Agenda

April 23, 2020

8:00 AM - 9:00 AM
Registration and Networking Breakfast

9:00 AM - 9:10 AM

Welcome Remarks

9:10 AM - 9:50 AM

Transitioning from Fee-for-Service to Value-Based Care – Examining How to Best Serve Medicaid Populations

  • Examine the changing dynamic of the transition into managed care, including the impact on health plans, government stakeholders and healthcare providers
  • Discuss how to design beneficiary incentives that promote health behaviors by identifying different populations in Medicaid, their needs and biggest challenges for health and access
  • Hear a case example of Medicaid Reform at the DC Department of Health Care Finance (DHCF) and discuss the impacts on reimbursement, patient care and oversight


Lisa Truitt, Director of the Health Care Delivery Management Administration
DC Department of Health Care Finance (DHCF)

9:50 AM - 10:30 AM

Multi-Perspective Panel: Keys to Medicaid/Medicare Integration in a Managed Care Environment

  • Hear advancements in integrating care through Dual Eligible & Special Needs Plans from stakeholders across the Managed Care Ecosystem
  • Hear an update on current financial alignment demonstrations
  • Assess new innovations in LTSS
  • Gain insights into the core elements of integrated care as well as an update on initiatives at the National Pace Association


Moderator:

Lisa Truitt, Director of the Health Care Delivery Management Administration
DC Department of Health Care Finance (DHCF)

 

Panelists:

Allison Rizer, Vice President of Medicaid-Medicare Integration Policy and Strategy
United Healthcare

Sue Kvendru, Coordinator of Senior Managed Care Programs
Minnesota Department of Human Services

Mary Kaschak, Executive Director
National MLTSS Health Plan Association

Shawn M. Bloom, President and CEO
National PACE Association

 

Presley Rebman, AHFI, CFE, PMP, Executive Director  
Alabama Select 

10:30 AM - 11:00 AM
Networking Break

11:00 AM - 11:40 AM

Fireside Chat with the NCQA

Join a Fireside chat, followed by audience Q&A discussion on timely topics including the move towards electronic quality measures and SDOH initiatives and the impact on the Medicaid audience.  

 

Peggy O’Kane, Founder and President 
National Committee for Quality Assurance (NCQA) 

 

Andrey Ostrovsky, MD, Former Chief Medical Officer  

U.S. Medicaid Program 

11:40 AM - 12:30 PM

Keynote Panel: State Medicaid Director Insights into Program Developments in Managed Care

  • What are the key priorities identified by state Medicaid programs for 2020?
  • Understand how states are thinking about pending litigation for the ACA and its potential for far-reaching consequences for Medicaid
  • Hear how different states are innovating to address challenges and overcome barriers in their Medicaid populations
  • Discuss contract expectations for community-based organizations

Moderator:

Merrill Friedman, Senior Director of Disability Policy Engagement
Anthem, Inc. 

 

Panelists:

Karen E. Kimsey, Director
Virginia Department of Medical Assistance Services

Stephanie Muth, Deputy Executive Commissioner
Texas Health & Human Services

Tracy Johnson, Medicaid Director
Colorado Department of Health Care

12:30 PM - 1:40 PM
Networking Lunch

12:30 PM - 1:40 PM

Optional Lunch Roundtables with State Medicaid Officials

Join informal, idea-exchange sessions with Medicaid officials. Get answers to your most pressing questions, mix and mingle with fellow attendees and get a grasp on the regulatory road ahead for your organization.  

States Represented Include: 

  • Minnesota   
  • Texas  
  • Virginia 
  • Colorado  

1:45 PM - 2:30 PM

Concurrent Sessions

Track A: Clinical Case Studies
Sessions in this track focus on sharing best practices and overcoming challenges in the clinical space

Chair:

Shannon Attanasio, Vice President, Government Relations and Advocacy

Medicaid Health Plans of America

 

Track B: Addressing Social Determinants of Health in Medicaid Populations 

Sessions in this track focus on how health plans are finding new ways to address the social determinants of health among their enrollees


Chair:

 

To be announced

Track A: Clinical Case Studies

Case Study – Supporting the Medicaid Population as a Part of their Continuum of Care

  • Learn about the implementation of Wellspan’sprograms supporting the Medicaid population, including the Omega Bed Program, Arches to Wellness and ALPHA  
  • Focus on the outcomes of the programs, including reduction of length of stay in the hospital through addressing discharge barriers 
  • Discuss roadblocks in the process and learnings from overcoming them, including the valuable community partnerships that supported success

 

Katie Wilt, MBA, Manager of Special Programs 

WellSpan Health  

 

Dianna Benaknin, MSW, Case Management Consultant  

WellSpan Health 

 

Track B: Addressing Social Determinants of Health in Medicaid Populations  

Panel: Addressing Social Determinants of Health for Medicaid Enrollees

  • Discuss how health plans are finding new ways to address the social determinants of health among their enrollees
  • Discuss who “owns” the SDOH response – provider or insurer?
  • Hear a perspective from a CBO in overcoming roadblocks and crossing cultural barriers
  • Review reasons why plans are investing in SDOH initiatives and keys to evaluating the impact of SDOH interventions
  • Examine using value-based payments to support social interventions & non-traditional reimbursement models that work

Moderator:
Jennifer Babcock, Vice President for Medicaid Policy and Director of Strategic Operations              Association of Community Affiliated Plans


Panelists:

Adelline Ntatin, MPH, MBIM, MA, Cultural & Health Care Equity Director
Aetna Better Health of Maryland

R.J. Briscione
Sr. Director, SDOH Strategy & Execution
Aetna Strategy & Consumer Experience

David Jacobson, Vice President of Strategy and Business Development
Arkansas Blue Cross and Blue Shield


Tracy Johnson, Medicaid Director
Colorado Department of Health Care

Jane Pirsig, Member, Consultant
Alliance for Strong Families & Communities

2:30 PM - 3:15PM

Concurrent Sessions

Track A: Clinical Case Studies

Data Sharing with Medicaid Managed Care Organizations (MCOs) – Move the Needle and Maximize Your Impact

  • Review data sharing strategies that MCOs can use to springboard patient outreach and enhance quality 
  • Better identify children who are non-compliant for EPSDT services (including well-child visits, dental visits and lead screens) and in turn, learn to better address their needs via targeted outreach 
  • Ensure best practices for children and adolescents to receive appropriate preventive, dental, mental health, and developmental, and specialty services (EPSDT)

 

Colleen SonoskyAssociate Director, Division of Children’s Health Services, Health Care Delivery Management Administration 
Department of Health Care Finance  

 

 

Track B: Addressing Social Determinants of Health in Medicaid Populations

Case Study – Addressing the Needs of Vulnerable Populations with Food Security

  • Learn about Henry Ford’s innovative home delivery pilot program, in partnership with a local food bank, to assist food-insecure clinic patients for a full year
  • Discuss research and analytics methods used to assess changes in healthcare utilization, biometrics, and total cost of care
  • Discuss current approaches to scale and spread this successful program to help other vulnerable patients under HFHS’s care

 

Susan Hawkins, FACHE, Senior Vice President of Population Health
Henry Ford Health System

3:15 PM - 3:30 PM
Networking Break

3:30 PM - 4:15 PM

Concurrent Sessions

Track A: Clinical Case Studies
Behavioral Health Needs and Crisis Stabilization at the Point of the Care
  • Understand the monetary and social cost of poor care coordination with BEH patients in need of care  
  • How can you ensure intervention at the point of crisis to improve outcomes? 
  • Create a 360-degree continuum of care to improve outcomes, control cost and decrease ER utilization  

 

Andrew F. Cleek, Chief Program Officer
McSilver Institute for Poverty Policy & Research NYU  

Track B: Addressing Social Determinants of Health in Medicaid Populations

Case Study: A Look into a Successful Collaboration to Increase Access to Health Care and Address Food Insecurity Between Aetna Better Health of Maryland and the State of MD

  • Hear a case example, focused on challenges and lessons learned in incorporating tools for heightened awareness of food insecurity gaps and resources to address them  
  • Gain keys to aligning goals and objectives as well as pooling your resources to ensure you’re making the most impact for members 
  • Hear preliminary outcomes and benefits of this program with takeaways on how your MCO can implement this type of partnership 

 

Adelline Ntatin, MPH, MBIM, MA, Cultural & Health Care Equity Director  
Aetna Better Health of Maryland 

4:15 PM - 5:00 PM

Keynote Roundtable: Medicaid Association Leadership Perspectives on the Current & Future Managed Care Landscape

  • Hear an Update on Medicaid Eligibility in 2020 and Beyond 
  • Scale for the Enrollment Decline in Medicaid  
  • Prepare for the CMS Interoperability Regulations 


Moderator:

Elena Nicolella, Executive Director
New England States Consortium Systems Organization

Panelists:

Meg Murray, Chief Executive Officer
Association of Community Affiliated Plans

Craig Kennedy, Chief Executive Officer
Medicaid Health Plans of America

 

5:00 PM - 5:05 PM

Chair Recap

5:05 PM - 6:00 PM
Networking Cocktail Reception

April 24, 2020

8:00 AM - 9:00 AM
Networking Breakfast

8:00 AM - 9:00 AM

Interactive Breakfast Session: Food for Thought on Public Policy

Join an interactive breakfast discussion discussing the implications and opportunities of exiting the Federal Marketplace and creating a State-based exchange. John will share emerging details from his paper, in conjunction with the Rockefeller Institute of Government, on Medicaid Buy in initiatives and examine the impacts on MCOs. With multiple States considering public options, this timely topic will make for a lively discussion.

 

John Kaelin, Senior Advisor
Centene; Visiting Fellow
Rockefeller Institute of Government

9:00 AM - 9:10 AM

Chair Opening Remarks

9:10 AM - 9:50 AM

Fireside Chat with the Administration of Community Living (ACL)

  • Learn how the ACL is preparing CBOs to interface with healthcare ecosystems to deliver person-centered care 
  • Explore current ACL initiatives that enable CBOs and healthcare networks to positively impact health outcomes, cost and member satisfaction  
  • Identify programs currently funded by the ACL via CBOs including Evidence Based Programs and other social services that complement clinical care to enhance care coordination and management  

 

Sharon Williams, Founder & CEO
Williams Jaxon Consulting

 

Kelly Cronin, Deputy Administrator, Center for Innovation and Partnership
Administration of Community Living

9:50 AM - 10:35 AM

GAO Reviews of Program Integrity and Oversight in Managed Care

  • Get an overview of current federal and state management practices
  • Understand challenges related to provider screening and enrollment and eligibility determinations
  • Hear State practices to improve oversight & federal compliance

 

Susan Barnidge, Assistant Director, Health Care U.S.
U.S. Government Accountability Office

 

Leslie Gordon, Assistant Director
U.S. Government Accountability Office

10:35 AM - 10:55 AM
Networking Break

10:55 AM - 11:40 AM

Panel: Integration of CBOs as Partners to Address the Needs of Medicaid Populations

  • Discuss how to address ecosystem-specific barriers to healthcare integration between CBOs, providers and health plans  
  • Identify the tools available for data collection, assessment and other resources to guarantee success  
  • Win buy-in from potential partners and champions in your healthcare network 
  • Examine the impact of growing digitized CBO referral networks 

Moderator
Sharon Williams, Founder & CEO                                                                                                  Williams Jaxon Consulting   

 

Panelists:  

Denise L Harlow, CCAP, Chief Executive Officer 
Community Action Partnership 

Kathleen Cameron, Senior Director  
National Council on Aging (NCOA)  

Jennifer Raymond, Chief Strategy Officer  
Elder Services of the Merrimack Valley (ESMV)  

Marisa Scala-Foley, Director of the Aging and Disability Business Institute  
National Association of Area Agencies on Aging  

Paul Cantrell, Executive Director   
Comprehensive Care Connections

 

11:40 AM - 12:30 PM

CBO/MCO Contracting Strategies

  • Set achievable partnering goals for CBOs, provider and plans within your Managed Care ecosystem
  • Manage expectations with potential partners
  • Achieve a balance between standardization and flexibility in contract negotiation and agreements

 

Jessica Grabowski, Executive Director
Coordinated Care Alliance

12:30 PM - 1:30 PM
Networking Lunch

1:30 PM - 2:15 PM

Case Study Presented by EmblemHealth

Speaker to be announced  

 

2:15 PM - 3:00 PM

Tackling the Opioid Epidemic & Substance Abuse in Medicaid Populations

  • Understand the social and economic burden of substance abuse including opioids on states  
  • Hear how one program implemented a framework to tackle the overwhelming challenges presented by substance abuse epidemics 
  • Gain strategies to see where programs are going wrong and how to improve them 

 

Speaker to be announced  

3:00 PM - 3:10 PM
Chair Closing Remarks