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September 2021 Agenda

Speaker Presentations
Module #1
Tuesday, September 21, 2021: 10 a.m. ET – 12:30 p.m. ET

Welcome & Introduction: How to Maximize Your Virtual Conference Experience

Roz Applebaum,Vice President, Conferences,Strategic Solutions Network


Panel Discussion: Integrating Data from Population Health, Behavioral Health, SDOH into Care Coordination and other Clinical Teams – Breaking Down Silos


Melissa Smith,Executive Vice President, Consulting & Professional Services,HealthMine


Steven R. Peskin, MD, MBA, MACP,Executive Medical Director, Population Health,Horizon Blue Cross Blue Shield of New Jersey

Lucy Theilheimer,Chief Strategy and Impact Officer,Meals on Wheels America

Emily Mortimer,Senior Director, Healthcare Strategy, Social Determinants of Health,LexisNexis Risk Solutions


Growing Whole Person Care: A Systems Approach

Nora Dennis, Behavioral Health Lead Medical Director at BCBS of North Carolina and Hyong Un, Chief Psychiatry Officer at Aetna, a CVS Health Company, will discuss their perspectives on the importance of behavioral health as a component of whole person care. Reflecting on their substantial clinical experience as psychiatrists, alongside their current roles as payers, they will identify effective pathways for meeting behavioral health care needs in the context of our current health care system as well as address the limitations faced by the system in providing both behavioral health and whole person care. They will discuss the importance of strategies for implementing whole person care that focus on the connections among social, health system and provider-level factors.


Wendy Warring, J.D.,President and CEO,NEHI


Nora Dennis, MD, MSPH,Lead Medical Director for Behavioral Health, Blue Cross and Blue Shield of North Carolina

Hyong Un,Chief Psychiatry Officer, Aetna, a CVS Health Company


Member Engagement Post Pandemic: Using Digital Tools for Scalable, Affordable & Continuous Whole Person Care

The COVID-19 pandemic transformed every industry – especially healthcare. It’s essential that health plans, providers, and partners work together to deliver scalable, affordable, and continuous whole person care in the new era of digital health. In this session, Melissa Smith will provide an actionable overview of how to use digital tools for post-pandemic engagement. Topics of conversation include:

  • How to create a complete member record through “whole person” data synchronization
  • Transitioning from transactional engagement to relational engagement
  • How to reach more members by combining digital models (e.g., SMS/text, email, web) and traditional models of communication (e.g., telephonic/IVR and mail)
  • Using digital engagement tools to save costs and drive profitability

Melissa Smith,Executive Vice President, Consulting & Professional Services,HealthMine


Panel Discussion: Innovating Telehealth Initiatives: Overcoming Limitations and Complementing In-Person Care


Michael S. Adelberg,Principal, Lead, Healthcare Strategy Practice,Faegre Drinker Consulting


Dirk Soenksen,CEO,Ceresti Health

Rich Waldron, PT,VP Medical Affairs,Joint Academy

Henry Mahncke,CEO,Posit Science


Arming Care Management Teams to Address COVID-19 Vaccine Hesitancy, Social Isolation & More Barriers To Health

It’s well-documented that the pandemic continues to exacerbate social barriers to health. But to address factors like healthcare access and loneliness, health insurance plans must be able to identify them in the first place, and at scale. In this session, Dr. Sandhya Gardner will share how health insurance plans are using digital health technology to understand and meet members’ needs amid COVID-19 and beyond.

  • The 3 technology elements that uncover insights into social barriers
  • How to design COVID-19 vaccine education programs that impact members’ behavior
  • Ways care teams can act on these insights to intervene

Sandhya Gardner, MD,Chief Medical Officer,Wellframe


Virtual Lunch in the Exhibit Hall

Module #2
Tuesday, September 21, 2021: 2 p.m. ET – 4:30 p.m. ET
Data & Data Analytics – Capture Actionable Information to Implement Change

Health Homes Case Study: Using Data to Guide Patient Selection, Measurement and Outcomes Evaluation

Health Homes Program (HHP) is a regulatory CA DHCS program that provides additional care coordination services to Medi-Cal patients with complex medical needs and chronic conditions. The Kaiser Permanente team that implemented this program in Northern California will share their insights in developing the program design that included data analytics and segmentation to guide patient selection, to identify outcome measures and to evaluate the program. Learnings from this model informs the development of a risk stratification model for future evolution of intensive care coordination programs, such as CalAIM’s enhanced Care Management benefit.

Banafsheh Siadat,Regional Director - NCAL Medi-Cal Strategy and Operations,Kaiser Permanente


Case Study: Targeting Oregon’s High Risk Members Who Were Evacuated by Fires

  • High Risk Evacuees identified for outreach
  • Utilize technological tools to identify and prioritize our care coordination efforts
  • Renegotiated contracts to provide direct support to our members during a pandemic
  • Reallocating our funds to support social determinant needs of our members, including housing and other non-medical supports

Summer Sweet,Triage and Data Integration Manager,CareOregon

Cassandra Robinson,Healthcare Analyst, Population Health,CareOregon

Social Determinants of Health – Capturing the Data and Proving ROI

Leveraging Data, Analytics and Platforms to Advance the Business Case for Social Determinants of Health

Social determinant data can be a catalyst to determine factors that affect health and well- being of the community. Although organizations are beginning to create tools to address SDOH and data is becoming an important part of health care delivery, there are major challenges: SDOH data is derived from both public and private data sources, there is a lack of data ontology, and a lack of provider capacity and incentive to collect this data about their patients.  Humana’s population health strategy seeks to build a data ecosystem that includes clinical, behavioral and social data.   This infrastructure then enables identification of patients with social needs, the deployment of solutions, and the ability to measure impact.  The anticipated result is a sustainable business model to address whole person health.

Andrew Renda,Associate Vice President, Population Health,Humana


Case Study: Identifying New York City’s Homeless Members to Provide Support through Transitions of Care

Case Management support of Homeless Members through an inpatient acute / subacute stay is imperative to positive outcomes. This session will highlight how utilizing technology played an integral role in this process and the necessity for data integration through Electronic Medical Records, to ensure a successful safe and timely discharge.

Michelle Squire,Director of Case Management,Affinity Health Plan


Leveraging Data & Community Partnerships to Address SDOH

This session will focus on how one plan has utilized SDH data collected over the last five years to identify members, focus SDOH programs and develop community partnerships to address SDOH needs.

Karin VanZant,Vice President of Integrated Community Partnerships,CareSource


Setting Up for Continued Success Using SDoH Data

The early days of new programs can be stressful - especially when significant investments and new ideas are involved. Additionally, many leaders struggle with developing a comprehensive evaluation process when designing and implementing new programs. However, when it comes to operationalizing SDoH interventions and initiatives, a multi-layered approach can help guide organizations down a clear path to ROI and remove barriers to implementing the use of SDoH data. This presentation will help facilitate the accurate identification of SDoH risks and demonstrate how to connect vulnerable patient populations with much needed social services. Join LexisNexis Risk Solutions to understand the benefits of using data-driven strategies to implement and measure ROI while improving patient outcomes.

Andrea Green, RN,Manager, Healthcare Strategy, Social Determinants of Health,LexisNexis Risk Solutions


Virtual Reception in the Exhibit Hall

Module #3
Wednesday, September 22, 2021: 10 a.m. ET – 12:30 p.m. ET
Technology Solutions – Engaging Members in their Own Care

Case Study: Setting Up and Managing a Nudge Unit to Influence Member and Provider Behavior

This session describes the Behavioral Insights Team (BIT), aka nudge unit, at Geisinger, and what we do to help improve outcomes and cut costs. We discuss how the BIT was established, including where it sits within the broader system and implications for how we work with stakeholders across the system. We describe examples of different BIT projects and how they are sourced and prioritized. We also discuss funding approaches for the BIT. Finally, we discuss the challenges and opportunities of applying rigorous methods to the fast-paced needs of a large healthcare

Amir Goren,Program Director, Behavioral Insights Team, Steele Institute for Health Innovation,Geisinger


Improving Member & Plan Communication for those with Special Needs

Health plan participants with special needs such as autism, behavior health diagnoses, or developmental disabilities often require distinct attention with care coordination. These plan members are frequently living with comorbidities, making them particularly vulnerable and at an increased likelihood of experiencing a significant event, health decline, or hospitalization. These plan members may also require the support of caregivers, guardians, or other advocates to understand and interpret information relayed by the plan, to stay well and informed. The COVID-19 pandemic has hindered the ability to have face to face meetings and in-home visits, furthering the risk of losing touch with members that have greater needs. In this session we will review

  • Engagement with participant/parent/advocate advisory groups to obtain relevant member feedback
  • Providing virtual interactive education sessions tailored to the special needs population and their caregivers on vital health topics
  • (including the importance of getting a flu shot, myths about COVID vaccines, medication adherence, and nutrition and lifestyle tips for those with diabetes)
  • Facilitating accessible recreational virtual events and meetings that help to maintain healthy connections and combat isolation during quarantine
  • Utilizing website, social media, newsletters, and email subscriber lists to share information, maintain connections to members and their families, and promote a sense of community
  • The use of technology platforms and information sharing initiatives that allow care managers to have access to current health status and urgent alerts. Staff can better monitor wellness, promote pro-active approaches, and support a participant expeditiously in times of need

Karleen M. Haines, MPS,Chief of Community Relations,Partners Health Plan


Technology for Complex Care Identification and Management

Clover Health uses its technology platform to identify and care for its members with high hospitalization risk and complex medical needs. We will specifically describe the ways we use technology to (1) identify high risk members for clinical programs; (2) facilitate engagement and enrollment in these programs; and (3) improve health care access and outcomes.

Dr. Kumar Dharmarajan,Chief Scientific Officer,Clover Health


Case Study: Using iPads as Tools for Care Givers to Assist Members with Dementia

Explore how innovative technology, coupled with remote coaching, is making a difference for members with dementia and their caregivers.

  • Goals of Pilot Program
  • Discuss enrollment and engagement
  • Review outcomes and satisfaction for Caregivers
  • Hear about the overall impact on improving cost and quality measures
  • Next Steps

Alicia Sobocinski,Product Manager for Medicare,Harvard Pilgrim Health Care


Close of Conference