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Last Year's Agenda

Tuesday - November 17, 2020

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Chairperson Welcome and Opening Remarks

Ellen Fink-Samnick MSW, ACSW, LCSW, CCM, CRP, DBH(s), Principal
EFS Supervision Strategies, LLC
Non-Executive Director
The RISE Association, Social Determinants of Health Community

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Keynote Panel: Population Health in a Post Pandemic World

  • Discuss the impact of COVID-19 on population health and identify success strategies to support the new population of uninsured members affected by the pandemic
  • Evaluate best practices and lessons learned as health care plans and providers shift and pivot during COVID to address members in crisis
  • Explore how the pandemic has highlighted health care disparities and discuss the impact on quality and population health

Moderator:
Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance
Brown & Toland Physicians

Panelists:
Arshad K Rahim, MD, MBA, FACP, Vice President & Senior Medical Director, Population Health, Assistant Professor, Hospital Medicine
Mount Sinai Health System

Jim Milanowski, President & CEO
Genesee Health Plan

Stacy Garrett-Ray, MD, MPH, MBA, Vice President, UMMS, Medical Director, Population Health Services Organization, President, Quality Care Network, President, Transform Health MD
University of Maryland Medical System

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Break

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Panel Discussion: Improve Behavioral Health Access by Identifying Support Options to Advance Healthcare Outcomes

  • Examine crisis support for behavioral and mental health emergencies and which support systems are available to members
  • Discuss the dilemma surrounding commercial insurance and behavioral health including the barriers to care and the solution
  • Analyze the impact of COVID-19 and the tsunami of new virtual support companies and new evolving technologies to improve behavioral health access and support

Moderator:

Hans Wiik, FACHE, MPH, RPh, President
Hans Wiik Health Group LLC
Mental Health Partners, Boulder, Colorado
Board Member & Interim CEO

Panelists:

Edward D Shanshala II, MSHSA, MSEd, Chief Executive Officer
Ammonoosuc Community Health Services, Inc.

Vishal Bhalla, CPXP, MS, MBA, Vice President and Chief Experience Officer
Parkland Health and Hospital System

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Break

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Understand the Impact of Diseases of Despair: A Study by Penn State University & Highmark Health

  • Review comprehensive results from a NIH-funded retrospective cohort study assessing healthcare claims covering 12 million individuals from 2009-2018  
  • Assess estimated annual rates and current trends for diseases of despair  
  • Learn risk factors for current diagnoses and patterns of comorbidity with chronic health conditions to help guide successful prevention efforts   

 

Emily Brignone, PhD, Senior Research Data Scientist 
Highmark Health

Lawrence I. Sinoway, MDDistinguished Professor of Medicine 
Director 
Penn State Heart and Vascular Institute 
Penn State Clinical and Translational Science Institute

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Lunch

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The Escalation of the Opioid Epidemic & Other Addictions Due to COVID-19

  • Discuss how social isolation, unemployment and social determinants of health have attributed to the increase of addictions and how health plans are addressing the crisis  
  • Examine how the disruption of the pandemic has affected treatment programs and how health plans and providers are assisting with patient progress virtually 
  • Introduce telehealth preventative measures to reduce opioid related issues during the pandemic and sustain quality of care for vulnerable members 

Anthony Rizzuto, LMSW, CASAC, CAI-I, Director of Provider Relations, ARISE Certified Interventionist 
Seafield Center  

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Case Studies: Improve Health Outcomes Through Sustainable Social Determinants of Health Initiatives

  • Learn how health plans shifted existing social determinants of health initiatives to address the pandemic, what new programs have emerged and how initiatives will evolve in the future 
  • Identify innovative approaches to improve health outcomes for members through community engagement and create a sustainable plan to meet the goals of your organization  
  • Determine how to measure ROI on social determinants of health initiatives and assess risk scores 

Moderator: 
Jessica Kinowski, MPH, Clinical Program Senior Advisor  
Cigna Medicare - Clinical Program Management Team 
 

Panelists: 

Mary McLaughlin-Davis, DNP, ACNS-BC, NEA-BC, CCM, Senior Director of Care Management
Cleveland Clinic


Adam Kohlrus, MS, CPHQ, CPPS, Assistant Vice President of Quality, Safety and Health Policy   
Illinois Health and Hospital Association 
 

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Panel Discussion: Capitalize on Telehealth for Optimal Health Care Delivery

  • Discuss challenges and lessons learned from the rapid transition to deliver optimal care in a virtual environment during COVID-19
  • Examine current capacity to conduct health care through telehealth to high risk membership and discuss the future of telehealth
  • Create a post pandemic telehealth strategy and identify strategies to measure member engagement and address reimbursement challenges

Moderator:
David Houghton, M.D., System Chair, Telemedicine
Ochsner Health System

Panelists:
Martha Whitecotton, Senior Vice President, Behavioral Health Services
Atrium Health

Bahar Sedarati, MD, CPE, FCUCM, Lead Medical Director, Clinical Operation, Desert Pacific Region
Humana

Jodi Ingram, MBA-HM, BSN, RN, Vice President, Quality & Population Health
Central Georgia Health Network

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Panel Discussion: Leveraging AI for Precision Population Health: A Behavioral Health Use Case

  • Identify opportunities for artificial intelligence to address payers' unmet needs with a focus on care management
  • Learn about ways that artificial intelligence approaches can enhance risk stratification AND patient selection for population health interventions 
  • Demonstrate machine learning and deep learning approaches to risk stratification and patient selection in the behavioral health setting
  • Share case studies and discuss how implementing these techniques and approaches can enhance the performance of existing and future population health interventions 

Moderator:
Dr. Nathan Shapiro, Professor of Emergency Medicine
Harvard Medical School

Panelists:
Dr. Kira Radinsky, Chair & CTO
Diagnostic Robotics

Dr. Matthew Collins, Executive Vice President & Chief Medical Officer
Blue Cross Blue Shield of Rhode Island

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Panel Discussion: Utilize Data to Drive Population Health Strategies Amid COVID-19

  • Discover how to use predictive analytics to effectively manage your patient population and create a customized approach to meet member needs
  • Identify the barriers and gaps in care during the pandemic to prepare an effective future emergency response strategy
  • Leverage historical data to understand how to effectively engage members in preventative care and chronic conditions

Moderator:

Donna Persaud, MD, MBA, Medical Director, Homeless Outreach Medical Services (HOMES)
Parkland Health and Hospital System

Panelists:

Gabriela Segovia, MHA, Director-Ambulatory Care Management
EPIC Management, L.P.

Vikash Singh, Senior Director, Marketing Analytics
UPMC Health Plan

 

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Chairperson Closing Remarks

Ellen Fink-Samnick MSW, ACSW, LCSW, CCM, CRP, DBH(s), Principal 
EFS Supervision Strategies, LLC 
Non-Executive Director 
The RISE Association, Social Determinants of Health Community

Wednesday - November 18, 2020

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Chairperson Opening Remarks and Day One Takeaways

Ellen Fink-Samnick MSW, ACSW, LCSW, CCM, CRP, DBH(s), Principal 
EFS Supervision Strategies, LLC 
Non-Executive Director 
The RISE Association, Social Determinants of Health Community

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Panel Discussion: Deliver Population-Level Change Through Value-Based Agreements

  • Analyze how the shift from fee-for-service to value-based payment can accelerate change and how to ensure performance 
  • Examine how value-based agreements are being modified due to COVID-19 
  • Discuss best practices of how health plans are working with payers to structure agreements 

 

Moderator:
Joyce Nuesca, MD, MBA, MASc, CPE, Regional Medical Director
Blue Shield of California

Panelists:
Stacy Garrett-Ray, MD, MPH, MBA, Vice President, UMMS, Medical Director, Population Health Services Organization, President, Quality Care Network, President, Transform Health MD
University of Maryland Medical System

Jennifer A Houlihan, Vice President, Value-Based Care and Population Health
Wake Forest Baptist Medical Center 

 

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Effective Strategies to Re-Engage Members After the COVID Crisis

  • Learn innovative strategies to transition members from high touch population health initiatives to effective primary care virtual experiences  
  • Effectively engage with individuals in different cities and cultures to provide appropriate physical, behavioral and social support  
  • Understand how to proactively approach and educate high risk members with a strategic and safe re-engagement plan 

Moderator:
Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance
Brown & Toland Physicians

Panelists:

Joyce Nuesca, MD, MBA, MASc, CPE, Regional Medical Director
Blue Shield of California

Keshia Bigler, Population Health Portfolio Manager
Columbia Pacific, CCO, Care Oregon

 

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Manage Chronic Conditions in a Virtual World

  • Learn best practices to effectively manage chronic diseases virtually 
  • Discuss the impact of delayed routine care and innovative approaches to maintain and re-establish care for patients with chronic disease 
  • Discover tips and strategies for scaling chronic disease care during COVID-19 to prepare for a potential second wave  

Keshia Bigler, Population Health Portfolio Manager 
Columbia Pacific, CCO, Care Oregon

Alexander Petrov, Founder and CEO
Yes Health Inc.

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Lunch

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Panel Discussion: Implement Innovative Strategies to Assist Vulnerable Populations with Access to Care

  • Discuss the barriers affecting vulnerable populations and ways to assist with access to care 
  • Leverage data to identify and address the changing needs of the elderly including institutionalizing nursing home care as an alternative option to home health care 
  • Reduce health care cost and burden of underserved population by examining cultural differences to maintain quality of care 

Moderator: 
Jim Milanowski, President & CEO  
Genesee Health Plan    
 

Panelists: 
Jessica Grabowski, AM, LCSW, Executive Director 
Coordinated Care Alliance 

Adam KohlrusMS, CPHQ, CPPS, Assistant Vice President of Quality, Safety and Health Policy   
Illinois Health and Hospital Association 

Gabriela Segovia, MHA, Director-Ambulatory Care Management 
Epic Management, LLC 

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Break

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Interview with Lex Gillette: An Olympian’s Real-Life Perspective on Healthcare Accessibility

  • Hear a firsthand account from a 4-time U.S. Paralympian on navigating barriers to care and communications in one of the most progressive cities in the United States
  • Gain awareness and insight as you experience firsthand the impact to health, outcomes and the disabling culture as we discuss accessing healthcare in today’s environment
  • Reflect on how your organization defines vulnerable populations and the steps to adopt a culture of empowerment to ensure equal access

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

Lex Gillette, 4-time U.S. Paralympian

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Break

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New Approaches to Home Health Care in a Post Pandemic World

  • Explore the impact of COVID-19 on home health care and innovative care approaches to consider 
  • Discuss new strategies for remote patient monitoring as health plans re-integrate back into the home   
  • Identify the significant role social determinants of health plays in home health care and the differences pre and post pandemic 
     

Jessica Kinowski, MPH, Clinical Program Senior Advisor  
Cigna Medicare - Clinical Program Management Team 

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Closing Remarks

Ellen Fink-Samnick MSW, ACSW, LCSW, CCM, CRP, DBH(s), Principal 
EFS Supervision Strategies, LLC 
Non-Executive Director 
The RISE Association, Social Determinants of Health Community

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