The 6th Annual Medicaid Managed Care Leadership Summit

Apr 27, 2021 ‐ Apr 28, 2021


Standard: $500.00

Sessions

Welcome Remarks & Keynote Address and Q&A

Apr 27, 2021 9:00am ‐ Apr 27, 2021 9:45am

Identification: TUES001


Welcome RemarksWelcome Remarks

Preview Available

Welcome Remarks

Apr 27, 2021 9:00am ‐ Apr 27, 2021 9:15am

Identification: TUES01

Speaker(s):
  • Paul Cantrell, CEO and Executive Director, Comprehensive Care Connections, Inc.

Keynote Address and Q&AKeynote Address and Q&A

Preview Available

Keynote Address and Q&A

Apr 27, 2021 9:15am ‐ Apr 27, 2021 9:45am

Identification: TUES02

Speaker(s):
  • Andrey Ostrovsky, MD, Managing Partner, Former US Medicaid Chief Medical Officer, Social Innovation Ventures

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

Apr 27, 2021 10:00am ‐ Apr 27, 2021 10:45am

Identification: TUES03

  • 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 care for families and children 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

Speaker(s):
  • Merrill Friedman, Senior Director of Disability Policy Engagement, Federal Affairs, Anthem Inc.
  • Lex Frieden, Professor of Biomedical Informatics & Rehabilitation; Director of ILRU, UT Health; TIRR Memorial Hermann
  • Dr. Johannah Vidal-Phelan, Senior Medical Director, Quality and Pediatrics, UPMC

Calculating and Managing the Cost of Social Risk with Measurable ROI

Apr 27, 2021 11:00am ‐ Apr 27, 2021 11:45am

Identification: TUES04

• Explore and quantify the relationship between social risk and utilization
•    Leverage social determinants of health (SDoH) data to identify higher-risk populations
•    Identify appropriate intervention(s) to help improve lives and reduce costs
•    Determine actionable steps to impact social risk and drive return on investment

Speaker(s):

Networking Lunch in Virtual Lobby

Apr 27, 2021 11:45am ‐ Apr 27, 2021 12:15pm

Identification: TUES05

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!


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

Apr 27, 2021 12:15pm ‐ Apr 27, 2021 1:00pm

Identification: TUES06

•    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

Speaker(s):

Telehealth Disruption and Prevalence in the Managed Care Ecosystem

Apr 27, 2021 1:15pm ‐ Apr 27, 2021 2:00pm

Identification: TUES07

•    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
•    Examine status of COVID waivers around telehealth and explore considerations for their permanence in the managed care ecosystem

Speaker(s):
  • Paul Cantrell, CEO and Executive Director, Comprehensive Care Connections, Inc.
  • Bahar Sedarati, M.D., Lead Medical Director, Clinical Performance & Operation, Pacific Desert Region, Humana
  • Anthony V. King, FACHE, MHSA, Chief Executive Officer & Executive Director, The Wellness Plan Medical Centers
  • Peter Watson, M.D, Vice President for Clinical Operations and Strategy, Health Alliance Plan (HAP)

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

Apr 27, 2021 2:15pm ‐ Apr 27, 2021 3:00pm

Identification: TUES08

•    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

Speaker(s):
  • Paul Cantrell, CEO and Executive Director, Comprehensive Care Connections, Inc.
  • Lance Donkerbrook, Chief Executive Officer, Commonwealth Primary Care ACO LLC
  • Beth Marootian, Director, Business Development, Neighborhood Health Plan of Rhode Island

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

Apr 27, 2021 3:15pm ‐ Apr 27, 2021 4:00pm

Identification: TUES09

•    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

Speaker(s):

Fireside Chat with the National Council on Aging (NCOA) & Closing Remarks

Apr 27, 2021 4:15pm ‐ Apr 27, 2021 5:00pm

Identification: TUES002


Fireside Chat with the National Council on Aging (NCOA)

Apr 27, 2021 4:15pm ‐ Apr 27, 2021 4:45pm

Identification: TUES10

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

Speaker(s):
  • Ramsey Alwin, President and CEO, National Council on Aging (NCOA)

Closing RemarksClosing Remarks

Preview Available

Closing Remarks

Apr 27, 2021 4:45pm ‐ Apr 27, 2021 5:00pm

Identification: TUES11

Speaker(s):
  • Paul Cantrell, CEO and Executive Director, Comprehensive Care Connections, Inc.

Networking Reception in the Virtual Lobby

Apr 27, 2021 5:00pm ‐ Apr 27, 2021 5:45pm

Identification: TUES12

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!


Networking Breakfast in the Virtual Lobby

Apr 28, 2021 9:00am ‐ Apr 28, 2021 10:00am

Identification: WED02

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!


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

Apr 28, 2021 10:00am ‐ Apr 28, 2021 11:00am

Identification: WED001


Opening RemarksOpening Remarks

Preview Available

Opening Remarks

Apr 28, 2021 10:00am ‐ Apr 28, 2021 10:15am

Identification: WED01

Speaker(s):

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

Apr 28, 2021 10:15am ‐ Apr 28, 2021 11:00am

Identification: WED03

•    Hear an update on the current Medicaid compliance landscape and what to expect for 2021 and Beyond
•    Discuss enrollment growth and requirements to improve oversight, data, and collaboration
•    Examine state best practices to improve oversight and understand Medicaid managed care program risks

Speaker(s):
  • Susan Barnidge, Assistant Director, Health Care U.S., U.S. Government Accountability Office
  • Jasleen Modi, Senior Analyst, U.S. Government Accountability Office

Multi-perspective Panel: Advancing Health Equity through SDoH Strategy

Apr 28, 2021 11:15am ‐ Apr 28, 2021 12:00pm

Identification: WED04

• 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

Speaker(s):
  • Uche Akobundu, PhD, RD, Senior Director, Nutrition Strategy and Impact, Meals on Wheels America
  • Sheeba Ibidunni, Director of Network Development, Unite Us
  • Daniel Weaver, VP Medicare & Medicaid Quality Programs, Gateway Health Plan
  • Kelly Shearin, Director, Member Experience and Strategic Partnerships, Amerigroup

Networking Lunch in Virtual Lobby

Apr 28, 2021 12:00pm ‐ Apr 28, 2021 12:30pm

Identification: WED05

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!


Risk Adjustment and Quality Alignment to Achieve the Triple Aim

Apr 28, 2021 12:30pm ‐ Apr 28, 2021 1:15pm

Identification: WED06

•    Examine clinical interoperability of actional RA and quality opportunities to create meaning while removing silos and explore ways to incorporate SDoH into risk adjustment model
•    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(s):
  • Daniel Weaver, VP Medicare & Medicaid Quality Programs, Gateway Health Plan
  • Michael Dean, Director of Risk Adjustment Programs, Highmark Inc.
  • Vandna Pandita, Vice President, HEDIS Strategy & Analytics, Amerihealth Caritas

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

Apr 28, 2021 1:30pm ‐ Apr 28, 2021 2:15pm

Identification: WED07

•    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

Speaker(s):
  • Dr. Andrew F. Cleek, Chief Program Officer, McSilver Institute for Poverty Policy & Research NYU
  • Boris Vilgorin, MPA, Health Care Strategy Officer, McSilver Institute for Poverty Policy & Research NYU

Strategic Partnerships between CBO’s and the Health Sector to Foster Access and Equity & Closing Remarks and Conference Concludes

Apr 28, 2021 2:30pm ‐ Apr 28, 2021 3:30pm

Identification: WED002


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

Apr 28, 2021 2:30pm ‐ Apr 28, 2021 3:15pm

Identification: WED08

•    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
•    Understanding and addressing the credentialing and data exchange challenges in working with CBOs

Speaker(s):
  • Jane Pirsig, MSW, MBA, Member Consultant, Alliance for Strong Families & Communities
  • Kelly Cronin, Deputy Administrator, Innovation and Partnership, HHS Administration for Community Living
  • George M. Aloth, JD, CHC, President & CEO, CareFirst BCBS Community Health Plan District of Columbia

Closing Remarks and Conference Concludes

Apr 28, 2021 3:15pm ‐ Apr 28, 2021 3:30pm

Identification: WED09

Speaker(s):
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