Thomas Duncan of Trusted Health Plan, John Lovelace of UPMC Health Plan, and Jim Milanowski of Genesee Health Plan will discuss the evolving landscape of Medicaid and ROI of social determinants of health as part of a panel to kick off the Medicaid Managed Care Leadership Summit in Chicago.
Three health plan executives will discuss the evolving landscape of Medicaid to kick off RISE’s 4th Annual Medicaid Managed Care Leadership Summit, April 29-30 at The Standard Club in Chicago.
Jim Milanowski, president and CEO of Genesee Health Plan in Michigan, John Lovelace, president of government programs and Individual Advantage Products for UPMC Health Plan in Pennsylvania, and Thomas Duncan, CEO of Trusted Health Plan in Washington, D.C., will participate in a CEO roundtable moderated by Clay Farris, senior healthcare executive of Mostly Medicaid.
The panel will discuss what’s ahead for Medicaid in 2020 and will dig into current issues at the plan, state, and national level; growth areas for 2019; best practices to enhance operation within health plans; and the increased focus on programs that address the social determinants of health. Among the likely talking points: Medicaid work requirements, advanced payment methodologies, and incentives for true cost reductions.
The CEO roundtable will set the stage for the remainder of the conference, which will focus on member engagement and the financial impacts and outcomes of Medicaid Managed Care.
Lovelace said the conference is a great learning opportunity for Medicaid professionals to learn from their peers about what works for them, why it works, and how they know it works.
In addition to participating in the CEO panel’s discussion about the return on investment of programs that address social determinants of health, Lovelace will present a session that highlights how UPMC manages the clinical impact of opioid addiction and how it identifies members who may benefit from programs and engages them in treatment. The health plan has developed multiple interventions over the last five years to help people with Medicaid access and receive treatment for addiction, including the use of peer navigators who have dealt with and overcome their own substance use disorders.
Milanowski will also speak at a session highlighting Genesee County’s involvement in Michigan’s State Innovation model that aims to address emergency department (ED) utilization and the social determinants of health. Genesee County is one of five different regions piloting a community model that is a collaboration of health care providers (physicians, physician groups, hospital systems), Medicaid health plans, and safety net organizations. Milanowski will summarize the work done so far as part of the three-year project to identify vulnerable members and address their needs to help them stay healthier and keep them out of the emergency room.
The 4th Annual Medicaid Managed Care Leadership Summit will also feature case studies on Integrated Health Homes in Illinois, work requirements in Arkansas and other states, how to maximize communication through text messaging and community health worker in-home visits, and strategies to improve Medicaid encounter data. View the full agenda online.