Behavioral Health Management Summit
Improving Quality, Access & Coordination Across the Continuum of Care
January 31 – February 1, 2019 * The Venetian * Las Vegas, NV

Behavioral Health Management Summit

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About the Conference

The landscape of behavioral healthcare is rapidly evolving. Over the next decade, insurance company consolidation, Medicaid expansion and accountability requirements will reshape the field. In order to improve treatment, outcomes and cut costs, health plans are taking proactive steps to ensure that their members receive access to quality behavioral healthcare. Behavioral health integration and management has moved to the forefront, and many health plans are now focusing their efforts on integrating behavioral and medical care.

This conference brings together health plan and industry leaders to share best practices in improving behavioral health networks, supporting behavioral health integration, and treating members’ whole health. Hear about substance abuse and other behavioral health issues and learn how health plans are overcoming existing hurdles and strategizing to create a more integrated system of behavioral healthcare. Key topics of discussion will include workflow challenges, care planning and coordination, innovations in integration, making integration financially beneficial, and operational best practices.

Who Should Attend?
From Health Plans/Hospitals/Health Systems/Mental Health Facilities/Community Health Centers/Recovery Centers/Employers/Managed Care Organizations:

  • CEO’s
  • CFO’s
  • Medical Directors
  • Behavioral Health
  • Care Coordination
  • Social Workers
  • Medical Management
  • Disease Management
  • Quality Improvement
  • Community Health
  • Mental Health
  • Reimbursement
  • Network Management
  • Case Management
  • Managed Care
  • Care Management
  • Outpatient Services
  • Clinical Operations
  • Provider Relations
  • Integrated Care
  • Psychiatric Services

Also of Interest to Vendors and Solutions Providers; Healthcare Consultants; TPA’s

Conference Agenda

Day One – Thursday, January 31, 2019

7:15am – 8:00am
Conference Registration & Networking Breakfast

8:00am – 8:15am
Chairperson’s Opening Remarks

8:15am – 9:00am
Improving Behavioral Through A Population Health Approach
The Behavioral Health Department at Tufts Health Plan has designed an innovative way of working with the Medicare Advantage population to reduce hospitalizations and readmissions through the Population Health approach by looking at social determinants of health including behavioral health conditions. This session will review this approach and how it is providing for better management for high-risk members, scales up outreach, and empowers members to engage in their overall health. The presentation will review how his is accomplished through the integration of member’s goals and needs, the environment they live in, and addressing member’s social care needs.

Nicole Fagone, MSW, LCSW
Manager Behavioral Health & Social Care Program
Senior Products Division
Tufts Health Plan

Marilyn Stelly-Gendron, GNP-BC, JD
Psychiatric Nurse Practitioner
Consultant, Senior Products Division
Tufts Health Plan

9:00am – 9:45am
The Body-Mind Continuum: Why It Takes More Than a Village to Take Care of Us
Have we gone too far in putting Descartes before the proverbial horse? Or is the body-mind continuum an instructive lens through which to view wellbeing? This session reviews evidence for the connections between body and mind including a recent national study of physical and emotional correlates of loneliness and discusses stress as both a physical and emotional phenomenon. The session also discusses the intersection of physical and mental illness evident in both a landmark epidemiological study and third-party payer claims data. Next emphasized is the importance of value-based, population approaches to health care delivery while considering a payment model that incentivizes collaboration among medical and behavioral health clinicians. At a macro level, the importance of integrated health benefit designs are also described.

Stuart L. Lustig, M.D., M.P.H.
National Medical Executive for Behavioral Health
Cigna

9:45am – 10:15am
Networking & Refreshments Break

10:15am – 11:00am
Behavioral Health Strategy in Virginia to Address the Opioid Crisis
The opioid crisis is widespread throughout the nation and has reached epic proportions. This presentation will discuss how Virginia Premier Health Plan is involved in incorporating behavioral health in its collaborative programs. The presentation will review these programs and treatments hat have been implemented for patients in Virginia.

John A. Johnson, MD, MBA, FACP
Chief Medical Officer
Virginia Premier Health Plan

11:00am – 11:45am
Engaging and Motivating Members to Make Positive Behavioral Health Changes
Engaging and motivating patients to actively make positive changes in behavioral health is an incredibly important aspect in improving patient outcomes. This session will review the programs that have been implemented to address and strengthen patient engagement. The presentation will also review proven strategies and case studies.

Joyce B. Wale
Regional Executive Director, Behavioral Health
UnitedHealthcare Community Plan

11:45am – 1:00pm
Lunch

1:00pm – 1:45pm
Leveraging Virtual Reality for Behavioral Healthcare
Virtual Reality has been successfully used in practice for 22 years. More recently, augmented reality and artificial intelligence have also added to its benefits and shown promise in behavioral healthcare. With new inexpensive hardware systems, cost is no longer the barrier to entry that it once was. This session will review the need to ensure that clinicians using the technologies are appropriately trained and understand that the technologies are not meant to replace them and are instead being used to empower them to provide better service to their patients. It will also explore how VR/AR are available now on mobile platforms, and it is possible to provide a continuum of care from traditional hospitals and clinics to the patient’s home. From treatment of specific phobias to PTSD, chronic pain management and relief from the stress, anxiety and pain surrounding medical or surgical procedures, VR and AR are enhancing patient empowerment and providing the opportunity for patients to become more active participants in their own health and well-being. The addition of AI is also allowing for earlier diagnosis in areas such as autism and challenging existing standards of care in behavioral health conditions.

The power and promise of VR and related technologies will be discussed power and promise, during this lecture.

Brenda K. Wiederhold, Ph.D., MBA, BCB, BCN
President
Virtual Reality Medical Center
Chief Executive Officer
Interactive Media Institute (a 501c3 non-profit)
Editor-in-Chief
CyberPsychology, Behavior & Social Networking Journal
Secretary General
International Association of CyberPsychology, Training, & Rehabilitation (iACToR)

1:45pm – 2:30pm
Strategies to Create a True Behavioral Health Service Line
This presentation will discuss how a health system developed and implemented a true behavioral health service line, and review collaboration, integration, investment decisions, business evaluation and consensus building. The talk will explore challenges and pitfalls and how to maintain focus. Lastly, lessons learned will be reviewed, encompassing difficulties envisioning model of care and convincing leadership, technology issues, evaluation, etc.

Michelle Mullany
Vice President of Behavioral Health
Inova Health System

2:30pm – 3:00pm
Networking & Refreshments Break

3:00pm – 4:15pm
Panel Discussion: Facilitating Greater Payer-Provider Collaboration and Coordination
This session will address how improved payer-provider collaboration can lead to better patient care. Topics to be addressed will include:
– Best practices to promote better engagement and integration
– Systematic changes that lead to success
– How to design and deliver integrated, whole patient care
– Multidisciplinary care coordination strategies to support improved patient engagement

Debbie Cunningham, DNP, RN
President
Women’s Hospital and Behavioral Health Services
Senior Vice President
Cone Health

James A. Polo, MD, MBA, MSS, FAPA, FACHE
Behavioral Health Medical Director
Regence Blue Cross Blue Shield
Cambia Health Solutions

Nicole Fagone, MSW, LCSW
Manager Behavioral Health & Social Care Program
Senior Products Division
Tufts Health Plan

4:15pm – 5:00pm
Leveraging Behavioral Health Homes to Improve Patient Outcomes and Reduce Spending
Provider organizations have consistently struggled to meet the need for coordinated behavioral health services due to behavioral health provider shortages and financial sustainability. This session will review how Atrium Health launched a transformative integrative care delivery model, Behavioral Health Integration (BHI), utilizing virtual and population health management tools to reach out to patients with behavioral health symptoms in Primary Care and Pediatric Practices with proven success – both clinical and financial. Behavioral Health Integration steps away from the traditional model of specialist co-location to a unique and transformative virtual model. This session will review how care delivery systems focused on telehealth, virtual care, and skill optimization are driving access to behavioral health services in a financially sustainable model targeting population health. The presentation will also articulate the business reasons for integrating behavioral health into primary care and identify the appropriate measurements to evaluate effectiveness. Lastly, understanding the collaborative care code guidelines for reimbursement and the impact on primary care providers and behavioral health integration models of care delivery will also be addressed.

Manuel Castro, M.D.
Medical Director, Behavioral Health Service Line
Carolinas HealthCare System

5:00pm
End of Day One

Day Two – Friday, February 1, 2019

7:15am – 8:00am
Networking Breakfast

8:00am – 8:15am
Chairperson’s Remarks

8:15am – 9:00am
Choice, Evidence and Empowerment: The Future of Inpatient Psychiatric Care
This presentation will discuss the impact of a strategic non-profit/for profit partnership to address acute inpatient access for psychiatric patients. It will also explore how to overcome obstacles related to the implementation of a free standing psychiatric hospital. Assessing the capacity and areas of focus to address the complex psychiatric needs through an inpatient continuum will also be reviewed in this session.

Tracey Lavallias, DBA, MBA, M.Ed.
Executive Director, Behavioral Health Services
Penn Medicine Lancaster General Health

Jayne Van Bramer
Chief Executive Officer
Lancaster Behavioral Health Hospital

9:00am – 09:45am
How Payors and Providers Can Collaborate to Improve Quality and Reduce Costs
Payors are armed with data and information for their members but rarely share this information with the Providers. Providers have first-hand knowledge of the barriers to care patients are experiencing, but this is rarely acknowledged by payors. This session will discuss how a pilot program connected the interface between Payor and Provider to reduce unnecessary psychiatric hospitalizations in a high-risk population in southern Illinois.

Orville Mercer MSW
Vice President Behavioral Health
Chestnut Health Systems

Traci Powell, MD, MBA, CPE
Senior Managed Care Consultant

09:45am – 10:30am
ACES in Health Systems: Are they the Relevant Variables in Health System Improvement?
Virtually all health care is now being viewed through the lens of the Quadruple Aim (recently further increased to the Quintuple Aim with the inclusion of Reducing Disparities). There is heightened attention to the integration of Behavioral Health (BH) into Physical Health (PH), or at least a bidirectional integration. Some would say, “This is Behavioral Health’s time!”
With behavioral health conditions affecting 26% of US adults, and with variably effective approaches to provide cost-effective and clinically effective care with good outcomes, what are some of the areas that should be considered in the re-tooling and establishing a meaningful interface between physical and behavioral health? This session will discuss one area that has received considerable attention: the role of trauma and adverse childhood experiences. How health systems should respond to individuals having multiple behavioral and physical health problems as seen through the lens of trauma and ACES will be discussed along with some of the barriers associated with the general integration of BH with PH.

Leighton Y, Huey, MD
Associate Dean & Professor of Psychiatry
Director of Behavioral Health for Northeastern Pennsylvania
Geisinger Commonwealth School of Medicine

10:30am – 11:00am
Networking & Refreshments Break

11:00am – 11:45am
Telepsychiatry Strategies
Telehealth touches almost every possible aspect of managed care. This presentation will explore how the evolution of the past, present and future of telehealth hold many potential insights. The presentation will discuss the invention of the telephone to the development of exciting new A.I. technologies, as well as explore different models and risks of telehealth for behavioral health.

Brooke Parish, MD
Medical Director
Blue Cross Blue Shield New Mexico

11:45am – 12:30pm
Integrating Behavioral Health and Primary Care
The integration of behavioral health and primary care has been an accepted factor in moving to value based programs and products. However, despite widespread acceptance of this strategy among providers, execution has been slow. The Centers for Medicare and Medicaid Services (CMS) and commercial carriers continue to support the concept of value based arrangements, but building the infrastructure to make this effective and efficient is difficult.
This session will reinforce the “why” of integration while discussing different models available to providers. The presentation will review some of the findings from the Colorado State Innovation Model on this work as we explore strengths and challenges in incorporating telehealth, co-location and embedded behavioral health providers in primary care practices. The goal is to identify which model (s) might make the most sense for primary care practices on this journey.

Paul Staley, MA, CAC, III
 Steering Committee Member
 Colorado State Innovation Model (SIM)

12:30pm
Conference Concludes

Workshop – Thursday, January 31, 2019
5:30pm – 7:30pm
Shifting to Value Based Care and Payment Arrangements and Incorporating Behavioral Healthcare Into the New Healthcare Delivery System

One of the biggest changes for behavioral health payers and providers is the shift from payment based on volume to payment based on value. As payers shift to incentivize providers for value over volume, behavioral health organizations are uniquely positioned for innovative funding opportunities. This workshop highlights the shifts in behavioral health financing and types of payment arrangements or contracts payers are interested in exploring with behavioral health providers. Learn how payers are connecting the nuts and bolts of contracting with their overall vision for a new health care delivery system. Topics to be discussed in this workshop will include:
– Transformation strategies and how to help providers prepare for value based payment
– Reimbursement strategies that enhance sustainability for integrated care
– Return on investment
– What to measure and what to incent as a payer
– Establishing the right quality measures and leveraging them to improve member health
– How to drive system change and meet the desired impact
– Improving quality at the provider and population level
– Explore common contract provisions and risk structures

Margaret Tatar
Managing Principal
Health Management Associates, Inc.

About the Workshop Leader

Margaret Tatar has more than 25 years of public and private sector experience in managed care program and policy development, health policy, program development, advocacy, and government/legislative affairs.

She has a strong track record in managed care plan leadership, leading large-scale managed care initiatives and multi-disciplinary teams in complex operating environments while fostering professional development and mentoring staff. She has served in the federal government’s Health Care Financing Administration (HCFA), the executive and legislative branches in Colorado and California, and a key leadership position with CalOptima, a large public health plan in California.

In her most recent position as Acting Deputy Director, Delivery Systems, in California’s Department of Health Care Services (DHCS), she was responsible for the network of 23 contracted health plans that deliver health care services to over 9 million Californians. She was also responsible for the Long-Term Care Division and California’s Children Services (CCS) program. During her tenure at DHCS, she oversaw a significant expansion of managed care as the primary delivery system for California’s Medicaid program (Medi-Cal). She also served as the operational lead for the design, development, and implementation of Cal MediConnect, California’s Duals Demonstration program.

Margaret earned her undergraduate degree in Latin at Bryn Mawr College in Bryn Mawr, Pennsylvania, and her law degree at Villanova University School of Law in Villanova, Pennsylvania.

A native of Washington, D.C., she and her husband live in Carmichael, California, where they spend most of their free time renovating their home and taking trips with their beloved Labradors.

Featured Speakers

Nicole Fagone, MSW, LCSW

Nicole Fagone, MSW, LCSW

Manager Behavioral Health & Social Care Program, Senior Products Division

Tufts Health Plan
Stuart L. Lustig, M.D., M.P.H.

Stuart L. Lustig, M.D., M.P.H.

National Medical Executive for Behavioral Health

Cigna
John A. Johnson, MD, MBA, FACP

John A. Johnson, MD, MBA, FACP

Chief Medical Officer

Virginia Premier Health Plan
Joyce B. Wale

Joyce B. Wale

Regional Executive Director, Behavioral Health

UnitedHealthcare Community Plan
Dr. Brenda K. Wiederhold, Ph.D., MBA, BCB, BCN

Dr. Brenda K. Wiederhold, Ph.D., MBA, BCB, BCN

President

Virtual Reality Medical Center
Chief Executive Officer
Interactive Media Institute (a 501c3 non-profit)
Editor-in-Chief
CyberPsychology, Behavior & Social Networking Journal
Michelle Mullany

Michelle Mullany

Vice President of Behavioral Health

Inova Health System
Debbie Cunningham, DNP, RN

Debbie Cunningham, DNP, RN

President

Women’s Hospital and Behavioral Health Services
Senior Vice President
Cone Health
Tracey Lavallias, DBA, MBA, M.Ed.

Tracey Lavallias, DBA, MBA, M.Ed.

Executive Director, Behavioral Health Services

Penn Medicine Lancaster General Health
Jayne Van Bramer

Jayne Van Bramer

Chief Executive Officer

Lancaster Behavioral Health Hospital
James A. Polo, MD

James A. Polo, MD

Behavioral Health Medical Director

Regence Blue Cross Blue Shield
Traci Powell, MD, MBA, CPE

Traci Powell, MD, MBA, CPE

Senior Managed Care Consultant

 
Brooke Parish, MD

Brooke Parish, MD

Medical Director

Blue Cross Blue Shield New Mexico
Manuel Castro, M.D.

Manuel Castro, M.D.

Medical Director, Behavioral Health Service Line

Carolinas HealthCare System
Orville Mercer MSW

Orville Mercer MSW

Vice President Behavioral Health

Chestnut Health Systems
Leighton Y. Huey, MD

Leighton Y. Huey, MD

Associate Dean & Professor of Psychiatry, Director of Behavioral Health for Northeastern Pennsylvania

Geisinger Commonwealth School of Medicine
Paul Staley, MA, CAC, III

Paul Staley, MA, CAC, III

Steering Committee Member

Colorado State Innovation Model (SIM)

Margaret Tatar

Margaret Tatar

Managing Principal

Health Management Associates
Marilyn Stelly-Gendron, GNP-BC, JD

Marilyn Stelly-Gendron, GNP-BC, JD

Psychiatric Nurse Practitioner, Consultant , Senior Products Division

Tufts Health Plan
Venue

The Venetian
3535 Las Vegas Blvd. South
Las Vegas, NV 89109
877-385-3885

“Mention BRI Network to get discounted rate of $119/night”

Link for Room Reservations:  https://book.passkey.com/go/rbrij

Sponsors and Exhibitors

Exhibitor(s)

 

Cigna At Cigna, we’re more than a health insurance company. We’re a global health service company. Cigna works with employers and organizations around the world helping employees stay healthy and on the job. We work closely with brokers and consultants to develop innovative programs, help individuals and families improve their health, well-being and sense of security—and lower their medical costs. And, Cigna provides access to a global network of local physicians and hospitals—as well as 24/7/365 live customer service.

FAQ

Are there group discounts available?

  • Yes – Register a group of 3 or more at the same time and receive an additional 10% off the registration fee

Are there discounts for Non-Profit/Government Organizations?

  • Yes – please call us at 800-743-8490 for special pricing

What is the cancellation policy?

  • Cancellations received 3 weeks prior to the event will receive a refund minus the administration fee of $185. Cancellation received less than 3 weeks prior to the event will receive a credit to a future event valid for one year.

Can the registration be transferred to a colleague?

  • Yes – please email us in writing at info@brinetwork.com with the colleague’s name and title

Where can I find information on the venue/accommodations?

  • Along with your registration receipt you will receive information on how to make your hotel reservations. You can also visit individual event page for specific hotel information. The conference fee does not include the cost of accommodations.

What is the suggested dress code?

  • Business casual. Meeting rooms can sometimes be cold so we recommend a sweater or light jacket

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