7th Annual Medicaid Managed Care Leadership Summit

Apr 26, 2022 ‐ Apr 27, 2022

Standard: $500.00


Welcome Remarks and Keynote Address

Apr 26, 2022 10:00am ‐ Apr 26, 2022 10:55am

Identification: TUES001

Welcome Remarks iconWelcome Remarks

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Welcome Remarks

Apr 26, 2022 10:00am ‐ Apr 26, 2022 10:10am

Identification: TUES01


Keynote Address: The Business Case for Innovation in Medicaid

Apr 26, 2022 10:10am ‐ Apr 26, 2022 10:55am

Identification: TUES02

•    Identify the tailwinds for serving the bottom of the pyr AMid.
•    Ex AMine promising practices for developing and consuming solutions serving the Medicaid space
•    Review outcomes from following these best practices


Beyond the Data Weeds: Actionable Analytics for Stronger Performance Across the Risk Adjustment Lifecycle

Apr 26, 2022 11:05am ‐ Apr 26, 2022 11:50am

Identification: TUES03

• Understand the challenges and limitations of data overload
•    Segment data by opportunity for the right members at the right time
•    Master the complexity of state-to-state guidelines and the CDPS Rx model
•    Apply interventions with powerful tools and technology to impact performance and patient health


Strategies for Improvement in Provider Relations

Apr 26, 2022 12:00pm ‐ Apr 26, 2022 12:45pm

Identification: TUES04

• Learn the recent legislation and current regulations that will impact on how providers deliver care and the MCO-Provider-Member relationship
•    Address partnerships to improve the health of MCO members
•    Explore innovative practice models and help ensure the transition between volume and value-based care and reimbursement strategies


Innovations in Technology and Telehealth

Apr 26, 2022 1:30pm ‐ Apr 26, 2022 2:15pm

Identification: TUES05

•    GEST to know the latest advances in telehealth and how to extend digital healthcare to engage members
•    Understand how to use emerging technologies, including AI, to manage SDoH and bridge care gaps
•    Analyze the role digital therapeutics can play in achieving equitable health outcomes

  • Bahar Sedarati, M.D., Lead Medical Director, Clinical Performance & Operation, Pacific Desert Region, Humana
  • Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance, Brown & Toland Physicians
  • Kurt Waltenbaugh, Senior Vice President of Insights and Growth, Unite Us

United for Good: Bringing CBOs, MCOs, and Healthcare Providers Together to Impact Positive Change

Apr 26, 2022 2:25pm ‐ Apr 26, 2022 3:10pm

Identification: TUES06

• Recognize the cultural differences between MCOs, health care providers, and CBOs—and how to mitigate them to achieve joint goals
•    Learn best practices for partnering together to maximize impact
•    Assess interoperability issues and tackle issues of data sharing, HIEs, privacy, and security

  • Kelly Cronin, Deputy Administrator, Innovation and Partnership, HHS Administration for Community Living
  • Jane Pirsig, MSW, MBA, Member Consultant, Alliance for Strong Families & Communities
  • June Simmons, President / CEO, Partners in Care Foundation

Bolster Member Engagement and Eliminate Barriers to Care

Apr 26, 2022 3:20pm ‐ Apr 26, 2022 4:05pm

Identification: TUES07

•    Address issues of member engagement and participation in health care
•    Describe strategies for managing issues related to access, food and housing insecurities, and unemployment
•    Leverage data to inform progr AM strategy, measure outcomes, and distill new opportunities

  • Vandna Pandita, Vice President, HEDIS Strategy & Analytics, Amerihealth Caritas

Advancing from SDoH to Health Equity and Closing Remarks

Apr 26, 2022 4:15pm ‐ Apr 26, 2022 5:00pm

Identification: TUES008

Advancing from SDoH to Health Equity

Apr 26, 2022 4:15pm ‐ Apr 26, 2022 4:55pm

Identification: TUES08

• Evaluate health plan readiness to address SDOH
•    Address issues of health literacy and cultural competency
•    Assess ways to combat systemic racism internally and externally

  • Beth Marootian, Director, Business Development, Neighborhood Health Plan of Rhode Island
  • Dr. Jatin K. Dave, MD, MPH, Chief Medical Officer and Director of Clinical Affairs, MassHealth
  • Kathleen A. Cameron, BSPharm, MPH, Senior Director, Center for Healthy Aging, NCOA