Living Through Integrating and Leveraging LTSS

  • Define LTSS in the context of overall integration and initiative design
  • Understand the systems level efforts, coordination, and partnerships to facilitate
  • and support community living
  • Define the ways to evaluate and broaden the key outcomes
  • Identify key learnings of member needs for ongoing community living

Chris Esguerra, MD, Chief Medical Officer,Health Plan of San Mateo


Reducing ER Utilization Among Medicaid Beneficiaries: Collecting Data on Potentially Preventable ER Visits

Joann Sciandra, MHA, BSN, RN, CCM, Vice President, Care Coordination and Integration, Geisinger Health Plan


A Look at Molina’s Implementation and Use of a Care Coordination Portal: Ohio’s Next Generation of Medicaid

  • Learn about the pros and cons of building a Care Coordination Portal
  • Hear about how we navigated both internally and externally to be ready for launch
  • A look at what the portal does and how it works
  • Hear about backup solutions developed

Pamela Tropiano, RN, BSN, MPA, CCM, VP, Healthcare Services,Molina Healthcare of Ohio


Leveraging Telehealth to Deliver Personalized Primary and Behavioral Health Care: Improving Access, Increasing Utilization, and Removing Barriers to Care

  • Hear about post-pandemic trends in Telehealth
  • Learn about data-driven methods to determine what offerings to include in a Telehealth benefit
  • Hear how MVP Health Care is addressing the “Digital Divide”
  • Hear how MVP Health Care is uniquely addressing the Primary Care Shortage through Telehealth

Nikki Hungate, MS, MHA, Director, Medicare & Gov’t Programs Product Strategy, MVP Health Care


Morning Refreshment Break

Sponsored by:


Developing Integrated Behavioral Health and Substance Use Disorder Treatment: Optimizing Care, Access, and Recovery Support Services to Improve Outcomes


Clay Farris, Founder and Practice Lead, Client Solutions, Mostly Medicaid


Frank Angotti, MD, Senior Behavioral Health Medical Director, Aetna Medicaid

James Lamb, Vice President of National Payers, Quest Analytics

Pamela Tropiano, RN, BSN, MPA, CCM, VP, Healthcare Services, Molina Healthcare of Ohio

Kris Vilamaa, Partner and Chief Growth Officer, Mostly Medicaid


Breaking Down Barriers to Health Equity through Nutrition and Health Literacy

Jenn Kerfoot,Chief Experience Officer,FarmboxRx


Leveraging Risk Stratification and Algorithm Bias Validation to Target the Right Populations for Enhanced Care Management and Improve Equity

  • Social drivers and community health factors have a significant impact on individual health and personal well-being – a brief literature review and findings
  • Explore and demonstrate how we can leverage SDOH data and adjust risk stratification models to reduce disparity and improve care quality and equity at the same time significantly. Comparison with traditional demographic and claim data-based risk models will be discussed.
  • Actionable insights and applicable takeaway will be discussed for care management and population health management
  • Limitations with current publicly available SDOH data will also be discussed

Frank Song​, Ph.D., Senior Director, Healthcare Informatics, Health Services Evaluation, Inland Empire Health Plan




Navigating the Changing Environment for SUD Services: Strategies to Support and Engage Providers

Like other states, North Carolina has navigated a changing landscape of substance use disorder service provision over the past few years. Collaboration across state agencies, engagement of community partners, and willingness to evolve have been critical guiding principles for North Carolina’s change process. This presentation will showcase how North Carolina has maintained flexibility and leveraged relationships to successfully impact change in North Carolina’s systems. This presentation will:

  • Outline the landscape of substance use disorder services in North Carolina.
  • Illustrate how North Carolina is cultivating a more resilient system by implementing an integrated managed care system, moving toward greater alignment with ASAM, and incorporating lessons learned during the COVID-19 public health emergency.
  • Highlight the positive impacts of a “high touch” and agile approach to keep stakeholders engaged and foster smooth transitions.

Pamela Morrison, Field Coordinator, State Opioid Treatment Authority,North Carolina Department of Health and Services

Julie Seibert, Senior Policy Advisor,North Carolina Department of Health and Human Services


A Multidisciplinary Approach to the Prevention and Treatment of Opioid Overdose and Opioid Use Disorders

Cynthia Knorr-Mulder MSN, APNBC, PMGT-BC, Pain Management & Palliative Medicine,EnglewoodHealth


How Minnesota Leveraged Group Therapy to Save Medicaid Dollars While Significantly Improving Outcomes

In mental health treatment it is no secret that we face a workforce crisis.  The addition of new, and the replacement of retiring, mental health professionals is falling behind the explosive growth in need for mental health service supports.  Group therapy interventions that are focused on change rather than simple support are a potential workforce multiplier with the efficiency of multiple clients served at one time.

This session will discuss how Minnesota has raised the Medicaid payment rates for DBT, which has allowed for expansion of the service type in the state as well as adaptations of programming to effectively treat chronic conditions beyond the original population.  This session will focus on:

  • Developing change-focused group therapy interventions to reduce symptoms for conditions historically seen as untreatable
  • Applying interventions to co-occurring conditions including chemical health issues and chronic pain
  • Overcoming barriers to delivering effective interventions for chronic disease

Steven Girardeau, Psy.D., Director of Clinical Services,Mental Health Systems


Conclusion of Conference