2020 Medicaid Managed Care Summit
Strategies to Serve the Rapidly Expanding Medicaid Population
September 14-15, 2020
(VIRTUAL CONFERENCE)

2020 Medicaid Managed Care Summit

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About the Conference

Medicaid is the single largest source of health coverage in the U.S. Now more than ever before, states are relying heavily on managed care organizations to serve their Medicaid beneficiaries to improve the quality of care delivered and control costs. Bringing together Medicaid leaders from states and health plans, as well as government leaders and policymakers, this summit will address the most pressing issues facing state Medicaid managed care. You will learn about national trends and innovative programs to best serve the growing Medicaid population; current federal and state policies and regulations; strategies to better manage utilization of health services; social determinants of health to better serve members; improvements in healthcare quality and outcomes; how to best coordinate care for complex populations; coordinating and integrating LTSS in managed care plans; how to achieve value-based care; and much more.

Who Should Attend?

From Palliative Care/Hospice Care/Hospitals/Health Systems/Health Plans

  • Medical Directors
  • CFO
  • COO
  • Social Workers
  • Case Management
  • Counseling
  • Director of Nursing
  • Director of Hospice Care
  • Director of Palliative Care
  • Pharmacists
  • Physicians
  • Quality Assurance
  • Administrators
  • Hospice Health Aides
  • End-of-Life-Care
  • Operations Director
  • Outpatient Services
  • Palliative Medicine
  • Clinical Director
  • Compliance Director

Also of Interest to Vendors; Consultants; Solution Providers within the Hospice/Palliative Care.

Conference Agenda

Day One – Monday, September 14, 2020

8:20am – 8:30am

Opening Remarks

8:30am – 9:15am

2020 Election and Impact to Medicaid

With the 2020 election almost here, how will Medicaid be impacted? While the November election will reshape our government in a number of ways, what can be done to prepare and address priorities for the remainder of 2020.

Patricia D. Byrnes
Director – Federal Affairs, Government and External Affairs
AmeriHealth Caritas Family of Companies

9:20am – 10:05am

Innovations in SUD Treatment and Value-based Care: The Vermont Experience

We will explore SUD from the perspectives of:
- Prevention including opioid prescribing restrictions and prescriber education including dependency risk tools, maintenance and monitoring, available resources and options for chronic pain
- Diagnosis and access including MAT in emergency departments, expansion of network/primary care, VT Hub and spoke model, and telehealth
- Cost-effective treatment
- Payer collaboration (ACO and state-wide)
- Community health teams/
- Urine drug testing project
- Centers of excellence for chronic pain/bundled payments
- Incentives
- Provider training
- Project ECHO
- ACO e-Learning

J. Scott Strenio, MD
Chief Medical Officer, Medicaid
State of Vermont

10:05 – 10:15am

Stretch Break

10:15am – 11:00am

Leveraging SDOH Approach During a Crisis – Food Access, Workforce Development and Housing

During the COVID-19 crisis that began in March 2020, national headlines showcased the drastic increase and demand on food banks, rapid increase in the number of American’s filing for unemployment and the inability to “shelter at home” when you didn’t have a home, but a homeless shelter to return to every night. All of these issues are considered Social Determinants of Health and are existing programs within CareSource Life Services which began in 2015. This session will focus on how to leverage your existing SDOH programs in times of crisis and what can be learned from how healthcare responded to non-clinical aspects of care during COVID-19.

Karin VanZant, MPA
Vice President, Integrated Community Partnerships
CareSource

11:05am – 11:50am

Leveraging the Community Health Worker as a Resource to Drive Outcomes within your High-Risk Populations

This session will address the value of adding the Community Health Worker to your Care Management model. Topics to be discussed will include:
- Integrating the community health worker into your care team
- Expanding the role of the community health worker
- Developing a community health worker onboarding program

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

11:55am – 12:40pm

Continuing a Medicaid ACO Program During the Year of COVID-19

This session shares recent experience of the Massachusetts Medicaid ACO program, how the various players have responded to the COVID-19 crisis, as well as the short-term and long-term implications of the pandemic on a delivery system reform program. Potential content includes:
- Financial disruption and care continuity
- Population health during rapid movement to telehealth
- Impact on performance measurement

Jean Yang
President, Public Plans
Tufts Health Plan

12:40pm – 1:15pm

Lunch Break

1:15pm – 2:00pm

Innovative Care Coordination Strategies to Address Special Populations: Individuals Formerly Incarcerated and Homelessness

Individuals that have been incarcerated are at significant risk for adverse health and well-being outcomes for both the individual and family members. Justice-involved individuals often have multiple complex co-occurring health, behavioral health substance use and social determinant conditions exacerbating each other and debilitate their functioning. Further, these individuals are more likely to be homeless. The speaker will provide tools to identify and support these individuals to improve their health behaviors and maximize their health outcomes.

Robin Barclay
Director, Corporate Development
Trusted Health Plan

2:05pm – 3:05pm

Panel: Value-Based Payments in Medicaid Managed Care

States are increasingly looking to move away from volume-driven fee-for-service payments and toward value-based payment arrangements. This panel will explore state options for using managed care contracts to accelerate value-based payment arrangements. Topics to be discussed will include:

- Establishing quality metrics
- Baselines for patient outcomes
- Determining parameters for “improved health”

Panelists:
Steven Constantino
Director of Health Care Reform and Financing
Delaware Health and Social Services

David M. Elvin, MD
Senior Medical Director, Interim Vice President ACO
Cambridge Hospital

Dena Stoner
Senior Policy Advisor
Texas Health and Human Services Commission

3:05pm – 3:20pm

Mid-Afternoon Break

3:20pm – 4:05pm

The Second Curve of COVID-19: The Impact on Behavioral Health

The impact of social isolation, fear and anxiety related to COVID-19 has impacted the behavioral health of Americans. What has been the impact of those served by Medicaid and how can we mitigate the impact?

Victor Armstrong
Director, Division of Mental Health, Developmental Disabilities and Substance Abuse Services
North Carolina Department of Health and Human Services

4:10pm – 4:55pm

Democratizing Data to Reimagine Health

Blue Shield of California partnered with mySidewalk, a data intelligence solution, to equip Community Health Advocates and other community leaders with information about the communities in which they live and serve with additional context to their community’s story. The tool allows users to create health reports on community strengths and needs. By identifying and understanding social determinants of health in the community (e.g. food deserts, poverty status, educational attainment). This story is being written by the people who know it best – those who are closest to the problems who are also best positioned to determine the solutions. By democratizing the data, Blue Shield of California is making the case to change how and who is reimagining health. Since the partnership with mySidewalk began in August 2019 three Community Health Needs Assessments (CHNA) in pilot communities have been completed. These CHNAs enable Blue Shield to target interventions and solutions to best meet the needs of members and the communities where they reside. CHNAs are systematic processes to identify and analyze community health needs but are often difficult to compare and access. The goal is to enable not only our Community Health Advocates to integrate both community insights and 3,000 publicly available data sets into a customized CHNA but also the rest of California in order to truly Reimagine Health. The statewide dashboard will be available in August along with a Vulnerability Index (available now) that will highlight how we all can contribute to improving health, hold each other accountable and develop a shared vision to be the healthiest state.

Shannon Cosgrove, MHA
Director, Community Health
Blue Shield of California

4:55pm

End of Day One

Day Two – Tuesday, September 15, 2020

8:20am – 8:30am

Opening Remarks

8:30am – 9:15am

Member Engagement through the Social Determinants of Health

Many health plan members now have expanded access to care but they may not need clinical services or seek preventative care annually. Other members may be experiencing episodic increases in their clinical utilization. Both member types are looking for meaning in value in the relationships that they are developing – how can you provide the connection that they desire. This session will explore how social determinants of health can provide opportunities for member engagement. Topics will include:

- Workforce development programs engaging a diverse segment of members and producing results across the board
- Housing programs for pregnant mothers in high infant mortality areas
- Early childhood education that encourages communication between parent and child

Francisco Oaxaca
Senior Director, Communications and Community Relations
L.A. Care Health Plan

9:20am – 10:05am

Effective Care Coordination: Members with Special Needs

This session will explore the following:
• Discuss how to coordinate care for vulnerable populations, including Hispanic, those returning from incarceration, high ER utilizers, Arab, African, Veterans, seniors and the deaf and hard of hearing.
• Describe how the Flint water crisis raised awareness of the health care coverage and access challenges for populations where language and culture are barriers.
• Describe the process to implement the multicultural system of care.
• Discuss the usefulness and value of community engagement/community voices.
• Describe the conversation process for identifying cultural differences.
• Provide specific outcomes from implementation.

Jim Milanowski
President and Chief Executive Officer
Genesee Health Plan

10:05am – 10:20am

Mid-Morning Break

10:20am – 11:05am

Adjusting Your LTSS Strategy to Sustain Appropriate Supports and Services

The long-term services and support (LTSS) population has unique characteristics which require a strategic approach to optimize value. With this sentiment in mind let’s consider:

• How LTSS may be affected if MMPs are phased out
• Review strategies for improved integration, choice, and rebalancing
• Explore ways to build capacity and continuity of services for members

Interventions to impact this system must center on the member with support from managed care organizations, providers and community resources. Ongoing monitoring of quality of care, specific care related determinants, as well as state and federal government requirements must also be embedded in programs. This presentation is meant to serve as a tool to springboard innovation within your practice as you care for this vulnerable population.

Chantel Neece, DNP, MBA, MSN-ED, RN-BC, CPHQ, SSBBP
Director, Quality Operations – State Programs (Medicaid/LTSS)
Virginia Premier

11:10am – 11:55am

Reducing Admissions and Readmissions among the Medication Population

The speaker will present using a collaborative approach within utilization management and case management to engage members and providers to reduce admissions and readmissions and achieve better health outcomes.

Joanne Scillia
Vice President, Medical Management
Affinity Health Plan

12:00pm – 12:45pm

Aligning Strategies to Improve Quality, Manage Cost and Drive Innovation

This session will address several aligned quality and cost savings initiatives the Pennsylvania Department of Human Services Office of Medical Assistance Programs has in its MCO contracts or are part of its rate setting process - MCO P4P, provider P4P, PCMH program, value-based contracting arrangements, and efficiency adjustments.

David Kelley, MD
Chief Medical Officer
Pennsylvania Department of Human Services Office of Medical Assistance Programs

12:50pm – 1:35pm

Responding to a Pandemic: Leveraging Data, Technology and a Multi-Pronged Approach to Proactively Target Care Coordination Efforts and Outreach during a Pandemic

· Population Segmentation; Proactively identify populations to target and outreach
· Utilize technological tools to identify and prioritize our care coordination efforts
· Introduce Care Oregon’s Regional Care Team Model and approach to care
coordination
· Strategically utilize telephonic, community-based, and embedded staff as well as our network relationships

Karissa Smith, LPC, CADC I
Director of Population Health
CareOregon

Summer M. Sweet
Triage and Data Integration Manager
CareOregon

Workshop – Tuesday, September 15, 2020

1:45pm – 3:45pm

Virtual Workshop

Evolution of Medicaid Managed Care Procurements and Best Practices to Achieve Successful Outcomes

The Medicaid Managed Care program is unique in creating strong minimum requirements and then using competitive procurements to elevate performance above these minimum requirements regarding how care management, member engagement, provider relations, and operational processes are delivered. This workshop will review trends in recent state procurements and offer recommendations on how managed care plans can best prepare for an upcoming medicaid procurement.

Poornima Singh
Vice President, Director, Government Contracting and Correctional Health Services
The Menges Group

Featured Speakers

Patricia D. Byrnes

Patricia D. Byrnes

Director – Federal Affairs, Government and External Affairs

AmeriHealth Caritas Family of Companies

J. Scott Strenio, MD

J. Scott Strenio, MD

Chief Medical Officer, Medicaid

State of Vermont

Karin VanZant, MPA

Karin VanZant, MPA

Vice President, Integrated Community Partnerships

CareSource

Joanna Sciandra, MHA, BSN, RN, CCM

Joanna Sciandra, MHA, BSN, RN, CCM

Vice President, Care Coordination and Integration

Geisinger Health Plan

Jean Yang

Jean Yang

President, Public Plans

Tufts Health Plan

Robin Barclay

Robin Barclay

Director, Corporate Development

Trusted Health Plan

Steven Constantino

Steven Constantino

Director of Health Care Reform and Financing

Delaware Health and Social Services

David M. Elvin, MD

David M. Elvin, MD

Senior Medical Director, Interim Vice President ACO

Cambridge Hospital

Dena Stoner

Dena Stoner

Senior Policy Advisor

Texas Health and Human Services Commission

Victor Armstrong

Victor Armstrong

Director, Division of Mental Health, Developmental Disabilities and Substance Abuse Services

North Carolina Department of Health and Human Services

Shannon Cosgrove, MHA

Shannon Cosgrove, MHA

Director, Community Health

Blue Shield of California

Francisco Oaxaca

Francisco Oaxaca

Senior Director, Communications and Community Relations

L.A. Care Health Plan

Jim Milanowski

Jim Milanowski

President and Chief Executive Officer

Genesee Health Plan

Chantel Neece, DNP, MBA, MSN-ED, RN-BC, CPHQ, SSBBP

Chantel Neece, DNP, MBA, MSN-ED, RN-BC, CPHQ, SSBBP

Director, Quality Operations – State Programs (Medicaid/LTSS)

Virginia Premier

Joanne Scillia

Joanne Scillia

Vice President, Medical Management

Affinity Health Plan

David Kelley, MD

David Kelley, MD

Chief Medical Officer

Pennsylvania Department of Human Services Office of Medical Assistance Programs

Karissa Smith, LPC, CADC I

Karissa Smith, LPC, CADC I

Director of Population Health

CareOregon

Summer M. Sweet

Summer M. Sweet

Triage and Data Integration Manager

CareOregon

Poornima Singh

Poornima Singh

Vice President, Director, Government Contracting and Correctional Health Services

The Menges Group

Venue

TBA

Sponsors and Exhibitors

TBA

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 4 weeks prior to the event will receive a refund minus the administration fee of $225. Cancellation received less than 4 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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