2023 Agenda

Speaker Presentation
Day One
Monday, February 6, 2023
MANAGING THE END OF THE PUBLIC HEALTH CRISIS AND THE FUTURE OF MEDICAID
7:00

Continental Breakfast

Sponsored by:

7:50

Chairperson’s Welcome

8:00

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

8:30

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.

9:00

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

9:30

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

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

Chris Barrott,Program Policy Analyst, State of Idaho, Department of Health and Welfare

SDoH/HEALTH EQUITY
10:00

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

10:30

Morning Refreshment Break

11:00

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

Moderator:

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

Panelists:

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

Mindi Knebel,Founder & CEO, Kaizen Health

Carl Rashid,Compliance Officer & Chief Public Affairs Officer, Meridian Health Plan

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

11:40

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

12:10

Creating a Tailored Member Experience for Diverse Populations: Addressing SDoH in Your Member Engagement Strategy to Optimize Outcomes

12:40

Luncheon

1:40

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

Panelists:

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

Doug Golub,President,MediSked, LLC

Kodi Reel, PharmD,Clinical Program Director, Evernorth

2:10

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

2:40

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

3:10

Afternoon Refreshment Break

CARE DELIVERY INNOVATIONS
3:40

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

Panelists:

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

4:20

Provider Integrity in Medicaid Home Personal Health Services

  • Benchmarks and statistics on Home Personal Care Services
  • Fraud, Waste Abuse in the Home Personal Care Services
  • 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

4:40

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

5:10

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

5:40

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

6:20

Cocktail Reception

Day Two, Tuesday,
February 7, 2023
CARE DELIVERY INNOVATIONS (CONTINUED)
8:00

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

Panelists:

Mikayla Davidson, Program Manager, Reema

Jennifer Sisto-Gail, Vice President, Government Programs, Twill

Andrew Parker, Founder and CEO, Papa

8:40

Leading With Care: A Trauma Informed Approach to Care Delivery

9:10

Reducing ER Utilization Among Medicaid Beneficiaries: Collecting Data on Potentially Preventable ER Visits and Encouraging Preventative Care

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

9:40

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

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

10:10

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

10:40

Morning Refreshment Break

11:10

Ensuring Integrated Care for Dual Eligibles: Improving Access, Member Experience, and Quality of Care for This Vulnerable Population

11:40

Leveraging Risk Stratification Model and Bias Assessment to Improve Quality and 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

12:10

Adopting Person-Centered, Culturally and Linguistically Appropriate Care Models: Embedding Reliable Measures of Equity and SDoH into Medicaid Payment and Service Delivery Models

12:40

Luncheon

BEHAVIORAL HEALTH AND SUD/OUD MANAGEMENT
1:40

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

Panelists:

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

2:20

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

2:50

Coordinating Wrap Around Services to Meet Individual Needs: Providing Flexible Care to Address Specific Social, Emotional and Behavioral Concerns

3:20

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

3:50

Taking a Multidisciplinary Approach to Prevention and Treatment of Opioid Overdose and Opioid Use Disorder

4:20

Conclusion of Conference