Agenda

April 27, 2021

9:00AM – 9:15AM EST

Welcome Remarks

Paul Cantrell, CEO and Executive Director
Comprehensive Care Connections, Inc.

9:15AM – 9:45AM EST

Keynote and Q&A

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

9:45AM – 10:00AM EST
Break

10:00AM – 10:45AM EST

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

John Lovelace, President, UPMC for You and President, Government Programs and Individual Advantage Products
UPMC

10:45AM – 11:00AM EST
Break

11:00AM – 11:45AM EST

Calculating and Managing the Cost of Social Risk with Measurable ROI

  • 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

Kurt Waltenbaugh, CEO
Carrot Health

Essey Yirdaw, Director, Data and Analytics
Colorado Hospital Association

11:45AM – 12:15PM EST

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!

12:15PM – 1:00PM EST

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, Regional Vice President
Centene Corporation
Visiting Fellow
Rockefeller Institute of Government

Caroline Petronis
Duke University

1:00PM – 1:15PM EST
Break

1:15PM – 2:00PM EST

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

Paul Cantrell, CEO and Executive Director
Comprehensive Care Connections, Inc.

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

Peter Watson, M.D, Vice President for Clinical Operations and Strategy
Health Alliance Plan (HAP)

Anthony V. King, FACHE, MHSA, Chief Executive Officer & Executive Director
The Wellness Plan Medical Centers

2:00PM – 2:15PM EST
Break

2:15PM – 3:00PM EST

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 Executive Director
Comprehensive Care Connections, Inc.

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

Lance Donkerbrook, Chief Executive Officer
Commonwealth Primary Care ACO LLC

3:00PM – 3:15PM EST
Break

3:15PM – 4:00PM EST

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)

4:00PM – 4:15PM EST
Break

4:15PM – 4:45PM EST

Fireside Chat with the National Council on Aging (NCOA)

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

Ramsey Alwin, President and CEO
National Council on Aging (NCOA)

4:45PM – 5:00PM EST

Closing Remarks

Paul Cantrell, CEO and Executive Director
Comprehensive Care Connections, Inc.

5:00PM – 5:45PM EST

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!

April 28, 2021

9:00AM – 10:00AM EST

Networking Breakfast 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!

10:00AM – 10:15AM EST

Opening Remarks

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

10:15AM – 11:00AM EST

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

11:00AM – 11:15AM EST
Break

11:15AM – 12:00PM EST

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

Moderator:
Daniel Weaver, VP Stars and Government Quality Improvement Programs
Gateway Health Plan

Panelist:
Kelly Shearin, Director, Member Experience and Strategic Partnerships
Amerigroup

Sheeba Ibidunni, Director of Network Development
Unite Us

Uche Akobundu, PhD, RD, Senior Director, Nutrition Strategy and Impact
Meals on Wheels America

 

12:00PM – 12:30PM EST

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!

12:30PM – 1:15PM EST

Risk Adjustment and Quality Alignment to Achieve the Triple Aim

  • 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

Michael Dean, Director of Risk Adjustment Programs
Highmark Inc.

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

Daniel Weaver, VP Stars and Government Quality Improvement Programs
Gateway Health Plan

1:15PM – 1:30PM EST
Break

1:30PM – 2:15PM EST

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

2:15PM – 2:30PM EST
Break

2:30PM – 3:15PM EST

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 Community Health Plan District of Columbia

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

3:15PM - 3:30PM EST

Closing Remarks and Conference Concludes

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