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Agenda

Wednesday - April 19, 2023

10:00 AM 10:15 AM

9:00 AM 9:15 AM

8:00 AM 8:15 AM

7:00 AM 7:15 AM

Welcome and Chairperson’s Opening Remarks

Nicolette E. Wise, Social Determinants of Health Director

TennCare, State of Tennessee

10:15 AM 11:00 AM

9:15 AM 10:00 AM

8:15 AM 9:00 AM

7:15 AM 8:00 AM

Keynote Address: Winding Down the COVID Public Health Emergency

  • Examine how states and Medicaid managed care organizations (MCOs) are handling redeterminations as the PHE winds down  
  • Understand the financial and operational impacts of the end of the PHE   
  • Get tips for effectively communicating with Medicaid members and others about redeterminations and more 

 

Colby Schaeffer, Chief Actuary 

Arizona Health Care Cost Containment Services (Medicaid) 

  

Jim Jones, Founder/Principal 

J Jones Consulting 

Former Medicaid Director, State of Wisconsin 

 

Moderator: 

Nicolette E. Wise, Social Determinants of Health Director 

TennCare, State of Tennessee 

11:00 AM 11:10 AM

10:00 AM 10:10 AM

9:00 AM 9:10 AM

8:00 AM 8:10 AM

Break

11:10 AM 11:55 AM

10:10 AM 10:55 AM

9:10 AM 9:55 AM

8:10 AM 8:55 AM

Maternal and Infant Health Strategies to Improve Outcomes

  • Get an overview of efforts to provide extended post-partum care to new mothers who are Medicaid recipients
  • Explore prenatal programs aimed at ensuring healthy births and lowering morbidity and mortality rates for both infants and mothers
  • Learn about Ohio’s Healthy Beginnings at Home pilot project, which helps pregnant women secure stable housing to improve outcomes for infants and mothers

 

Moderator:

Sheila Owens-Collins, MD, President and CEO

NPM Health and Consulting

 

Panelists:

Kelly Fernandez, Director, Managed Care & Value Based Contracting

RWJBarnabas Health

 

Amy Riegel, Executive Director

Coalition on Homelessness and Housing in Ohio

11:55 AM 12:05 PM

10:55 AM 11:05 AM

9:55 AM 10:05 AM

8:55 AM 9:05 AM

Break

12:05 PM 12:50 PM

11:05 AM 11:50 AM

10:05 AM 10:50 AM

9:05 AM 9:50 AM

Case Studies in Value-Based Contracting: Seeking to Lower Costs and Increase Quality

  • Hear from Medicaid managed care organizations (MCOs) and health care providers about their real-life experiences with value-based contracting
  • Learn best practices for designing successful value-based contracts between MCOs and providers
  • Find out about arrangements that work well for both payers and providers

 

Dr. Eliza Ng, Chief Medical Officer

Coalition of Asian-American Independent Practice Association (CAIPA)

 

Jordan Vidor, Vice President, East Region Provider Network 

Elevance Health 

12:50 PM 1:30 PM

11:50 AM 12:30 PM

10:50 AM 11:30 AM

9:50 AM 10:30 AM

Lunch Break

1:30 PM 2:15 PM

12:30 PM 1:15 PM

11:30 AM 12:15 PM

10:30 AM 11:15 AM

Removing Barriers to Care by Meeting Medicaid Patients Where They Are

  • Discover how mobile clinics are bringing care to patients
  • Explore the use of community health workers to connect Medicaid recipients to the services they need
  • Learn how to leverage a multi-pronged approach for engaging with members
  • Gain insights into bridging health literacy gaps for patients

 

Kelly Shearin, Director, Member Experience and Strategic Partnerships

AmeriGroup Tennessee

 

Karla Kosel, Director, Partner Relations, Government Markets 

Blue Cross and Blue Shield of Minnesota 

2:15 PM 2:25 PM

1:15 PM 1:25 PM

12:15 PM 12:25 PM

11:15 AM 11:25 AM

Break

2:25 PM 3:10 PM

1:25 PM 2:10 PM

12:25 PM 1:10 PM

11:25 AM 12:10 PM

Adoption of MLTSS and Medicaid/Medicare Integration to Streamline and Improve Patient Services

  • Get an update on state adoption of managed long-term services and supports (MLTSS) and how it is working
  • Explore innovations in MLTSS
  • Learn about advancements in Medicaid/Medicare integration for dually eligible individuals

 

Speaker to be announced

3:10 PM 3:20 PM

2:10 PM 2:20 PM

1:10 PM 1:20 PM

12:10 PM 12:20 PM

Break

3:20 PM 4:05 PM

2:20 PM 3:05 PM

1:20 PM 2:05 PM

12:20 PM 1:05 PM

Better Together: Collaborating with Community-Based Organizations to Advance Health Equity

  • Discover how MCOs, providers, and community-based organizations (CBOs) can create community care hubs and get state support for them
  • Analyze how to partner with community health workers to better address social determinants of health (SDoH)
  • Learn about one community care hub’s experience successfully collaborating with health care payers and providers

 

Kelly Cronin, Deputy Administrator, Innovation and Partnership

HHS Administration on Community Living

 

Kristen Scholl, Vice President, Strategic Partnerships

Healthy Alliance

4:05 PM 4:15 PM

3:05 PM 3:15 PM

2:05 PM 2:15 PM

1:05 PM 1:15 PM

Break

4:15 PM 5:00 PM

3:15 PM 4:00 PM

2:15 PM 3:00 PM

1:15 PM 2:00 PM

U.S. Supreme Court Ruling Means More Money for Medicaid in Legal Cases

  • Get an overview of a June 2022 decision by the U.S. Supreme Court regarding Medicaid liens in legal cases
  • Find out what the ruling means for Medicaid MCOs
  • Get tips on how to recover Medicaid payments for patients that receive money resulting from a lawsuit

 

Rafael Gonzalez, Esq., Partner

Cattie & Gonzalez, PLLC

 

Moderator: 

Nicolette E. Wise, Social Determinants of Health Director 

TennCare, State of Tennessee 

5:00 PM 5:10 PM

4:00 PM 4:10 PM

3:00 PM 3:10 PM

2:00 PM 2:10 PM

Closing Remarks

Nicolette E. Wise, Social Determinants of Health Director

TennCare, State of Tennessee

Thursday - April 20, 2023

10:00 AM 10:15 AM

9:00 AM 9:15 AM

8:00 AM 8:15 AM

7:00 AM 7:15 AM

Chairperson’s Opening Remarks and Day One Takeaways

Nicolette E. Wise, Social Determinants of Health Director

TennCare, State of Tennessee

10:15 AM 11:00 AM

9:15 AM 10:00 AM

8:15 AM 9:00 AM

7:15 AM 8:00 AM

Keynote Address: The New Health Equity Accreditation Programs and Other NCQA Priorities for Medicaid Managed Care

Speaker to be announced

11:00 AM 11:10 AM

10:00 AM 10:10 AM

9:00 AM 9:10 AM

8:00 AM 8:10 AM

Break

11:10 AM 11:55 AM

10:10 AM 10:55 AM

9:10 AM 9:55 AM

8:10 AM 8:55 AM

Effective Screening for SDoH at the Individual and Population Levels

  • Learn techniques for identifying SDoH risk in your patient population
  • Discover how to use SDoH data in program planning and population stratification
  • Find out how to effectively share SDoH information between providers and MCOs

 

Shannon Decker, M.Ed, MBA, PhD, Principal

VBC One

 

Beth Marootian, Director, Business Development

Neighborhood Health Plan of Rhode Island

11:55 AM 12:05 PM

10:55 AM 11:05 AM

9:55 AM 10:05 AM

8:55 AM 9:05 AM

Break

12:05 PM 12:50 PM

11:05 AM 11:50 AM

10:05 AM 10:50 AM

9:05 AM 9:50 AM

Population Health Management Case Study: Data-Driven Ways to Improve Whole Health

Learn how one health plan developed analytics/insights tools that:

  • Combine SDoH with clinical data, stratified by geography and demographics,
  • Make it easier to identify population needs and stratify groups, and
  • Help prioritize intervention opportunities for vulnerable populations and others

 

Robert Garnett, Vice President GBD Analytics

Elevance Health



12:50 PM 1:30 PM

11:50 AM 12:30 PM

10:50 AM 11:30 AM

9:50 AM 10:30 AM

Lunch Break

1:30 PM 2:15 PM

12:30 PM 1:15 PM

11:30 AM 12:15 PM

10:30 AM 11:15 AM

Panel Discussion: How State Medicaid Agencies Are Addressing Social Determinants of Health

  • Get an overview of a new study on how some states are financially supporting MCO activities related to SDoH 
  • Learn about opportunities for federal action and clarification 
  • Hear Medicaid agency leaders discuss the Medicaid waivers they’ve designed and implemented to address SDoH 

 

Amir Bassiri, Medicaid Director 

Office of Health Insurance Programs, State of New York 

 

Jacey Cooper, Medicaid Director

Medi-Cal, State of California

 

Mike Levine, Deputy Medicaid Director

MassHealth, State of Massachusetts

2:15 PM 2:25 PM

1:15 PM 1:25 PM

12:15 PM 12:25 PM

11:15 AM 11:25 AM

Break

2:25 PM 3:10 PM

1:25 PM 2:10 PM

12:25 PM 1:10 PM

11:25 AM 12:10 PM

Behavioral Health Innovations in Medicaid Managed Care: Integration, Telemedicine, and Peer Services

  • Hear about a strategy to deliver high-quality, accessible, culturally responsive, and integrated behavioral health services in both carve-in and carve-out models
  • Learn how to implement a stepped-care approach to behavioral health patients, where both virtual and in-person visits are used at the appropriate times
  • Explore the use of peer services for behavioral health

 

Yavar Moghimi, MD, Medical Director, Behavioral Health

AmeriHealth Caritas

3:10 PM 3:20 PM

2:10 PM 2:20 PM

1:10 PM 1:20 PM

12:10 PM 12:20 PM

Break

3:20 PM 4:05 PM

2:20 PM 3:05 PM

1:20 PM 2:05 PM

12:20 PM 1:05 PM

Policy and Political Analysis: What’s the Future of Medicaid?

  • Analyze how the mid-term elections will impact the Medicaid managed care world
  • Consider how telemedicine policies could change post-COVID
  • Explore the future of various federal and state policies, including drug pricing, abortion, and more

 

Jennifer Babcock, Senior Vice President for Medicaid Policy 

Association for Community Affiliated Plans 

4:05 PM 4:15 PM

3:05 PM 3:15 PM

2:05 PM 2:15 PM

1:05 PM 1:15 PM

Closing Remarks

Nicolette E. Wise, Social Determinants of Health Director

TennCare, State of Tennessee