May 17, 2022
10:00 |
Chairman’s Review of Population Health Innovations |
MODULE 1 | |
10:10 |
The Transition to Value-Based Care: Strategies for Success in New Medicare and Medicaid Payment ModelsCan we improve our population health while reducing wasteful costs through a focus on outcomes and the total cost of care, instead of on fee-for-service transactions? As new payment models advance value-based care, our challenge is to change the care model while fee-for-services revenues are still dominant. In this presentation we will:
Mitchell A. Kaminski, MD, MBAProgram Director, Population Health, Jefferson College of Population Health |
10:40 |
PANEL: Regulations for Health Equity: Insights on the Emerging New Regulations on Health Equity and SDoH: How Payers Can Prepare for Population Health Regulations and What to ExpectLearn from an impressive panel of speakers about the government’s roll out of health equity regulations and SDoH. Learn how health plans could leverage these policies and future federal health programs to provide a more equitable and efficient healthcare.
Moderator:Michael AdelbergPrincipal and Head of Healthcare Strategy,Faegre Drinkerformer Director, Insurance Programs Group, Acting Director, Exchange Policy and Operations CMM Panelists:Mitchell A. Kaminski, MD, MBAProgram Director, Population Health,Jefferson College of Population Health Shiva ChandrasekaranChief Population Health Office and ACO Executive,Einstein Healthcare Network Erin O’MalleySenior Director of Policy, America’s Essential Hospitals |
11:40 |
Mid-Morning Networking Break
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11:50 |
Breaking Down the Silos to Support Members Across the Care ContinuumAccording to the Population Health Alliance, a PHM program strives to address health needs at all points along the continuum of health and well-being through participation of, engagement with, and targeted interventions for a population. Often, the siloed programs provided by health plans result in either so engagement or conflicting engagement. This presentation will look at ways to address the siloed programs to better meet the needs of the member. The presentation will include:
Susan Klug,Population Health Manager UCare |
12:20 |
Lessons from a Pandemic: Potential Paths to SuccessDuring a once-in-a-century global pandemic, the medical community was faced head-on with the reality that the Fee-For-Service system is fragile and unreliable. But how do we create meaningful and sustainable advanced payment models? The Medicaid and Medicare populations are typically vastly different but equally challenging in the coordination of their healthcare. Payers often end up creating new programs in a vacuum, trying to find the right balance of forward improvement and provider reward. Providers struggle to engage these members in a way that would yield best health outcomes. Looking for the right ways to be responsible stewards of member dollars is a challenge when payers and providers don’t align on incentives. Lisa White will present on the complexity and potential paths to success with this population by using co-created advanced payment models coupled with critical analytics support. Lisa L. White,Director, Value-Based Partner Transformation, Horizon Blue Cross Blue Shield of New Jersey |
12:50 |
Virtual Lunch and Exhibit Area Networking
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MODULE 2 | |
1:50 |
Kaiser Permanente Case Study: CalAIM's Vision to Integrate Non-Traditional Services into Medi-Cal Managed CareCalAIM is a multi-year initiative by California’s Medicaid regulator - the Department of Healthcare Services. It started January 1, 2022 to improve the quality of life and health outcomes of California’s Medicaid population by implementing broad delivery system, program, and payment reform. Under CalAIM, the Medi-Cal delivery system will move to a population-based/person-centered model of care with an emphasis on coordinating community- based services and addressing patient's non-medical needs. This presentation will include:
Martha ShenkenbergDirector, Consulting Services, Medi-Cal and State Programs, Southern California, Kaiser Permanente Shannon O’NeillAssociate Consultant, Medi-Cal and State Programs, Southern California, Kaiser Permanente |
2:20 |
Deploying True Population Health Management Through Data-Driven Whole Person Care
Saeed Aminzadeh, CEO, Decision Point Healthcare Solutions |
2:50 |
Examining Three paradigm Shifts for Payers and Providers in Value-Based CareCMS recently released its 2022 strategic plan for health equity which puts renewed focus on providing high-quality healthcare that is affordable and accessible to all. Experts agree that value-based care is here to stay, and those health plans that strategically navigate the paradigm shifts will find themselves on top. Join in on an interactive exchange around ways health care organizations can better partner to level the playing field for patient care. In this session, the presenters will share perspectives on:
David Schweppe, Chief Analytics Officer, MedeAnalytics Brett Schelenski, AVP, Medicaid Enterprise Analytics Strategy, MedeAnalytics |
3:20 |
Afternoon networking break
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3:35 |
A SCAN Health Plan Case Study: The Population Health Approach for DualsSCAN Health Plan, a non-profit Medicare Advantage plan, operates the only FIDE SNP in California and has created a population health approach to support dual beneficiaries to achieve health and independence. With 45 years’ experience service duals in the health plan and in the community, the SCAN model centers on care navigation and social needs in conjunction with health needs. This presentation will include:
Eve Gelb,Sr. Vice President Member and Community, SCAN |
4:05 |
The 2023 MA Program Regulation and CMS’s New Vision for D-SNPsD-SNPs are rapidly growing, both in terms of the number of plans and their enrollment. But, besides their enrollees, what is special about these Special Needs Plans? In its most recent Medicare Advantage regulation, CMS establishes several new requirements for D-SNPs that will push D-SNPs toward Medicare-Medicaid integration, member-centrism and health equity, and state-federal oversight partnerships. In this session, the former head of Special Needs Plans and Medicare Advantage Operations at CMS will discuss new D-SNP requirements and their ramifications for D-SNPs and other MA plans. Michael Adelberg Principal and Head of Healthcare Strategy, Faegre Drinkerformer Director, Insurance Programs Group, Acting Director, Exchange Policy and OperationsCMM |
4:35 |
End of Day One |
May 18, 2022
Module 3 | |
10:00 |
Integrating Behavioral Health into Primary care to Improve Population Health for Medicare patients: The Johns Hopkins ExperienceModeled after CMMI's national Comprehensive Primary Care Plus Model, the Maryland Primary Care Program (MDPCP) supports participating practices in making transformative changes to care delivery for Medicare patients. The Johns Hopkins Medicine Alliance for Patients participates in this program as a Care Transformation Organization, providing enhanced Behavioral Health, Case Management, Community Health Worker, and Pharmacy services to the participating practices. This presentation will describe the Behavioral Health integration model successfully employed in the MDPCP program. We will discuss:
William Narrow, MD, MPH,Associate Professor, Department of Psychiatry and Behavioral SciencesJohns Hopkins University School of Medicine Medical Director for Behavioral Health IntegrationJohns Hopkins Medicine Alliance for Patients Scott Feeser, MD,Medical Director, Johns Hopkins Medicine Alliance for Patients Phoebe Rostov, MSW, LCSW,Senior Program Manager, Behavioral Health Integration |
10:35 |
Geisinger Case Study: Using Food as Medicine to treat Type II Diabetes and Other Diet Responsive Conditions
Allison Hess,VP Health Services, Geisinger |
11:05 |
Mid Moring Break Networking Break |
11:20 |
Innovations in Community-based Organizations Partnering with Health plans and Local Stakeholders for Health Equity: Case study of Green & Health Homes Initiative (GHHI)and Affinity by Molina:As plans struggle with outreach to CBOs, hear from this “out-of-the-box” partnership - a new model of private sector funding to reduce Asthma for NYC Medicaid recipients with Affinity and other partners. This innovative model is designed to address and help remedy preventable hospitalizations while greatly improving member lives. Such projects are fine examples of how to successfully address SDoH and establish a model that is scalable and replicable. Topics will include:
Michael McKnight,Senior Vice President of National Programs,Green & Health Homes Initiative from Affinity by Molina |
11:50 |
CareSource CASE STUDY: Care Source Partnership on a Unique SUD Home ProgramCareSource, a nationally recognized nonprofit health plan partners with a leading, value-based provider of high- touch care coordination and treatment services for those with Substance Use Disorder (SUD), the model focuses on addressing the complex social, medical and behavioral needs of this important population. The presentation will focus on the collaborative model, the learnings, challenges and lessons learnt. Amy Kendall,VP Complex Health,CareSource |
Module 4 | |
12:20 |
Leveraging Data and Technology to Accelerate Improved Outcomes in a Value-Based Care Environment.
Panelists:Garry Welch,Chief Scientific Officer,Silver Fern Healthcare Maryanne Videtto,RN, Former Head of Population Health,Wellspark Health |
1:10 |
Virtual Lunch and Exhibit Area Networking
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2:10 |
PROVIDER PANEL: Provider Strategies to Integrate SDoH into the Medical Mainstream to Deliver Whole-Person Care
Moderator:Hank Osowski,Managing Partner,Strategic Health Group LLC Panelists:Amie Hoffman, Director of Behavioral Health,Geisinger Sachin Jain,MD, MPH, National Medical Director, Village MD Eunice Yu, MD FACP, Medical Director of Care Design, Innovation, and Engagement, Henry Ford Medical Group |
3:10 |
PANEL: Lessons Learned in Developing Services and Contracts Between Payers and Community-based Organizations to Address Social Determinants of Health.Discussion topics would include
Panelists:Michael McKnight,Senior Vice President of National Programs, Green & Health Homes Initiative Jonathan Dayton,Executive Director, Maryland Rural Health Association, Community Relations and Population Health Consultant, Mountain Laurel Medical Center |
4:00 |
Networking Awards Winners Announced & Close of Conference |