Agenda

Speaker Presentation
Day One, Thursday
February 3, 2022
THE PUBLIC HEALTH CRISIS AND THE IMPACT ON THE MEDICAID MARKET
7:50

Chairperson’s Welcome

Kent Holdcroft,EVP, Growth,Healthmine

8:00

Keynote Session: Exploring Pandemic Changes to Medicaid That Are Permanent: Care Delivery, Member Engagement, and the Pursuit of Health Equity

Errol Pierre,Senior Vice President, State Programs, Healthfirst

8:30

Equipping Child Welfare Workers with Health Information for Better Outcomes

Andrew Bledsoe,Deputy Executive Director, Office of Health Data and Analytics, KY Health Information Exchange

9:00

Advancing Alternative Payment Models Throughout the Pandemic: Educating and Transitioning Providers from Fee-for-Service to Value-Based Care Agreements

Melanie Cavaliere,Chief, Innovative Care Delivery, Center for Health Information Technology & Innovative Care Delivery,Maryland Health Care Commission

9:30

Community Collaboration in Reducing Racial Inequities in Covid-19 Care

Jim Milanowski, CEO, Genesee Health Plan

9:30

Increasing Vaccination Rates in the Medicaid Population: Improving Access, Overcoming Vaccine Hesitancy, and Getting the Message Out to Medicaid Recipients

Ieisha Gray,Chief Operating Officer,CareFirst BlueCross BlueShield Community Health Plan District of Columbia

10:30

Morning Refreshment Break

CARE DELIVERY INNOVATIONS IN THE ERA OF COVID-19
11:00

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

Moderator:

Henry W. Osowski,Managing Director,Strategic Health Group

Panelists:

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

Jan Smith Reed, Director, US Healthcare,T-Base Communications

Andrew Parker, CEO,Papa

Darron Segall, MHS, Head of Market Access & Billing,Sera Prognostics

John Loughnane, MD,Board Member,Activate Care

11:40

Improving Maternal Outcomes Through Medicaid: Extending Comprehensive Health Coverage Postpartum, Especially Among Women of Color and Those in Rural Areas

Ana Brown-Cohen, MPH, Senior Manager of Health Programs, Colorado Access

Jamie Zajac, DC, Manager of Care Manager, Colorado Access

12:10

Leveraging Risk Stratification to Select and Target Populations for Intensive Care Management and Reduce Avoidable ER Visits

  • Population Segmentation; Proactively identify populations to target
  • Utilize technological tools to identify and prioritize our care coordination efforts
  • Regional Care Team Model and approach to care coordination
  • Strategically utilize telephonic, community-based, and embedded staff

Karissa Smith, LPC, CADC I, Director of Care Coordination,CareOregon

Summer Sweet, Triage and Data Integration Manager of Population Health, CareOregon

12:40

Luncheon

1:40

Panel Discussion: Implementing Coordinated Care for Beneficiaries with Complex Needs: Integrated Care Management and Transition Strategies that Address the Medical and Social Needs of the Most Vulnerable Populations

  • What are the challenges for vulnerable population to access care?
  • How has COVID-19 impacted care?
  • What supports are needed?
  • How to share information amongst providers and family members
  • Any recommended technologies to improve care transitions?
  • What data is available to assist and how can it be used?

Moderator:

Jim Milanowski,CEO,Genesee Health Plan

Panelists:

Karleen M. Haines, MPS, Chief of Community Relations, Partners Health Plan

Jamie Zajac,DC, Manager of Care Manager,Colorado Access

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

Maureen Lillis, Chief Clinical Transformation Officer,Independent Living Systems

Brad Bauer, Senior Vice President of Business Development, Bamboo Health

2:20

Reducing Preventable Events and Avoidable Costs Utilizing a Data Integration Platform with Comprehensive Care Coordination and Medication Management

Anna Hall, Director of Quality Services, Enhanced Medication Services

Mary Kay Owens, President and CEO, Intelligent HealthExecutive Director, PAVE Florida Partnership

2:50

Medicaid and SDOH Innovation in the Advancement of Food Security and Health Equity

The session will outline current trends occurring across Medicaid that promote food security as part of SDOH innovation. Topics will include state and federal legislative updates in addition to some state level innovation between the public and private sector collaboration.

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

3:20

Afternoon Refreshment Break

ADDRESSING SDoH/COMMUNITY PARTNERSHIPS
3:50

Leveraging Data Science for Insight-Driven Decisions to Focus on the Most Impactable Needy Members for the Optimal Outcome

Frank Song, PhD, PMP, CPHQ, PAHM, CHC, Data & Analytics Services Director, Central California Alliance for Health

4:20

Panel Discussion: Accelerating Investments in SDoH to Close Gaps: Implementing Community-Based Programs and Resources that Address Inequalities and Disparities

Moderator:

Laura Crawn,Vice President of Regulated Markets Client and Market Strategies Express Scripts

Panelists:

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

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

Dr. Travis Gayles,Chief Health Officer,Hazel Health

Doug Golub, President, MediSked,LLC

Amy Lung, Chief Operations Officer, HealthMine, Inc.

5:00

Leveraging Community Health Workers During the Pandemic: Utilizing Virtual and In-Person Workers as Agents of Change in the Community and to Maintain Healthcare Service Delivery

Dr. Gabriel Uribe, DSW, Director of Community Health, Inland Empire Health Plan

5:30

Providing LTSS Through Leveraging Home and Community Based Services: Improving Access, Reducing Hospitalizations, and Ensuring Positive Outcomes

Michelle Martin, Senior Policy Director for LTSS,UnitedHealthcare Community and State

6:30

Cocktail Reception

Sponsored By:

Day Two, Friday,
February 4, 2022
ADDRESSING SDoH/COMMUNITY PARTNERSHIPS (CONTINUED)
7:50

Developing Partnerships with Community Based Organizations to Engage Vulnerable Populations, Reduce Social Barriers and Improve Health Literacy

Amy Riegel, Senior Director, Housing,CareSource

8:20

Building Program Value in Hard-to-Reach Medicaid Populations

Greg Gould, Engagement Strategist,mPulse Mobile

Amir Wodajo, Director of Medical Management,Western Sky Community Care(Virtual Speaker)

8:50

Leveraging Diverse Community Partnerships, Job Creation, and Anti-Violence Strategies to Reduce Social Barriers and Improve Health Among the Most Vulnerable

  • Overview of HCSC Medicaid program/ commitment to addressing Violence, SDOH Health Equity to serve Medicaid members. Spotlight IL Medicaid
  • IL Medicaid member needs/ increasing expectations of our regulator to focus on supporting members that experience increased violence, crime, Health Equity & SDOH at zip code level
  • Using operational requirements & community feedback to create local solutions such as job creation, anti-violence efforts & strategic partnerships to address SDOH & Health Equity at macro level impact through diverse spend program
  • Using member insights, SDOH zip-code level data/ state expectations and community needs to drive micro level and systemic technology impact through Medicaid IT solutions

Tiffany N. Davis, EsqDVP, Medicaid Performance and Delivery,HCSC, Blue Cross and Blue Shield Plans in Illinois, Montana, New Mexico, Oklahoma and Texas

Velisiwe Nkomo Government Programs Clinical Operations Divisional Vice PresidentHCSC, Blue Cross and Blue Shield Plans in Illinois, Montana, New Mexico, Oklahoma and Texas

Ashley Griffith Sr. Manager Medicaid Performance & DeliveryHCSC, Blue Cross and Blue Shield Plans in Illinois, Montana, New Mexico, Oklahoma and Texas

Sherri Turk Lead IT Business ConsultantHCSC, Blue Cross and Blue Shield Plans in Illinois, Montana, New Mexico, Oklahoma and Texas

9:20

Yes, We're Serious: The Path Forward To Reversing Food Insecurity

Jared Scharen, Vice President of Marketing,Foodsmart

Shreeta Quantano, Head of Telenutrition Operations,Foodsmart

MEMBER-FACING TECHNOLOGY
9:50

Effective Member Engagement for Prenatal and Postpartum Care

James Haskins, Director of Government Programs,HealthMine, Inc.

10:20

Morning Refreshment Break

10:50

Panel Discussion: Using a Wide Variety of Digital Tools and Apps to Engage Members, Improve Member Satisfaction and Support Better Health

Moderator:

Adimika Arthur, Executive Director,Health Tech for Medicaid (HT4M)

Panelists:

David Duhaime,Regional Manager, Pondera,a Thomson Reuters Company

Juan Pablo Segura,Co-founder & President, Babyscripts

Pamela Tropiano, RN, BSN, MPA, CCMVP, Healthcare Services Molina Healthcare Ohio, Inc.

James Lamb,Vice President of National Payers Segment,Quest Analytics

Kurt Waltenbaugh, MBA,Senior Vice President of Insights and Growth, Unite Us

11:30

Leveraging a Connected Care Platform - Driving Value-Based Outcomes with Technology

Rosemary Kennedy, PhD, RN, MBA, FAAN, Chief Health Informatics Officer Connect America

12:00

Harnessing Data to Drive Member Engagement through Better Targeted Digital Outreach, Telehealth, and Text Messaging Technology

Karleen M. Haines, MPS, Chief of Community Relations, Partners Health Plan

12:30

Luncheon

BEHAVIORAL HEALTH AND SUD/OUD MANAGEMENT
1:30

Impacts of Telemedicine Expansion and COVID-19: Behavioral Health

Karen Weintraub, Executive Vice President, Healthcare Fraud Shield

2:00

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

Cynthia Knorr-Mulder MSN, BCNP, NP-C, Administrative Director – Pain and Palliative Medicine, Pain Management Nurse Practitioner, Englewood Hospital & Medical Center

2:30

Stakeholder Engagement: Maintaining and Increasing Engagement During a Pandemic

  • Creative ways to engage
    • Virtual engagement vs in-person engagement
  • Meaningful engagement
    • Changing and improving future engagement strategies
  • Topic driven engagement
    • Increased collaboration/communication
  • How has communication and engagement changed during the pandemic - Preparing for the “New Normal”

Deb Goda,Associate Director, Behavioral Health and IDD NC MedicaidDivision of Health BenefitsNC Department of Health and Human Services

Suzanne B. Thompson, MBA/MHA, Community Engagement and Empowerment Team, Division of MH/DD/SAS, NC Department of Health and Human Services

3:00

Tweaking Models of Care to Better Meet the Needs of Individuals with Substance Use Disorder

Passport Health Plan has spent much time over the past couple of years tweaking their model of care to better meet the needs of individuals with substance use disorder and meeting the individuals where they are in the readiness to change process. The recently adopted model of care includes assessments, stratification of members by risk, additional staffing roles, and the inclusion of services to address co-existing social determinants of health needs. Information describing the identified challenges and innovative strategies to address will be shared with participants.
Participants will be able to:

  • Describe one health plan’s Model of Care for working with individuals with Substance Use Disorder
  • Identify at least two assessment tools that a health plan utilizes to identify risks and needs to stratify individuals with Substance Use Disorder.
  • List new roles added to the Model of Care to better meet the needs of individuals with Substance Use Disorder
  • Describe how at least one health plan’s Model of Care for Substance Use Disorder includes addressing social determinants of health needs.

Dr. Elizabeth McKune, AVP, Population and Behavioral Health Strategy, Passport Health Plan by Molina Healthcare

3:30

Implementing CalAIM’s Community Supports Program to Address SDoH, Health Equity, and Long-Term Well-Being

Nancy Wongvipat Kalev, MPH, Senior Director, Systems of Care,Health Net

Dr. Pooja Mittel, Medical Director, Population Health Equity and Health Equity Lead, Health Net

4:00

Conclusion of Conference