Rise

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Agenda

Tuesday - April 27, 2021

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Welcome Remarks

Sharon R. Williams, CMCE, Chief Executive Officer
Williams Jaxon Consulting, LLC

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Keynote and Q&A

Andrey Ostrovsky, MD, Former Chief Medical Officer
U.S. Medicaid Program
Managing Partner
Social Innovation Ventures

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Break

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Panel Discussion: Identifying Long-term Effects of the Pandemic and How to Forge Ahead

  • Discuss care for long haulers with a new chronic condition and the impact of COVID on minority communities
  • Examine lessons learned from an operational standpoint in emergency preparedness and how to pivot during a crisis
  • Explore opportunities and challenges for the integration and coordination of benefits of Dually Eligible Individuals during and post the pandemic
  • Discuss Covid-19 vaccine education and accessibility and how to continue to address the needs of the Medicaid population while managing deferred care

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

Lex Frieden, Professor of Biomedical Informatics & Rehabilitation
UT Health
Director of ILRU
TIRR Memorial Hermann

 

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Break

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State Medicaid Director Insights into the Future of Medicaid and Program Development in Managed Care

  • Prognosticate on what Medicaid will look like in 2021 and what to expect with a new administration
  • Discuss top priorities for state Medicaid programs for 2021 and examine Medicaid enrollment growth
  • Gain insights on how to configure Medicaid programs to support COVID-19 virus suspension and vaccine
  • Hear thoughts on the pending supreme court ruling for the ACA and its impact on Medicaid

Speaker to be announced

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Networking Lunch in Virtual Lobby

  • Don’t Miss Out! Turn on your camera and join us in the Virtual Lobby for that face-to-face networking experience we’ve all been missing. Connecting with your peers and vendors in the Medicaid Managed Care ecosystem has never been easier - click on an open seat, say hello to familiar faces, and take part in timely and lively discussions. We’ll see you in the lobby!

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Hot Topic: Analyzing the Medicaid Enrollment and Spending Growth Amid a Pandemic and Financial Crisis

• Explore the many implications of Medicaid enrollment growth among states during the recession
• Understand the variations among states and the correlation with unemployment data
• Discuss how to best deal with counter cyclical impacts on Medicaid and state programs

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

Caroline Petronis
Duke University

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Break

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Telehealth Disruption and Prevalence in the Managed Care Ecosystem

• Analyze the current landscape for states, plans, and MCOs as it relates to telemedicine
• Assess telehealth overlap with health equity and address the barriers COVID has brought to light while understanding how to address them effectively to maximize health outcomes
• Discuss lessons learned for continued implementation of telehealth in the managed care ecosystem and identify what the appropriate level of interaction is for a robust telehealth encounter


Bahar Sedarati, M.D
Lead Medical Director, Clinical Performance & Operation, Pacific Desert Region, Humana

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Break

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Deep Dive: Value-based Contract Design for MCO/CBO

• Gain best practices to setting value-based arrangements with ACOs and discuss management expectations with potential partners
• Hear strategies to establishing a value-based rate
• Discuss innovative ways for CBOs and MCOs to work in consortium to provide services


Paul Cantrell
CEO and President, Comprehensive Care Connections

Beth Marootian
Director, Business Development, Neighborhood Health Plan of Rhode Island

Lance Donkerbrook, Chief Executive Officer
Commonwealth Primary Care ACO LLC

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Break

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Case Study: Food Insecurity and Health Outcomes – HonorHealth’s Desert Mission Food Bank

• Hear how Desert Mission is combatting hunger across the income spectrum by helping to bridge nutrition gaps that negatively affect the health and well-being of community residents and HonorHealth patients alike
• Understand Desert Mission’s model and hear how they break down barriers to self-sufficiency while achieving health outcomes
• Get an insight into the different Desert Mission Food Bank programs and how they have addressed the food insecurity needs of over 15,000 families since 2016
• Learn about the HonorHealth Social Determinants of Health Collaborative across the integrated network

Priya Radhakrishnan, MD, FACP
Chief Academic Officer, HonorHealth

Sue Sadecki
Executive Director, HonorHealth Desert Mission

Jennifer Rosas, MD, Chief Medical Clinical Office
Director of Clinical Informatics, Neighborhood Outreach Access to Health (NOAH)

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Break

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Fireside Chat

  • Equity in Aging – The Social Impact Approach to Connecting with Older Adults While Navigating the Pandemic for CBO’s, MCO’s, and Healthcare Organizations

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Closing Remarks

Sharon R. Williams, CMCE, Chief Executive Officer
Williams Jaxon Consulting, LLC

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Networking Reception in the Virtual Lobby

Don’t Miss Out! Turn on your camera and join us in the Virtual Lobby for that face-to-face networking experience we’ve all been missing. Connecting with your peers and vendors in the Medicaid Managed Care ecosystem has never been easier - click on an open seat, say hello to familiar faces, and take part in timely and lively discussions. We’ll see you in the lobby!

Wednesday - April 28, 2021

12:00 AM 12:00 AM

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Opening Remarks

Sharon R. Williams, CMCE, Chief Executive Officer
Williams Jaxon Consulting, LLC

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Fireside Chat with the NCQA

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

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Break

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GAO Overview of Medicaid Program Integrity, Managed Care Oversight, and Current Issues

• Hear an update on the current Medicaid compliance landscape and what to expect for 2021 and Beyond
• Discuss recent GAO findings and recommendations to improve oversight

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

Jasleen Modi, Senior Analyst
U.S. Government Accountability Office

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Break

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Multi-perspective Panel: Advancing Health Equity through SDoH Strategy

  • Explore ways to reduce racial disparities in health outcomes and discuss the use of measures to identify racial inequity to close gaps
  • Hear how to use value-based payments to provide SDoH solutions for Medicaid enrollees during the pandemic and beyond
  • Understand how to address systemic racism and intersectionality while fostering inclusivity internally and externally
  • Discuss the impact of COVID-19 on funding and incentives on SDoH program and identify ways to forge ahead

Robert Garnett, MBA, President, Amerigroup Tennessee

12:00 AM 12:00 AM

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Networking Lunch in Virtual Lobby

Don’t Miss Out! Turn on your camera and join us in the Virtual Lobby for that face-to-face networking experience we’ve all been missing. Connecting with your peers and vendors in the Medicaid Managed Care ecosystem has never been easier - click on an open seat, say hello to familiar faces, and take part in timely and lively discussions. We’ll see you in the lobby!

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Risk Adjustment and Quality Alignment to Impact Patient Experience

  • Examine clinical interoperability of actional RA and quality opportunities to create meaning and remove silos
  • Discuss the impact of the pandemic on risk adjustment programs and discuss new ways to thrive in this new environment long-term
  • Analyze quality improvement metrics and identifying known opportunities to enhance care while achieving RA goals such as telehealth implementation and data sharing

Speaker to be announced 

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Break

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Behavioral Health Crisis: Impact of Covid-19 on Suicide and Overdose in the Medicaid Population

• Discuss the different mental health and substance abuse implications of the crisis on the Medicaid population
• Hear the benefits of trauma-informed care and how it impacts health care in general
• Analyze integrated care approach (physical + mental) and explore opportunities to improve health outcomes and better manage limited resources

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

Boris Vilgorin, Health Care Strategy Officer
McSilver Institute for Poverty Policy & Research NYU

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Break

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Strategic Partnerships between CBO’s and the Health Sector to Foster Access and Equity

• Understand cultural differences between health care organizations, MCOs, and CBOs for optimal alignment and achievement of respective goals
• Get insights on how to implement a managed care engagement toolkit to help CBOs, Managed Care Organizations (MCOs) and Healthcare Organizations evaluate resources and identify opportunities to partner
• Hear strategies on how to set achievable partnering goals for CBOs, provider and plans within your ecosystem to maximize impact
• Understand and address the credentialing and data exchange challenges in working with CBOs and identify approaches to data and evaluation that facilitate possibilities for sustainable funding


Jane Pirsig
Consultant, The Alliance for Strong Families & Communities

George M. Aloth, JD, CHC
President & CEO, CareFirst BlueCross BlueShield

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

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Break

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Focus Panel – Direct Feedback from Medicaid Clients

Join RISE for a candid conversation with Medicaid clients on perspectives around the biggest issues impacting access to healthcare. 

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Closing Remarks and Conference Concludes

Sharon R. Williams, CMCE, Chief Executive Officer
Williams Jaxon Consulting, LLC

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